Kite Steam Policy Agreement Form - FLL Challenge Prep Program, Thurs KS Spring 2024
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Parent/ Guardian Name *
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FIRST Lego League Challenge Prep *
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Referred By (Please write name, if referred by in a group)
Kite Steam Policy Agreement Aug 2023
In consideration of my child’s participation in Kite Steam’s program (the “Program”), I, the undersigned parent or legal guardian, acknowledge and agree to the following:

Seasonal Sessions
I may register my child for participation in the Lego Robotics Program which includes 1hr classes.  

Dates: 
(10 classes) Thursday 4:00pm - 5:00pm 
Apr 4, Apr 11, Apr 18, Apr 25, May 2, May 9, May 16, May 23, May 30, Jun 6, Jun 13 (Makeup class) 2024

There will be no proration or refund for my child’s attendance of fewer than all of the classes of the entire 10 session for which my child is registered. I acknowledge that I may pay in full  the total of $395 by Mar 15, 2024. If I have a sibling actively registered with Kite Steam, I can get a sibling discount of 5% discount to total payment, starting from the second child. If payment is not received by such date, [Kite Steam LLC] (“Kite Steam”) reserves the right to revoke my registration.  By registering, I consent to receiving email and text updates and other information regarding the program.

Withdrawal of Registration
I may withdraw my child’s registration for a session no less than 4 days in advance of the session start date. Notification deadline based on schedule: Mar 20, 2024. I will provide any notice of withdrawal via written notice to admin@kitesteam.com with subject line: Withdrawal of Registration or Text to 484-343-0061.  I understand that monetary refunds will not be issued, but I will receive full credit for the registration fee if notification is not made by above mentioned dates.  Credit can be applied to my child’s registration in future Program sessions, provided that such credit will expire one year from the date of issue.

If I provide notice of withdrawal less than 1 week in advance of the session start date, I understand that I may receive credit only at the discretion of Kite Steam.

Class Cancellations
If Kite Steam needs to cancel any classes, Kite Steam may inform me via email and offer a make up day and time.

Permission
I give permission for my child, and represent that my child is able to participate in all activities of the Program and that my child’s involvement in such activities will not impinge or impact negatively on my child or any other child or on the Program.  

Safety & Behavior
I will inform Kite Steam of any allergies (e.g. peanuts), physical or dietary limitations, and/or other concerns that may relate to you or your child.  Kite Steam will not be held responsible for any bodily injuries or damages sustained as a result of participating in any class.  I acknowledge that Kite Steam may dismiss any student for inappropriate or detrimental behavior, and such dismissal may result in revocation of my child’s registration and forfeiture of all registration fees.  I understand that damage to equipment or the premises in which the Program takes place due to reckless acts and/or deliberate indifference by my child will be my financial responsibility.
In the event that I cannot be contacted, I hereby fully authorize Kite Steam and its employees and/or representatives and any medical personnel, hospital and/or physician to give any medical attention to my child.

I, for myself and to the extent allowed by law, on behalf of my child, and on behalf of our respective heirs, assigns, beneficiaries, executors, administrators, personal representatives, and next of kin (collectively, the “Releasing Parties”), HEREBY RELEASE AND AGREE TO INDEMNIFY AND HOLD HARMLESS Kite Steam, its principals, officers, employees, agents and representatives Kite Steam and its principals, officers, employees, agents and representatives, and the owners and lessors of premises upon which the Program and related events and activities take place (the “Released Parties”), from any and all claims, demands, suits, causes of action, losses, and liability of any kind whatsoever, whether in law or equity (“Claims”), that may result from my child’s participation, preparation for such participation or spectatorship of any and all activities of the Program.  Without limiting the foregoing, I agree that the Released Parties assume no responsibility for injuries or losses caused by situations or inappropriate behavior beyond their control.

Parent Pick-Up
I understand that Kite Steam is not responsible for my child before or after the stated class times. I understand that Kite Steam reserves the right to charge a late pickup fee of $1.00 per minute per child beginning 15 minutes after the stated end time of the class. I agree to pay this fee immediately to Kite Steam should such charge be required. I understand that my child will not be allowed to return to the Program until such fee is paid in full.

Photographs & Videos
Kite Steam staff may take photographs and videos for use on internal and external marketing tools (e.g. website, social media, promotional materials, etc.). I authorize Kite Steam to utilize my and my child’s likenesses in any photography or video that Kite Steam captures.

Personal Data
Personal data you provide to Kite Steam may be used by Kite Steam for editorial and feedback purposes, for marketing and promotional purposes. Kite Steam may use the information you provide about yourself to fulfill your requests for our services, to respond to your inquiries about our offerings, to offer you other programs or services that we believe may be of interest to you. Names, postal and e-mail addresses, and phone numbers collected may be added to Kite Steam’s databases and used for future calls and mailings regarding site updates, new services or upcoming events.

Health of Child BEFORE DROP OFF
Please note that if your child shows any symptoms of runny nose, cold, fever, or feeling run down we ask you let us know and keep your child home.   We will not accept them in the class for the week.  We are happy to work with you regarding reschedule, credit or refund on a 1:1 basis.

I, for myself and to the extent allowed by law, on behalf of my child, and on behalf of the Releasing Parties, HEREBY RELEASE AND HOLD HARMLESS the Released Parties from any and all Claims arising out of or related to any ILLNESS, INJURY, DISABILITY, DEATH, OR OTHER DAMAGES incurred due to or in connection with COVID-19 or any other communicable diseases, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASED PARTIES OR OTHER PARTICIPANTS IN THE PROGRAM OR OTHERWISE, to the fullest extent permitted by law.

I agree that this Agreement is intended to be as broad and inclusive as is permitted by the laws of the State of New Jersey, and if any portion hereof is held invalid, it is agreed that the remainder shall continue in full legal force and effect.

I HAVE READ THIS AGREEMENT, INCLUDING THE RELEASES OF LIABILITY AND THE ACKNOWLEDGMENT OF ASSUMPTION OF RISK, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY DIGITALLY SIGNING IT WITH MY NAME AND AGREEMENT TO CONSENT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. I EXPRESSLY ACKNOWLEDGE THAT I HAVE REVIEWED AND WILL COMPLY WITH THE POLICIES SET FORTH HEREIN.
Consent Agreement *
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Please Submit Payment  to: Venmo: @Taniya-Das (Phone +1 484 343 0061)
Class Location: Kite Steam, Unit A, 215 Chestnut St., Ridgewood, NJ 07450
A copy of your responses will be emailed to the address you provided.
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