If either parent and/or guardian is not available to give formal consent, I authorize the treatment by a qualified and licensed medical doctor. I authorize an emergency ambulance to transport my child to Providence Newberg Hospital if a medical emergency occurs, only if a parent or emergency contact can not be reached. By checking Yes, I am giving my electronic signature.

Please list two people, other than the parent(s)/guardian(s), that we can contact in case of an emergency when the parent(s)/guardian(s) are unavailable. 

As a parent or guardian of a student at Treetop Preschool, LLC., I recognize and acknowledge there are certain risks of injury and I waive and relinquish all claims I or my children may have as a result of participating in this program against Treetop Preschool, LLC and its owner, teachers, employees and volunteers from and against any and all claims, suits, or causes of action, including reasonable attorney’s fees, sustained or caused by myself or my children arising out of, in connection with, or in any way associated with the activities of this program. I give my child permission to participate in this program, and on the child’s behalf as a parent and/or legal guardian I hereby waive, release and forever discharge any and all claims against Treetop Preschool, LLC and its owner, teachers, employees and volunteers for damages and/or injuries which may arise from my child’s participation in this program. By checking Yes, I am giving my electronic signature.

I give Treetop Preschool, LLC my permission for my child to participate in any scheduled field trips as part of the school day when informed before hand with time, place and destination details. By checking Yes, I am giving my electronic signature.

Pictures of children may be taken during class activities. I give Treetop Preschool, LLC permission to use photos of my child in marketing materials, such as the school’s website, Facebook page, etc. By checking Yes, I am giving my electronic signature.