URBAN ADVENTURE SQUAD
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UAS SUMMER
REGISTRATION
 FORM

UAS SUMMER 2019 REGISTRATION FORM

Before you fill out the form, you must read through our UAS Summer 2019 policies on cancellation and age range.

Registration is a three-step process:
​
1. Fill out and submit this registration form and click "Submit." You'll be automatically redirected to a page acknowledging that we have received your form. 
2. We'll confirm that we have space in the session(s) you've signed up for, and a member of the UAS staff will send you payment instructions from our general email address, info@urbanadventuresquad.org (please add this address to your contacts). Please be patient. We have a very small staff and this can take a few days.
3. After you have successfully submitted payment, your registration is complete! 
    example: 01-01-2001
    HOME AND SCHOOL INFORMATION (* indicates required field)

    ALLERGY INFORMATION


    CURRENT MEDICATIONS (if none, leave blank)

    WAIVER OF LIABILITY AND AUTHORIZATION FOR MEDICAL TREATMENT
    I realize that no environment is risk-free despite a high degree of supervision, and I undertake to discuss with my child the importance of abiding by all Urban Learning and Teaching Center/Urban Adventure Squad (henceforth known as "ULTC/UAS") rules on conduct and safety. I understand that there are certain unavoidable risks associated with participating in ULTC/UAS programs. I acknowledge these risks and agree to let my child participate in all ULTC/UAS activities for the dates my child is registered. 


    By typing my name below and clicking the "Submit" button, I acknowledge that I have read through, understand, and agree to the ULTC/UAS policies on cancellation and age range. (www.urbanadventuresquad.org/uas-summer-2019)
    ​
    Because ULTC/UAS programs are based on adventures, including outdoors and on buses/trains, I understand that if my child is unable to follow the rules of safety and conduct with limited prompting and reminders, and/or behaves in a way that risks my child's safety or the safety of any other children or adults affiliated with the ULTC/UAS program, I may be contacted by ULTC/UAS to pick up my child, and that my child may be barred from participating in future ULTC/UAS activities.

    By typing my name below and clicking the "Submit" button, I hereby release Urban Learning and Teaching Center/Urban Adventure Squad and its trustees, officers, directors, and agents from all liability or claims, of whatever nature, arising from my child’s participation in ULTC/UAS programs. I further agree to indemnify and hold harmless Urban Learning and Teaching Center/Urban Adventure Squad and its officers, directors, and agents from any damage, including attorney’s fees, that may result from participation in ULTC/UAS programs. 

    If my child becomes seriously ill or injured while participating in a ULTC/UAS program, I authorize ULTC/UAS staff to call emergency medical services (911) as needed and/or take my child to a hospital, urgent care center, or physician for treatment. I accept responsibility for any expenses incurred in the medical treatment of my child, including any expenses that are not covered by my health insurance policy, or in the event that my child is not covered by a health insurance policy. 
    example: 01-01-2001

    OPTIONAL PHOTO RELEASE

    EMERGENCY CONTACT INFORMATION 
    Please provide the best contact information for who we should contact 
    in case of an emergency. At least one contact below should be a parent or legal guardian who will be reachable during the program.

    Do UAS programs allow you to put in work hours?


    PROGRAM REGISTRATION: CHOOSE YOUR PROGRAMS
    PLEASE CHOOSE CAREFULLY; UAS cannot offer full refunds for weeklong summer programs. Refunds--minus a $100 fee--are available only through April 26, 2019 for weeklong sessions. We cannot offer any refunds after April 26.
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  • Home
  • DONATIONS
    • Donate
  • Outdoor Programs
    • Full Day Programs
    • Summer 2023 >
      • Kenilworth Aquatic Gardens
    • School Partnerships
    • COVID-19 Safety Protocol
    • Tick Protocol
  • Resources
    • Guide to Outdoor Learning
    • Black History in D.C.
    • Land Acknowledgement
    • Resources during the COVID-19 pandemic
    • Geocaching D.C.'s Waterways >
      • Activities for the Classroom or Home
      • Go PLAY! (Find Our Geocaches)
    • D.C.'s Hidden Waterways >
      • Squad Waterway Cleanup
      • In-classroom activities
      • Field trips
      • Resources to learn more >
        • Hands-on Activities
  • About
    • Who we are >
      • UAS BOARD
      • UAS STAFF
      • UAS documents >
        • UAS Annual Report 2021
        • UAS Annual Report 2020
        • UAS Annual Report 2019
        • UAS Annual Report 2018
        • UAS Annual Report 2017 >
          • UAS Financial Report 2017
        • UAS Annual Report 2016
        • ULTC governance docs
    • The Squad in the News
    • Frequently Asked Questions (FAQs)
    • Contact Us >
      • Join our email list
    • Job opportunity