THRIVE - ADHD + Me!
Medical Release:
I hereby declare that I am the parent or legal guardian of the above-named child and that the information I have given is accurate.
I hereby authorize and consent to West Coast Centre for Learning and Rise Fitness Collective Ltd., including their staff and representatives, to obtain medical evaluation and/or treatment on my behalf in the event of an emergency, should all reasonable efforts to contact me or the designated individuals listed above be unsuccessful. Such medical care may be provided by the physician identified above or, if that physician is unavailable, by another duly licensed medical professional.
I hereby release, waive, and forever discharge West Coast Centre for Learning and Rise Fitness Collective Ltd., together with their respective agents, employees, officers, directors, representatives, successors, and assigns, from any and all claims, demands, actions, causes of action, liabilities, or judgments of any kind whatsoever, whether known or unknown, which the undersigned has had, now has, or may hereafter have, arising out of or in any way related to any personal injury, illness, or medical condition sustained or incurred by the child named above.
This release applies to any such injury, illness, or condition resulting from the actions or omissions of West Coast Centre for Learning and/or Rise Fitness Collective Ltd., including those arising from participation in programs or from the procurement or provision of medical treatment.
I hereby certify that the child named above is in good health and free from any communicable disease or illness. I further certify that the child does not have any medical condition, injury, or physical limitation that would prevent participation in, or place the child at undue risk of injury during, functional fitness activities associated with this program.
In the event that the child has, or develops, any medical condition or injury that may affect their safe participation, I agree to provide written notice to the program organizers detailing the nature of such condition or injury, so that reasonable measures may be taken to minimize risk and support the child’s safe participation.
Health & Safety Measures:
The health and safety of our visitors, employees, clients and our fellow tenants, is our number one priority. As such, if your child is sick or showing any flu like symptoms, please keep them home.
Program Placement:
Group placement is determined by clinicians to ensure the program is a good fit for each participant. Acceptance into the program is not guaranteed.
Payment:
Payment is accepted at the time of registration for private paid registrations. Others will be billed to the AFB or designated school. If the program is deemed to not be a good fit at the time of registration by our clinicians, a full refund will be given.
Statement of Understanding:
I acknowledge that I have read and understand the program description, policies, procedures, and related information of West Coast Centre for Learning and Rise Fitness Collective Ltd. for the THRIVE ADHD + ME Program. I confirm my understanding of, and agreement with, the philosophy, policies, terms, and conditions set forth therein, and I agree to be bound by them.
I further acknowledge and understand that failure to fully and accurately disclose relevant information may result in my child’s removal from the program.
