ࡱ> TVS bjbj:: 4<PP }ff''www8,d0SSSSS@0B0B0B0B0B0B0135B0wB0P''SSW0PPP'8SwS@0P@0PP,_w. -.Dm000-6P6(.P.8w.f :   Edelweiss Ski Kids Program Participant Information Form Parent/Guardians Last Name: ____, First Name:__________________, Dates Attending: ___, Lodging Facility:__________________________, Room #:______________. Names of Child Attending Name of Child (Last/First/MI)GenderDate of BirthAge     Emergency Contact Information Where will you be while your child(ren) are in our care? Parent/Guardian Cell Phone Number: Anyone else picking up your child? Name/Relationship: Contact Number: Is there anything we should know to better understand your child? Please let staff know: If your child has any potential life-threatening allergies or health conditions which could require immediate medical attention (such as peanut allergies, bee-sting allergies, asthma or diabetes). If your child generally carries a medication autoinjector (i.e., Epipen or Twinject), a nebulizer, or any other medication to treat emergency situations. Edelweiss Childrens Programs staff are trained to administer these medications, but are authorized to administer emergency medications only. Does your child have any special needs or physical limitations? Is your childs immunization record up to date? Is there other important information and/or concerns about your child(ren)? Is your child allergic to any kind of sunscreen? How many days of professional ski lessons did your child have prior this one? Statement of Consent As legal guardian, I give my permission for the child named on this form to participate in all the activities associated with the Edelweiss Ski kids Program (hereafter referred to as the program). I give my consent to the Edelweiss Staff to administer first aid and/or take my child to a medical facility to secure proper treatment, including anesthesia, hospitalization, or surgery. Treatment in an approved U.S. Army medical facility may be provided without consent under the provisions of AR 40-3. I also understand that a conscientious effort will be made to notify me prior to such actions. Expenses, if any, will be borne by myself. I also understand that the program is not responsible for lost items. I understand that activities are group- rather than individual-oriented, and that Edelweiss Staff cannot provide constant individual attention. If my child cannot adjust, or present(s) a disciplinary problem that Edelweiss Staff and/or its agent cannot resolve, then my child may be removed from the program. I also understand that AV Staff are obligated to report any cases of suspected child abuse and/or neglect. Patrons whose children participate in any Edelweiss Childrens Program and/or Garmisch CYS programs are granted a temporary exception to the requirement of providing proof of immunization at the time of registration if the following conditions apply: Patrons are not permanently assigned to USAG Garmisch Patrons are in pre-deployment, R&R during deployment, or within 60 days of deployment status Patrons understand and have signed off on the registration form that, in the unforeseen event of a vaccine-preventable communicable disease outbreak, children without proof of immunization are no longer eligible for care Childen may leave the Hausberg Lodge property for the program. Please review the following rules with your child before the start of the Edelweiss Childrens Program. Once you have reviewed them, please sign below. Edelweiss Ski kids Programs Rules Walk indoors Be respectful of others Always stay with the group Inform staff before using the bathroom Everyone helps clean up everything Parents/guardians are informed of childrens unruly behavior HAVE FUN!I understand the rules I have to follow at the Edelweiss Ski Kids Program. I will obey them and understand the consequences if I break them. 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