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Go to…
Homepage
Our Preschool
-Montessori
-A day at our school
-Enrichment
-Yearly calendar
Staff
Information
-Handbook
-Tuition
-Priority Levels
-Supply list
Forms
-Application
-Information Update
-Stretch and Grow
-Media Release
-Pick Up Authorization
Stretch and Grow
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Stretch and Grow
The Fabulously Fun Fitness Program for Kids!!
PARTICIPATION FORM
Sandpiper Montessori Preschool
Child Care Center or Facility
Child’s classroom or child’s teacher
Child’s Name
Child’s Birthdate
M
F
Get to know about Stretch-n-Grow and learn about hosting an active birthday party or EXERciting Event with Stretch-n-Grow by visiting our website
wilmingtonstretch-n-grow.com!
Like Stretch-n-Grow Wilmington NC on Facebook at
facebook.com/stretchngrowwilmingtonnc!
Add Stretch-n-Grow and
sngwilmbilling@gmail.com
to you email contact list to stay in touch.
Parent / Guardian Waiver and Release Form
You give permission for my child to leave the classroom to participate in the 30-minute Stretch-n-Grow fitness session. During this time, you understand your child will remain on-site and under the supervision of the Stretch-n-Grow coach.
You agree that you are aware that the child named will be will be engaging in physical exercise involving various exercises, sports, coordination events, and general fitness training which could cause injury to him or her.
You understand that the child is voluntarily participating in these activities and is assuming all risks of injury that may result from engaging in any exercise program or sport related event including tripping, slipping, or falling on or off the premises.
You hereby agree to waive any claims or rights that you might otherwise have to sue the childcare center, Stretch-n-Grow, our employees, owners, officers, or agents for any injury that might occur. You understand that we will make no evaluation or recommendation as to whether or not the child is capable or deemed physically fit to engage in any activity. If the child has any physical or mental condition that may impair his or her ability to engage in any of the club activities, it is your responsibility to obtain a physician’s release statement. It is recommended you consult a physician prior to your child participating in any physical exercise program.
HEALTH DISCLOSURE: Please describe any injuries or health problems that may limit your child’s participation:
None known
Photographs or videos of classes are occasionally used for marketing and promotion; an example is placing action shots from class on Facebook or the Stretch-n-Grow website. Children’s names are
never
disclosed. If you
do not
want your child’s photograph or video used, please check here:
Permission
I do NOT give permission
I give permission
Parent Name
*
E-mail Address
*
Date
Phone Number
*
Parent Signature
Yes
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Sandpiper Montessori Preschool
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