PARENT LED ACADEMIC NETWORK TEAM, INC.
Home
For Parents
>
SEED Scholarship Fund
Testimonial Form
Parent Testimonials
Parent Tutorials
FAQ for Parents
For Teachers
>
Terms of Service
Forms
Teacher Tutorials
Teacher Checklist
About
The PLANT Model
Annual Reports
Statement of Faith
Classes
Resource Directory
Support
Contact
PLANT Video Contest
Teaching Reading with SWR Parent/Teacher Agreement
Please complete the form below
PLEASE READ CAREFULLY AS THIS REPRESENTS A CONTRACT BETWEEN YOU, THE PARENT, AND SANDY CANNON
Informed Consent and Release
PLEASE READ CAREFULLY AND SIGN BELOW TO INDICATE YOUR AGREEMENT
NOTE: THIS FORM INCLUDES A RELEASE OF LIABILITY
*
Indicates required field
Student's Name
*
First
Last
I, the undersigned parent(s) or guardian(s), hereby give permission for my above named child to participate in Teaching Reading with SWR taught by Sandy Cannon.. I understand that the home educator is required to attend this class with my student. The class will involve both parents and their students in learning to utilize the Spell to Write and Read curriculum for teaching reading to early readers.. Sandy Cannon has several years experience using and teaching others to utilize the SWR curriculum. I understand I will also be required to purchase the curriculum separately.
I certify that I am hiring Sandy Cannon to assist me with my child's education and I have taken the necessary steps to inform myself of the qualifications and experience of the teacher and have determined that the above said class is appropriate for me and my child. I further certify that any issues that may arise with regard to the content of the class, my child's performance and/or his behavior shall be addressed to the teacher.
I grant to Sandy Cannon, and PLANT, Inc. as her agent, the right to take photographs of my student as a participant in this class and I agree that Jared Cannon or PLANT, Inc. may use such photographs of my student without a name for any lawful purpose including publicity, illustration, advertising and web content.
I certify that my child is able to participate in any and all of these activities. I further certify that I or another appropriate home teacher will participate in the class along with my student. Younger siblings not participating in learning to read are not to be brought to class and I will make other arrangements for them during class time.
In the event that my child becomes injured or ill during class and I am not present, I hereby authorize Sandy Cannon or her representative to seek medical treatment, including but not limited to securing the services of a physician or hospital. I will assume responsibility for all medical expenses incurred. I understand that Sandy Cannon strives to create a safe, positive experience for all the children. If my child becomes disruptive, or a danger to himself/herself or others, I understand that I may be asked to remove him from the classroom. I understand that children should not be left unattended at the church whether I am in class or not.
I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS THAT MAY BE ENCOUNTERED IN SAID ACTIVITIES, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO.
I do, for myself and for my child, heirs, and assigns, to the fullest extent permitted by law, hereby irrevocably and unconditionally release, acquit, and forever discharge Sandy Cannon, PLANT, Inc. and Rio Vista Church, their agents, employees, and volunteers from any and all liability, actions, causes of actions, claims, expenses, obligations, and damages of any nature whatsoever, which I now have or which may arise in the future, in connection with my child's participation in the described activities or in any other associated activities including, but not limited to, any injury to my child or property, even injury resulting in death.
I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the laws of the state of New Mexico and that if any portion hereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto.
I further state that
I HAVE CAREFULLY READ AND UNDERSTAND THE FOREGOING RELEASE AND KNOW THE CONTENTS HEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT.
I understand that this is a legally binding agreement.
I have read this Informed Consent/General Release fully understanding its terms, that I give up substantial rights by signing it, and sign it voluntarily.
DO NOT E-SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT.
By my Signature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering your full name in the box below.
Waiver of Liability Signature
*
I accept the terms listed in the agreement above
Parent's eSignature
*
Please print this page for your records BEFORE you submit it.
Submit
Teacher Signature
*
Indicates required field
Name
*
First
Last
Email
*
Teacher eSignature
*
If you are the teacher for this class please indicate your agreement by typing your first and last name.
Date
*
Submit
Home
For Parents
>
SEED Scholarship Fund
Testimonial Form
Parent Testimonials
Parent Tutorials
FAQ for Parents
For Teachers
>
Terms of Service
Forms
Teacher Tutorials
Teacher Checklist
About
The PLANT Model
Annual Reports
Statement of Faith
Classes
Resource Directory
Support
Contact
PLANT Video Contest