After School Enrollment

Rink Link After School Program

Please fill out one form per child

Child's Name *

First

Last

Age *

Grade *

Name of School *

Childs's Primary Address *

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian #1 Name *

First

Last

Parent/Guardian #1 Address *

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian #1 Phone *

Parent/Guardian #1 Email *

Parent/Guardian #2 Name

First

Last

Parent/Guardian #2 Address

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian #2 Phone

Parent/Guardian #2 Email

Emergency Contact #1 Name *

First

Last

Emergency Contact #1 Phone *

Emergency Contact #1 Relationship to Child

Rink Link After School Administrative Policies

There are no refunds for any missed or cancelled Rink Link days.
Make ups for missed camp days are not available.

Confirmation *

I have read and acknowledge the above administrative policies.

Waiver/Release *

Participants will be released only to people listed on the pick-up authorization form. If someone other than a parent is to pick up your child, please let us know as soon as possible. If there is a change during the day, please call to let us know. All of these policies help us to ensure your child’s safety.
Late pick-up: After School closes at 6:00 p.m. each day. Please be on time to pick up your child. There will be a $10 late charge per family for each 5 minutes, or fraction thereof, after 6:00 p.m. We reserve the right to raise this fee for anyone who is consistently late. We greatly appreciate punctuality on your part.
I, the duly authorized parent or guardian of the above-named Minor “Participant”, understand that the individual and/or group skating and other physical activities conducted at Smoky Mountain Sk8way, (hereafter “Sk8way”) may involve gymnastics, tumbling, fitness, bounce house/inflatables, dance, ball sports and martial arts, as well as the use of exercise equipment, amenities and facilities owned and/or operated by the Sk8way its representatives or its contractors (collectively, the “Activities”).
I, as the parent/guardian of the below-named Minor Participant, as a condition of authorizing their participation in such Activities do hereby agree to RELEASE and DEFEND, HOLD HARMLESS, and INDEMNIFY the Sk8way, its directors, officers, agents, faculty, volunteers, employees, representatives and contractors (hereinafter “the Releasees”) from all liability, claims, expenses, fees, fines, penalties, losses, suits, proceedings, actions and costs including attorneys’ fees and court costs, including personal injury and death, resulting from or arising out of their participation in the Activities whether caused by the alleged NEGLIGENCE of the Releasees or otherwise.
I understand that the Activities in which my child or ward will be engaged may be dangerous, and I, as their parent or guardian, voluntarily choose to assume those dangers. I also recognize that by participating in the Activities my child or ward may experience injuries including, but not limited to, death or disability, and I willfully ASSUME THOSE RISKS. I agree that THIS LIABILITY RELEASE AGREEMENT IS BINDING ON THE PARTICIPANT AND THEIR PARENTS OR LEGAL GUARDIANS, PERSONAL REPRESENTATIVES, HEIRS, AND ASSIGNS.
In the event of accident or emergency, I hereby authorize the Sk8way to transport the Participant, or cause the Participant to be transported, to a medical facility for medical treatment and I agree to release, indemnify, defend and hold the Sk8way and its representatives harmless with regard to same. I hereby agree to be fully and solely responsible for all medical expenses which may be incurred as a result of the Participant’s participation in the Activities.
I understand that my child or ward’s participation in the Activities at the Sk8way may be photographed, video recorded, audio recorded, or otherwise recorded. I acknowledge that the Sk8way retains the right to use such photographs, video or audio recordings or any other recording of events for publicity, advertisement or any other legitimate purpose and I hereby consent to such use.

Signature

Multiple Items