Step 1 of 2 50% Select Student(Required) First Choice Second Choice Third Choice If you don't see your child(ren) in the options above you need to go back to your account page and register them. Monday Options First Choice Second Choice Third Choice Tuesday Options First Choice Second Choice Third Choice Wednesday Options First Choice Second Choice Third Choice Thursday Options First Choice Second Choice Third Choice Friday Options First Choice Second Choice Third Choice Discount Code Discount Applied to each installmentThis discount will be applied to each installment paidTotal1st of 3 Installments Due Today Sibling Discount Applied to InstallmentWe automatically apply this discount if you previously submitted a form for another child in the same trimester. Consent(Required) I have read and agree to the release and waiver of liability formsACKNOWLEDGMENT OF RISK AND RELEASE AND WAIVER OF LIABILITY FORM In consideration of being allowed to participate in the event or activity referenced above, I acknowledge, appreciate, and agree that there are certain risks inherent in my child’s participation in the Stay & Play After School program at PS 372 - The Children’s School. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist. I agree that I will inform an appropriate representative at PS 372 of any special information regarding the health, or physical or mental condition of my child that may be relevant to my child’s participation in the After School Program. In consideration for permitting my child to participate in the After School Program, I hereby agree: (a) to release and discharge PS 372 from any liability or responsibility for any personal or bodily injury (including death), and for any damage to or loss of property, however caused, that my child or I suffer as a result of or in connection with my child’s participation in the After School Program, including, without being limited to, any injury, loss, or damage resulting from, arising out of, or occurring in connection with the negligent acts or omissions of members of the faculty or staff or other employees, agents or servants of PS 372’s After School Program; and (b) not to raise any claim or institute any legal action or proceeding, on my behalf or on behalf of my child, against PS 372 for any cause of action that may result from or arise out of or in connection with my child’s participation in the After School Program, for any personal or bodily injury (including death) to my child, including, without being limited to, injury, loss, or damage that may result from or arise out of or in connection with the negligent acts or omissions of members of the faculty or staff or other employees, agents or servants of PS 372’s After school Program. This acknowledgment of risk and release and waiver of liability are governed by and will be construed in accordance with the laws of the State of New York without regard to principles of conflicts of law. I agree that I will submit to the exclusive jurisdiction of the federal and state courts located in New York County, New York State, for the resolution of all disputes arising hereunder or relating hereto, regardless of the place of execution of this form. COVID WAIVER RELEASE FORM Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. “PS 372’s STAY & PLAY AFTER SCHOOL PROGRAM” cannot guarantee that you or your child(ren) will not become infected with COVID-19. --------------------------------------------------------------------------------------------------------------------- By consenting to this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the AFTER SCHOOL PROGRAM and that such exposure or infection may result in but not limited to personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 during the AFTER SCHOOL program may result from the actions, omissions, or negligence of myself and others, including, but not limited to, AFTER SCHOOL employees and program participants and their families or guardians. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with mychild(ren)'s attendance at the AFTER SCHOOL program. On my behalf, and on behalf of my children and any guardian in attendance at the AFTER SCHOOL program, I hereby release, covenant not to sue, discharge, and hold harmless PS 372, its employees, agents, and representative including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of PS 372, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in the AFTER SCHOOL program.Payment Options(Required) Credit Card Cash or Check Financial Aid If choosing to pay by credit card, we will automatically collect your payments in three installments over the course of three months. If you select Financial Aid our program director will reach out with financial aid forms to be filled out. 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If so this is used to apply a discount. HiddenMonday Program HiddenTuesday Program HiddenWednesday Program HiddenThursday Program HiddenFriday Program HiddenFinancial Aid AdjustmentThis is the amount you want to subtract from their total owedHiddenStudent Name HiddenStudent Grade Submissions may take up to a minute, so please be patient after hitting submit. If you receive errors check your email as your submission likely went through, but we may be experiencing heavy traffic. Δ
