2020-21 liability Waiver

  1. Please note that in points 2-17, “AM” refers to Anagha's Math and “I” refers to the Parent.

  2. I authorize my child to participate in online classes offered by AM using Microsoft Teams as our learning platform for student/teacher interaction.

  3. I authorize my child to use the microphone and camera during the online sessions offered by AM.

  4. If upon return to attending location-based classes, I acknowledge and understand that my Childs’ participation may result in possible exposure to an illness from infectious diseases, including, but not limited to, influenza, and COVID-19.

  5. In case of a medical emergency when I cannot be reached through reasonable effort, I hereby give permission to the physician selected by the adult in charge to secure proper treatment for or to hospitalize my child. I will be fully responsible for any of the expenses incurred.

  6. I agree that I will not hold AM, or any of its officers, directors, instructors, teachers, or volunteers responsible for any accident or injury arising out of my child's (or myself, in the case of an adult student) participation in the program.

  7. I am responsible to bring my child to class on time and pick him/her up immediately after class.

  8. I am responsible for the safety of my child during non-class time.

  9. I am responsible for keeping our phone numbers, email addresses, mailing address, emergency contacts, and my child’s medical information accurate and up to date with AM.

  10. I understand that announcements by AM are often sent via email or posted on AM websites.

  11. I am responsible for checking my email and AM website regularly to view AM announcements.

  12. I understand that AM may take pictures of its students and their families during class activities and publish them on AM website.

  13. I understand tuition is due as per the schedule mentioned on AM website. There is no refund or credit once tuition is paid, regardless of when it is paid. I agree to pay a late fee of $5 per week if tuition is not paid according to the tuition schedule posted on AM website.

  14. AM is not responsible for holding a space for a student until tuition is paid.

  15. I understand that my child shall not bring any food or beverage to AM without the teacher's permission, except water.

  16. My child has my permission to participate in the indoor and outdoor activities organized by Anagha’s Math.

  17. I certify that I have read this document and I fully understand its content. I am aware that this is a release of liability and my Actual / Electronic signature amounts to my acceptance of the liability waiver.

Student's First and Last Name ____________________________________________
Parent's First and Last Name _____________________________________________
Date and Location  ______________________________________
Signature ________________________________________

Mailing address :7040 Cascade Ave SE, Snoqualmie, WA 98065

anaghasmath@gmail.com | (425) 830 9664