Emergency Contact and Medical Information


Alternative Emergency Contacts


General, Local Field Trip Authorization

I give KIN Outdoor Learning permission to take my child (named in this form) on short field trips and other outings as part of the forest program. This includes transportation by car, bus or on foot. I understand that checking "yes" and putting my name in the box below means I understand the above information and give consent .


Photography Consent & Release

This form gives consent for your child’s photograph to be taken while at our program during both special events and day to day activities. This consent form must be on file for your child’s photo to be taken. Photos will be used in monthly newsletters/emails and may be sent to other parents within the child care (if they are with other children). Photo’s may also be placed within the daycare for the children to view and/or for marketing purposes.

As a parent of my child (named above) attending KIN Outdoor Learning day camp program. I understand, acknowledge, and give permission for my child to have his/her photo taken during normal daycare hours, activities and trip. I understand that these photo’s may be used in newsletters/emails for marketing purposes or mounted on the childcare walls.

I understand that checking "yes" and putting my name in the box below means I understand the above information and give consent .


Participant Release Of Liability

I affirm that the confidential medical information that has been provided is accurate and complete. I understand that failure to disclose this information could affect my own safety and those around me, and I agree to hold KIN Outdoor Learning harmless if full disclosure or a pre-existing condition has not been provided. In the event of illness or injury, consent is hereby given to provide emergency medical care, hospitalization or other treatment, which may become necessary.

In all programs offered by KIN Outdoor Learning, reasonable care is taken to prevent serious injuries and to minimize accidents. I am aware that all activities, even under the safest of conditions, have inherent dangers. I hereby accept responsibility for and assume the risk of injury or damage to my child that might arise directly or indirectly as a result of participation in KIN Outdoor Learning. I hereby express release, discharge, and hold harmless from any liability whatsoever KIN Outdoor Learning/Iron Gait Ventures, all employees and volunteers in their capacity as representatives of KIN Outdoor Learning.

I understand that checking "yes" and putting my name in the box below means I understand the above information and give consent .

If applicant is under 18 years of age:


Medical Information

* At KIN Outdoor Learning we strive to be inclusive of all children, but please be aware that behaviors teacher’s deem dangerous (escape risk, aggression, etc.) may result in the need for a support staff to be provided at an extra charge.


By signing below, I acknowledge that I undertsand all points and terms of this agreement, and that all consents and information are confirmed and accurate.