Releases and Statement of Agreement
I understand that my obligation to pay the fees for the full academic year is unconditional and that no portion of fees paid or outstanding will be refunded or canceled in the event of absence, withdrawal or dismissal from the school of the above student. I understand that children are enrolled for the full school year (or portion remaining), and that I am responsible for the full tuition balance from the date of acceptance. I agree to pay, when applicable, other fees. These may include, but are not limited to,before and after school care, late payments, late pickup charges, or an occasional charge for a field trip or student-owned materials. I understand that my child will be denied admission to school and records will be held if tuition or fees are not paid in a timely manner. I further agree to pay reasonable costs of collection related to my account, including attorney fees. I understand that in signing this application contract for the coming academic year, I am agreeing to accept the policies and regulations of the school and the payment of fees as referred to above. Furthermore, I agree to the policy of the school that student records will not be released unless an account has been paid in full.
I hereby declare that I am the parent or legal guardian of the above-named child. I give my consent, in the event that all reasonable attempts to contact me or designated emergency contacts have been unsuccessful, for MPLA personnel to seek treatment by my preferred physician, or in the event the preferred practitioner is not available, by another licensed individual. I hereby release and discharge MPLA, its agents, employees, and officers, from all claims, demands, actions or judgments which the undersigned ever had, now has or may have against the organization, its successors or assigned, for all personal injuries or illness, which the child named above may suffer or incur as a result of the actions of MPLA or in procuring medical treatment. I certify that the child named above is in good health and free from any communicable disease or illness.
I give permission for the above-named child's name, photograph, video, or voice recording to be used for informational or publicity purposes in news stories, press releases, or similar items.
Field Trip Permission / Release
I give permission for the above-named child to participate in field trips or outings with MPLA. Transportation, when necessary, will be provided by private car, with each child properly restrained. Supervision will be provided by MPLA staff and parents or other volunteers. On any field trip or outing, I understand that MPLA is not responsible for unavoidable accidents or the negligence or actions of persons not employed by or acting for MPLA.
I agree to provide a lunch for my child on days when s/he will be at the learning center during the lunch period.
I acknowledge that MPLA will release my child only to those persons authorized on the MPLA Student Application section. I further acknowledge agreement with MPLA’s standard procedures used at the release of children in special circumstances. I understand that MPLA personnel are not trained to make assessments relating to intoxication or other impairment and therefore assume no responsibility to assess the competency or condition of any individual arriving to pick up a child. MPLA assumes no responsibility for any injury or harm to a child who has been released to a person listed on the student application section or who is authorized by a parent to pick up a child. MPLA staff respect each family’s privacy. However, where other questionable child release situations occur, they have a duty to maintain their role as the child’s advocate. I understand and agree with the philosophy and policies of MPLA. MPLA reserves the right to modify the rules and policies at its sole discretion with written notice. Such notice requirements shall not be applicable in the event of emergencies or licensing mandates. Enrollment, as specified within this Enrollment Contract, may be canceled by the parents or guardians in writing, without penalty prior to September 1 of the year the child is to begin attending. If any provision of this contract, program policies or procedures is held invalid or unenforceable, it should be ineffective only to the extent of the invalidity, without affecting or impairing the validity or enforceability of the remainder of the provision or the remaining provisions and intent of this contract. No waiver by MPLA of any right or remedy on one occasion shall be a waiver of that right or remedy on a future occasion. This contract constitutes the entire agreement among the parties to it and supersedes any prior understandings or agreements. Each party acknowledges and states that no representation, inducement, or condition not set forth in this contract has been made or relied upon by either party. This contract shall be interpreted in accordance with the laws of the State of Michigan. My signature below affirms that I have read, understand, and accept the terms and conditions of this contract.