Assumption of Risk, Waiver of Claims, Release and Indemnity 

Organization Name: Learning Lab LLC.

In consideration of my child’s enrollment application acceptance and permission granted to  participate in any way in Learning Lab, related events and activities, and use of  equipment, I the undersigned, acknowledge, appreciate, and agree that:  

1. Express Voluntary Assumption of Risk  

I knowingly and freely assume all such risks, both known and unknown, and assume full  responsibility for my child’s participation in the said Learning Lab program. I acknowledge that my  child may be:  

a.  Taking supervised walking field trips/hikes throughout Forest Park playground and Forest Park.

It is my understanding that these activities may be taken without further consent from me. 

2. Photo Consent 

I hereby consent to the use of works and quotes, and the taking of photographs and video clips of the student named above. I also grant to Learning Lab the right to edit, use, and reuse said products in print, on the internet, and in all other forms of media. I also hereby release Learning Lab and its employees from all claims, demands, monetary compensation, and liabilities whatsoever in connection with the above. I understand that if the student’s work is to be used, it may be identified by their first name and last initial only. The student’s full last name and address will not be included with the work

3. Permission to Receive First Aid 

I understand that participation in activities can expose myself and my child to risk and possible  injuries. In case of an emergency, Learning Lab will take all the necessary precautions to keep the child(ren) in good health, including but not limited to transportation to an emergency room. The parent(s) agree to pay all costs and expenses incurred in connection with any medical care provided to the child. I understand that Learning Lab will contact my emergency contact or myself before or immediately after such emergency treatment is rendered.

I hear by confirm that the above named child is in good physical condition and has been examined by a physician within the past 6 (six) months and is in relatively good health and able to participate in Learning Lab’s educational programs. 

4. Administration of Medication 

I understand that Learning Lab staff will not administer medication other than over-the counter ointments, lotions and creams, spray, including products and topically applied insect  repellent as indicated on the Sunscreen/Bug Repellent Permission Form.  

5. Termination of Service

For the safety, welfare and proper maintenance of all children of Learning Lab, retains the right to terminate the contract for the following reasons:

• The child’s behavior is destructive, uncontrollable, violent, or threatening to other children or staff members. 

• A parent/guardian refuses to pay tuition to Learning Lab

6. Release of liability  

I, for myself, my child(ren) and on behalf of my heirs, executors, administrators, successors, assigns,  personal representatives and next of kin hereby release, waiver, indemnify, and hold forever harmless Learning Lab, its officers, elected and appointed officials, agents and/or all of its  employees, members, servants, contractors and all other associations, sanctioning bodies and  sponsoring companies, other children, advertisers, and, if applicable, owners and lessors of premises used to conduct the program (RELEASEES), successors and assigns, of and from all claims,  demands, losses, damages, costs, expenses, actions and causes of action, whether as in law or  equity, arising out of or related to any INJURY, DISABILITY, DEATH, LOSS OR DAMAGE, to myself, my child or loss or damage to person or property however caused, arising or to arise by reason of my child’s participation in Learning Lab’s program, to the fullest extent of the law, whether as spectator, child, or otherwise; whether prior to, during or subsequent to his/her participation in Learning Lab’s program notwithstanding that the same may have been contribute to or occasioned by the negligence of the aforesaid. I further hereby undertake to hold and save harmless, and agree to indemnify all of the aforesaid from and against any and all liability incurred by any or all of them arising as a result of, or in any way connected with, my child’s participation in the said Learning Lab program.  

I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. I warrant that my child is physically fit to participate in the Learning Lab  program. I hereby understand that my child’s permission to participate in the Learning Lab program may be revoked if he/she does not follow the code of conduct, instructions, and regulations set forth by the organizers and educators of Learning Lab to the point that the behavior is deemed to be unsafe or unmanageable with regards to themselves or others.  

**A printed copy of this form that has been signed is necessary for a child’s participation in Learning Lab’s programs. Please click on the button below to download a copy. The completed signed document can be e-mail to info@learninglabny.com