2019-2020 Morning Classes: please complete the following form.

This form is for those enrolled in by-semester or full year preschool alternative classes only & is required before your child may attend classes with us. A separate form is required for each child enrolled.

In addition, parents must join brightwheel, our current platform for daily attendance and communication. You will receive a parent invitation via email, this email invite is necessary to then access and upload your child's information. Please do not download brightwheel until you receive this invite from Brooklyn Nature Days. You will not be able to join our “classroom” until you receive an invite from us.

Child's Name *
Child's Name
1. Parent/Guardian *
1. Parent/Guardian
Phone *
Phone
2. Parent/Guardian
2. Parent/Guardian
Phone
Phone
Emergency Contact (other than parent/guardian) *
Emergency Contact (other than parent/guardian)
Phone Number for Emergency Contact *
Phone Number for Emergency Contact
Name of Child's Physician *
Name of Child's Physician
Phone Number for Child's Physician *
Phone Number for Child's Physician
Does your child regularly take any prescribed medication or carry an epipen or allergy related action plan? If so, please list and describe below. If not, please write 'none.'
Rain Suit Size *
BND provides ONE rainsuit per child enrolled during the 2019-2020 academic year. Please indicate which size your child will need when beginning classes. Sizing up is recommended to accommodate for layering and growth. If you do not need us to provided a rain suit, please check NA.
Schedule, Tuition, and Payment *
Tuition is non refundable, non transferable and due in full prior to your child attending class. An individual invoice with payment options will be sent to each family. A late payment fee in the amount of $25 will be applied to payments made 3 business days past due and a late payment fee in the amount of $50 will be applied to payments made 5 business days past due. Once the initial deposit is secured, families may request schedule changes, which may or may not be honored, depending on availability.
Consent for Medical Treatment *
In the case of medical emergency, I understand that every reasonable attempt will be made to contact the Parent(s)/Guardian(s) or another designated emergency contact. However, in the event that I cannot be reached, I give my permission to the Educators of Brooklyn Nature Days, LLC to help my Child and secure emergency medical treatment. I agree to pay for any charges for emergency medical treatment that are not covered by my personal health insurance. This acknowledgement and consent applies for the duration in which my child attends class.
Acknowledgement of Risk *
II acknowledge that there are risks inherent in any youth activity, including – but not limited to – injury arising from participation in outdoor physical activity. I acknowledge that all risks cannot be prevented, and assume those beyond the reasonable control of the teachers and staff. In consideration of being permitted to participate in Brooklyn Nature Days, LLC, on behalf of myself, my family, my heirs, and my assigns, I hereby release and hold harmless Brooklyn Nature Days, LLC, its teachers and its staff from any liability for injury, loss, or death to the Child. In order to minimize risks to my Child and others, I will take responsibility to make sure that my Child is prepared for all activities, dressed appropriately for the weather, and is in good health for each class. I am also aware that Prospect Park is a public park with rough terrain and wild animals, and open to the general public for various activities. I appreciate and accept that risk and waive any right to pursue legal remedies associated with inherent risks of the park.
Bathroom, Sunscreen, and Bug spray *
It is understood that families are expected to send their child with their own sunscreen and bugspray each day, and it is not the responsibility of Brooklyn Nature Days to provide sunscreen and bugspray regularly for children. In the rare event a child's sunscreen or bug spray is not sent with them for class, we give permission for our child to use sunscreen and bugspray (DEET free) provided by Brooklyn Nature Days.
If you prefer we do NOT use our own sunscreen or bugspray in the rare event your child is without their personal sunscreen or bug spray please choose nothing in this section.
Snacks *
Media Release
Consent to Photograph: I do hereby consent and agree that Brooklyn Nature Days, LLC has the right to take photographs and video clips of my child and to use these on the Educator's websites and promotional materials without compensation. I understand my child's name and identity will not be revealed.
Signature *
Signature
By signing this form electronically, I attest I am the parent/guardian of the above child and I am the person whose name appears in the box below. I understand and agree to the terms stated and checked on this form.