Shoreline Scholars Teen Enrollment & Waiver Form
Parent/Guardian Full Name
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Emergency Contact Number
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Does your child have any medical conditions
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Does your child have any allergies?
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Which program(s) are you enrolling in?
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Are you paying with Step Up Direct Scholarship
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I understand that participation may involve inherent risks including outdoor activity, ocean exposure, physical movement, and interaction with tools or environments.
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I release Shoreline Scholars, its staff, and affiliates from all liability for injuries, damages, or losses related to participation.
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I authorize emergency medical care if needed and accept responsibility for associated costs.
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In case of minor cuts and accidents, first aid trained staff will perform first aid on your child and you would be notified immediately.
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In case of a serious emergency, we will call 911 for an ambulance and you will be notified immediately.
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An incident report will be written and provided if there is any accident or dispute.
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I agree that participants will follow safety rules and respectful behavior, and understand unsafe behavior may result in removal without refund.
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I understand that programs may involve travel or multiple locations and accept associated risks.
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I understand that fees may be non-refundable unless otherwise stated.
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I grant permission for Shoreline Scholars to use photos and videos of my child for promotional purposes.
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