Authorization for Emergency Treatment:

I release Sunbury Home Educators and give permission to them and emergency or medical personnel to perform the necessary treatment on my child. I waive my right to informed consent of treatment. This applies only in the event that neither parent can be reached in the case of an emergency.

I understand that I am responsible for the health/medical care of my children at any SHE activity. I agree to indemnify and hold harmless SHE and all members from any liability of any acts done by SHE or its members, that are reasonably related to the SHE activity.

I understand that I must be present and responsible for supervising my children at all SHE activities. If I cannot be present, I must authorize another SHE member to act on my behalf and be responsible for my children.

I agree to keep all SHE information private, including the membership directory, my website password, member-only forms, and all SHE communications. This includes emails, texts, forum posts, and calendar events that originate from the AD Team or are submitted by other members. I will not share any SHE information with any organization or person outside of SHE.

Regardless of any affiliation with a host facility, I will abide by and follow the rules set forth for any SHE event.

I will be held accountable for any property damage for which my family is responsible.

I will pay the $40 membership fee either via PayPal or by mailing a check to the Membership Liaison.

I will pay my child's teachers for the classes that they are registered for by the due date or make alternate arrangements with the teachers that are acceptable to them.

I understand that I am committing to the full 24 weeks of classes. If I cannot finish the year for any reason, I understand that my child's teachers are not obligated to refund any class fees.

I will pay the $70 non-refundable building gift which is due on the first day of AD.

I agree to attend all mandatory AD meetings.

I will fulfill my assigned Parent Position(s). If I need to be absent, I will:

1. Find a sub from the sub list available on the website.

2. Notify the Position Coordinator of my absence and who will be replacing me.

3. If my absence will be because of a sudden illness or something unanticipated, I will contact the Position Coordinator as soon as possible and notify her of my absence.

I will fulfill my assigned cleaning rotation. If I cannot fulfill my responsibility for my assigned dates, I will:

1. Trade dates with someone within the group OR barter to find a replacement.

2. Tell the Building Liaison who is replacing me.

I understand that failing to fulfill my parent responsibilities will mean that my family's AD participation may be in jeopardy, and I may lose my priority status for registration in the upcoming year. An AD Team member will discuss this with me if necessary.

I agree to maintain open communication with my child's teachers concerning any issues that may arise. I understand that the more I communicate with my child's teacher, the better experience my child will have.

My family will abide by the guidelines set forth in the Member Handbook. I understand that if we fail to do this, we may be asked to leave AD and not finish out the year. I will not be reimbursed any class or membership fees.

Please list the names of all family members who will be present at Activity Day. Include the names of any responsible adults that may attend as well as all children even if they will not be registered for classes. It is the responsibility of the person signing this form to ensure that everyone listed in this box agrees to and follows the expectations described in this form.

I have read and agree to all of the above terms of SHE membership and Activity Day participation. I have also read and agree to the Waiver of Liability.

(Typing your name below will serve as your signature on this form.)