Common use of Other Forms Clause in Contracts

Other Forms. Parents agree to complete in entirety all of the following enrollment paperwork and to update it as needed: • Child Record Part A – Child Information Form • Child Record Part B – Family Information Form • Child Record Part C – Emergency Information Form • Provisions of the Emergency Preparedness and Response Plan • Liability Waiver and Indemnification • Policy for the Administration of Medication • Authorization to Apply Non-Prescription Topical Skin Products • Permission to Document Form • An Allergy Action Plan, if your child is identified as having a food or bee sting allergy • Commonwealth of Virginia School Entrance Health Form o Parents agree to provide the completed Commonwealth of Virginia School Entrance Health Form for Child. o Parents understand that Child must be adequately immunized prior to admission and must receive additional immunizations as required by state law. ▪ Parents understand that the immunizations form is required by the Commonwealth of Virginia and that ERS is required by state law to exclude any child from care until Parents have provided initial or updated immunization records. ▪ It is the Parents’ sole responsibility to update the immunizations form once every six months for children under the age of two, and once between a child’s fourth and sixth birthday. ▪ Parents understand the immunization records must be provided on the current form approved by the Virginia Department of Health or on a physician’s form signed or stamped by a physician or his/her designee, registered nurse or health department official. Out-of-state records are acceptable if they contain the exact date (day/month/year) of administration of the required doses, are signed as noted in the previous sentence and contain records of all the immunizations required by the current Virginia Department of Health form. • COVID-19 Guidelines and Acknowledgement Please initial to acknowledge your understanding that the aforementioned documents are an integral part of the Agreement: Parents agree to provide ERS proof of identification for Child on the first day of enrollment and understand that ERS is required by law to notify a local law enforcement agency if such proof is not provided. Proof of identification must be one of the following: • Original certified birth certificate; • Original birth registration card; • Notification of birth, signed by a hospital official, physician or midwife; • Passport; • Copy of placement agreement or other proof of Child's identity from a child placing agency; • Original or copy of a record or report card from a public school in Virginia; or • Signed statement on letterhead stationery from a public school principal or other designated official that assures the child is or was enrolled in the school. Please initial to acknowledge your understanding that the aforementioned documents are an integral part of the Agreement: Attendance and Schedule Changes: If Child will be absent from camp for any reason, Parents must send an email to ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇. • A backpack, properly sized for Child; no characters of any type • A wide-brimmed sun hat • A Klean Kanteen or similar stainless steel water bottle (12 – 18 oz) with a sports top • Wet & Dry Packs (or Large Ziplock bags) for dirty/wet and replacement clothes • An oversized Rain Slicker or all-in-one rainsuit • Rain Boots • A roll-up Nap Mat that is large enough for your child, has a cushioned bottom layer and attached pillows and blankets; character free. • Children's clothing should be something that can get dirty, painted or even "ruined." It is possible that clothing could become stained, torn, or otherwise damaged. Please do not dress your child in something that you would not want damaged. The same rule applies to outerwear, hats, and shoes too. • EVERY ITEM MUST BE LABELED WITH CHILD’S NAME • Supportive, quick-drying shoes that your child can put on themselves. • Clothing should be simple, lightweight, quick drying, elastic waist and as free of pockets as possible. • Light weight, flexible, long pants preferred over shorts, as they protect the knees and minimize insect bites. • Leggings must be worn under dresses or skirts • No denim or jeans. • No clothing with commercial characters. • No tank tops or spaghetti straps. • No accessories. (No hair bands, bows, ribbons, watches, belts, scarves, etc.) If these do come to camp, your child will be asked to keep them in their backpack and we will not be held responsible for lost or damaged items.

Other Forms. Parents agree to complete in entirety all of the following enrollment paperwork and to update it as needed: • Child Record Part A – Child Information Form • Child Record Part B – Family Information Form • Child Record Part C – Emergency Information Form • Provisions of the Emergency Preparedness and Response Plan • Liability Waiver and Indemnification • Policy for the Administration of Medication • Authorization to Apply Non-Prescription Topical Skin Products • Permission to Document Form • An Allergy Action Plan, if your child is identified as having a food or bee sting allergy • Commonwealth of Virginia School Entrance Health Form o Parents agree to provide the completed Commonwealth of Virginia School Entrance Health Form for Child. o Parents understand that Child must be adequately immunized prior to admission and must receive additional immunizations as required by state law. ▪ Parents understand that the immunizations form is required by the Commonwealth of Virginia and that ERS is required by state law to exclude any child from care until Parents have provided initial or updated immunization records. ▪ It is the Parents’ sole responsibility to update the immunizations form once every six months for children under the age of two, and once between a child’s fourth and sixth birthday. ▪ Parents understand the immunization records must be provided on the current form approved by the Virginia Department of Health or on a physician’s form signed or stamped by a physician or his/her designee, registered nurse or health department official. Out-of-state records are acceptable if they contain the exact date (day/month/year) of administration of the required doses, are signed as noted in the previous sentence and contain records of all the immunizations required by the current Virginia Department of Health form. • COVID-19 Guidelines and Acknowledgement Please initial to acknowledge your understanding that the aforementioned documents are an integral part of the Agreement: Parents agree to provide ERS proof of identification for Child on or before the first day of enrollment and understand that ERS is required by law to notify a local law enforcement agency if such proof is not provided. Proof of identification must be one of the following: • Original certified birth certificate; • Original birth registration card; • Notification of birth, signed by a hospital official, physician or midwife; • Passport; • Copy of placement agreement or other proof of Child's identity from a child placing agency; • Original or copy of a record or report card from a public school in Virginia; or • Signed statement on letterhead stationery from a public school principal or other designated official that assures the child is or was enrolled in the school. Please initial to acknowledge your understanding that the aforementioned documents are an integral part of the Agreement: Eastern Ridge staff will not take responsibility for children before their scheduled arrival time window. Parents or caregivers must have visual and vocal contact with a staff person at drop off and complete all sections of the daily sign in sheet each day. daily sign-out sheet each day. Alternate people picking up child must be listed on the Emergency Contact form as authorized to pick up the child. Staff will require government issued proof of identification for any person they do not personally recognize and know. Attendance and Schedule Changes: If Child will be absent from camp for any reason, Parents must send an email to ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇. • A backpack, properly sized for Child; no characters of any type • A wide-brimmed sun hat • A Klean Kanteen or similar stainless steel water bottle (12 – 18 oz) with a sports top • Wet & Dry Packs (or Large Ziplock bags) for dirty/wet and replacement clothes • An oversized Rain Slicker or all-in-one rainsuit • Rain Boots • A roll-up Nap Mat that is large enough for your child, has a cushioned bottom layer and attached pillows and blankets; character free. • Children's clothing should be something that can get dirty, painted or even "ruined." It is possible that clothing could become stained, torn, or otherwise damaged. Please do not dress your child in something that you would not want damaged. The same rule applies to outerwear, hats, and shoes too. • EVERY ITEM MUST BE LABELED WITH CHILD’S NAME • Supportive, quick-drying shoes that your child can put on themselves. • Clothing should be simple, lightweight, quick drying, elastic waist and as free of pockets as possible. • Light weight, flexible, long pants preferred over shorts, as they protect the knees and minimize insect bites. • Leggings must be worn under dresses or skirts • No denim or jeans. • No clothing with commercial characters. • No tank tops or spaghetti straps. • No accessories. (No hair bands, bows, ribbons, watches, belts, scarves, etc.) If these do come to camp, your child will be asked to keep them in their backpack and we will not be held responsible for lost or damaged items.

Other Forms. Parents agree to complete in entirety all of the following enrollment paperwork and to update it as needed: •  Child Record Part A – Child Information Form •  Child Record Part B – Family Information Form •  Child Record Part C – Emergency Information Form •  Provisions of the Emergency Preparedness and Response Plan •  Liability Waiver and Indemnification •  Policy for the Administration of Medication •  Authorization to Apply Non-Prescription Topical Skin Products •  Permission to Document Form •  An Allergy Action Plan, if your child is identified as having a food or bee sting allergy •  Commonwealth of Virginia School Entrance Health Form o Parents agree to provide the completed Commonwealth of Virginia School Entrance Health Form for Child. o Parents understand that Child must be adequately immunized prior to admission and must receive additional immunizations as required by state law. ▪ o Parents understand that the immunizations form (or the necessary documentation of medical or religious exemption from these requirements) is required by the Commonwealth of Virginia and that ERS is required by state law to exclude any child from care until Parents have provided initial or updated immunization recordsrecords (or exemption). ▪ It is the Parents’ sole responsibility to update the immunizations form once every six months for children under the age of two, and once between a child’s fourth and sixth birthday. ▪ o Parents understand the immunization records must be provided on the current form approved by the Virginia Department of Health or on a physician’s form signed or stamped by a physician or his/her designee, registered nurse or health department official. Out-of-state records are acceptable if they contain the exact date (day/month/year) of administration of the required doses, are signed as noted in the previous sentence and contain records of all of the immunizations required by the current Virginia Department of Health form. • COVID-19 Guidelines and Acknowledgement Please initial to acknowledge your understanding that the aforementioned documents are an integral part of the Agreement: Parents agree to provide ERS proof of identification for Child on the first day of enrollment and understand that ERS is required by law to notify a local law enforcement agency if such proof is not provided. Proof of identification must be one of the following: •  Original certified birth certificate; •  Original birth registration card; •  Notification of birth, signed by a hospital official, physician or midwife; •  Passport; •  Copy of placement agreement or other proof of Child's identity from a child placing agency; •  Original or copy of a record or report card from a public school in Virginia; or •  Signed statement on letterhead stationery from a public school principal or other designated official that assures the child is or was enrolled in the school. Please initial to acknowledge your understanding that the aforementioned documents are an integral part of the Agreement: Attendance and Schedule Changes: If Child will be absent from camp for any reason, Parents must send an email to ▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇. •  A backpack, properly sized for Child; no characters of any type •  A wide-brimmed sun hat •  A Klean Kanteen or similar stainless steel water bottle (12 – 18 oz) with a sports top •  Wet & Dry Packs (or Large Ziplock bags) for dirty/wet and replacement clothes •  An oversized Rain Slicker or all-in-one rainsuit •  Rain Boots •  A roll-up Nap Mat that is large enough for your child, has a cushioned bottom layer and attached pillows and blankets; character free. •  Children's clothing should be something that can get dirty, painted or even "ruined." It is possible that clothing could become stained, torn, or otherwise damaged. Please do not dress your child in something that you would not want damaged. The same rule applies to outerwear, hats, and shoes too. •  EVERY ITEM MUST BE LABELED WITH CHILD’S NAME • Supportive Crocs, or similar quick-drying shoes that your child can put on themselves. •  Clothing should be simple, lightweight, quick drying, elastic waist and as free of pockets as possible. •  Light weight, flexible, long pants preferred over shorts, as they protect the knees and minimize insect bites. •  Leggings must be worn under dresses or skirts •  No denim or jeans. •  No clothing with commercial characters. •  No tank tops or spaghetti straps. •  No accessories. (No hair bands, barrettes, bows, ribbons, clips, watches, belts, scarves, etc.) If these do come to camp, your child will be asked to keep them it in their backpack and we will not be held responsible for lost or damaged items.