Title 2024 Agreement for Parent Signature - UPDATED.pdf ✅

Crossroads School for Arts and Sciences – Summer Programs 2024 AGREEMENT: This signed agreement is required for all students attending Summer at Crossroads. I am the parent (one of the parents/legal guardian) of the student Print parent first and last name Print student first and last name , (enrolled in grade in Sept.) who will attend Crossroads Summer Programs 2024 I ALLOW my child’s (ward’s) name, voice, photograph and/or likeness to be used in any and all promotional and marketing materials, whatever the medium, produced by Crossroads School or any agency acting for Crossroads School. I AGREE that by using the enrollment system and selecting programs, courses, or classes, I AGREE to pay the tuition and related fees for programs, courses, or classes in which my child (ward) is enrolled. I UNDERSTAND that payment is due at the time of enrollment, unless other arrangements are made in advance. Total tuition cost will vary by student. I UNDERSTAND AND AGREE that a Summary of the tuition and related fees unique to my child (ward) will be either emailed to me following completion of the on-line enrollment process, or provided to me in person if I enroll in-person. I HAVE READ the general information and policies presented on the website, located at www.summer.xrds.org. I UNDERSTAND that I/we and my/our student must comply with all School rules, including those set forth in the Summer Programs student/parent Handbook. I UNDERSTAND that Crossroads School makes financial commitmentsto teachers and resources for the Summer Programs based upon enrollment. I UNDERSTAND AND AGREE that refunds are only issued according to these dates: withdrawal of student between March 15 and May 31 = 50% refund (less processing fee); withdrawal of student between June 1 and June 15 = 25% refund (less processing fee). No refunds at all are given for withdrawals or removals for any reason made after June 15. In the event of a cancelled class or program, Crossroads will issue a refund (including the processing fee) based on the method of payment. Refunds are not made for missed private swim lessons. I UNDERSTAND that if I selected Two Week Program (except Basketball Camps), Swim Camps, Afternoon Dip and Pool Games, Private and/or Semi- Private Swim Lessons, Swim Team All Levels, Wave Runners, or Life Guard Training/Certification; I have enrolled my child (ward) in a program that includes swimming. I ASSUME ALL RISKS arising out of, or relating to, my student’s participation in the Summer Programs. I acknowledge that swimming is a potentially dangerous activity and involves the risk of serious injury and/or death. I understand that unless I complete a no-swim form, my child will swim at Crossroads School. I EXPRESSLY RELEASE AND DISCHARGE Crossroads School and their agents, employees, and representatives of and from any liability or responsibility for damage from injury sustained by my child (ward) while attending Summer at Crossroads School, programs and courses, other than such liability or responsibility arising as a result of their gross negligence or willful misconduct. I UNDERSTAND additional forms may be required based on the program or course for which my child (ward) has enrolled. A current copy of a childs immunization record is required if the child resided out of the state of California. PURSUANT TO FAMILY CODE §§6550 et seq., I hereby authorize the Head of School or adult employee into whose care my child (ward) is assigned to consent to any X-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care to be rendered to my said child (ward) by an appropriate medical or dental professional only if the situation is deemed an emergency by said parties and I cannot be reached. I UNDERSTAND that Crossroads may terminate this Agreement at any time for any reason. Failure by students or parents/legal guardians to adhere to the terms of this Agreement and/or Crossroads policies and procedures may result in termination of this Agreement and dismissal from the programs. I UNDERSTAND that this Agreement, including the Permission, Waiver, Release and Indemnity Agreement, Student/Parent Handbook, Summary of tuition and related fees information, and any other additional forms required based on the programs or courses for which my child (ward) has enrolled, constitute the entire agreement concerning the subject matters addressed herein between me and Crossroads. This agreement superseded all negotiations and representations between the parties, proposed or otherwise, whether oral or written, concerning the subject matters herein. This is a fully integrated document and may only be amended by a written amendment executed by all parties. I EXPRESSLY AGREE by signing this Agreement, I agree to and am bound by the terms of this Agreement. SIGNATURE: Parent/Guardian: / . Signature Date . Day Phone Email