CPCC Montessori Mornings Montessori Mornings -- March (4 weeks+)Montessori Mornings T/W -- March 2020 (4 weeks+) Price: Number of Children for Montessori Morning March 2020Please enter a number from 0 to 3.Montessori Mornings -- April (3 weeks+)Montessori Mornings T/W -- April 2020 (3 weeks+) Price: Number of Children Montessori Mornings -- April (3 weeks+)Please enter a number from 0 to 3.Montessori Mornings -- May (3 weeks)Montessori Mornings T/W -- May 2020 (3 weeks) Price: Number of Children Montessori Mornings -- May (3 weeks)Please enter a number from 0 to 2.Total $0.00 Parent InformationParent's Name:* First Last Parent's Name: First Last Mailing address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email address:* Enter Email Confirm Email Cell Phone:*Home Phone:*Work Phone:Best Number to Reach You:* Cell Phone Home Phone Work Phone Children's Information & Photo ReleasePhoto Release Permission: I/We give permission for photos/videos to be taken of: 1st Child's Name (March Class):* First Last 1st Child's (March Class) Date of Birth:* MM slash DD slash YYYY 2nd Child's Name (March Class):* First Last 2nd Child's (March Class) Date of Birth:* MM slash DD slash YYYY 3rd Child's Name (March Class):* First Last 3rd Child's (March Class) Date of Birth:* MM slash DD slash YYYY 1st Child's Name (April Class):* First Last 1st Child's (April Class) Date of Birth:* MM slash DD slash YYYY 2nd Child's Name (April Class):* First Last 2nd Child's (April Class) Date of Birth:* MM slash DD slash YYYY 3rd Child's Name (April Class):* First Last 3rd Child's (April Class) Date of Birth:* MM slash DD slash YYYY 1st Child's Name (May Class):* First Last 1st Child's (May Class) Date of Birth:* MM slash DD slash YYYY 2nd Child's Name (May Class):* First Last 2nd Child's (May Class) Date of Birth:* MM slash DD slash YYYY while he/she is participating in Meridian Learning activities. I/We understand that photos/video may be published online, in printed materials and/or for other promotional purposes, but only to help document student work and illustrate Meridian Learning programs. I/We hereby waive any ownership rights, as well as any right that I/we may have to inspect or approve the finished product in which a photographic or video image may be used including the advertising copy or other matter that may be used in connection therewith or the use to which it may be applied.Children's Medical InformationDoes your 1st Child (March Class) have any allergies? Specific dietary needs/food sensitivities? Medical conditions?*Does your 2nd child (March Class) have any allergies? Specific dietary needs/food sensitivities? Medical conditions?*Does your 3rd child (March Class) have any allergies? Specific dietary needs/food sensitivities? Medical conditions?*Does your 1st child (April Class) have any allergies? Specific dietary needs/food sensitivities? Medical conditions?*Does your 2nd child (April Class) have any allergies? Specific dietary needs/food sensitivities? Medical conditions?*Does your 3rd child (April Class) have any allergies? Specific dietary needs/food sensitivities? Medical conditions?*Does your 1st child (May Class) have any allergies? Specific dietary needs/food sensitivities? Medical conditions?*Does your 2nd child (May Class) have any allergies? Specific dietary needs/food sensitivities? Medical conditions?*Emergency Contact:Emergency Contact Name:* First Last Emergency Contact's Relationship to your child:*Emergency Contact's Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Contact's Phone Number:*Preferred Hospital:*Name of Family Physician:* First Last Phone Number for Family Physician:*In case of emergency, do we have permission to administer CPR and/or authorize an ambulance to transport your child(ren) to a hospital?* Yes No Emergency Contact Acknowledgement:* By checking the box, you are agreeing that the information provided for Emergency Contact is accurate. Registration Policy We regret that we cannot grant refunds for Montessori Mornings registrations. If we must cancel a class due to low enrollment, your payment will be refunded. We reserve the right to cancel Montessori Mornings due to low enrollment. Registrants will be notified via email if class is cancelled. We reserve the right to close registration twenty-four (24) hours before the beginning of Montessori Mornings session. Should you register after this time, your participation cannot be guaranteed without confirmation from CPCC. WaiverIn exchange for Meridian Learning allowing my child (“Child(ren)”) to participate in activities (“Activities”) I agree to the following: Voluntary Participation. I understand and confirm that I am voluntarily allowing my Child(ren) to participate in the Activities. Identification of Risks. I understand my Child(ren)’s participation in the Activities may involve risk of injury and loss, both to person and property. I also understand the risk of injury to my Child(ren) may include the possibility of permanent disability and death. I understand this Waiver and Release is intended to address all risks arising out of or relating to my Child(ren)’s participation in the Activities, including risks created by actions, inactions, or negligence on the part of Meridian Learning or its members, managers, officers, employees, agents, volunteers, successors, or assigns (collectively, the “Representatives”), and that these risks, may include, but are not limited to, risks created by the following: The use and condition of Meridian Learning’s premises, facilities, and equipment; The lack or inadequacy of policies, rules, regulations, or supervision for the Activities; The failure of Meridian Learning or its Representatives to foresee or to protect me or my Child(ren) from actions, inactions, or negligence of any person, or the recklessness, intentional, or criminal misconduct of persons other than those affiliated with Meridian Learning; and The inadequacy or unavailability of medical facilities or treatment. Assumption of Risk. On behalf of my Child(ren) and myself, I assume all risks, known and unknown, foreseeable and unforeseeable, in any way connected with my Child(ren)’s participation in the Activities, and I accept personal responsibility for any liability, injury, loss, or damage in any way connected with my Child(ren)’s participation in the Activities. Release and Waiver. On behalf of my Child(ren) and myself, I release Meridian Learning, LLC and its Representatives from any and all liability, and waive any and all claims, for liability, injury, loss, damage, or expense, including attorneys’ fees, in any way connected with my Child(ren)’s participation in the Activities, whether or not caused in whole or in part by the negligence or other misconduct of Meridian Learning or its Representatives (a “Claim”). Indemnification. I agree to indemnify and to hold harmless Meridian Learning and its Representatives from any Claim or expense, including attorneys’ fees (including the cost of defending any Claim I might make, or that might be made on my behalf, that is released or waived hereby), in any way connected with a Claim. Binding Effect. This instrument shall be binding upon my Child(ren), relatives, next of kin, personal representatives, heirs, beneficiaries, and assigns, and me, and inure to the benefit of Meridian Learning and its Representatives. Medical Treatment. I authorize Meridian Learning and its Representatives to provide my Child(ren), through medical personnel of their choice, customary medical assistance, transportation, and emergency medical services should my Child(ren) require such assistance, transportation, or services due to injury or damage related to the Activities. This does not impose upon Meridian Learning or its Representatives to provide such assistance, transportation, or services. Severability. If any provision of this Waiver and Release is held to be invalid or unenforceable, such invalidity or unenforceability shall not otherwise affect any other provision of this instrument. Applicable Law. This instrument shall be governed in accordance with the law of the State of Ohio. Studio Rules Adults are responsible for all children who accompany them at all times. No shoes or strollers are allowed in studio. All food and beverage must be kept in party/meeting room. Children must be prepared to respectfully participate in group activities. Please treat the learning space, materials and staff with respect. The infant area is designed for children who are not yet walking. The toddler area is for children under 4 years of age. Thank you for your participation in our community of friends!Parent AgreementConfidentiality Meridian Learning is committed to protecting the privacy of all families who participate in our programs, as well as the children in the learning environment. With this in mind, we will not discuss confidential information in the presence of children or other parents. If you wish to discuss sensitive issues pertaining to your child, please contact us via email. Attendance/Punctuality, Inclement Weather and Make-ups Whenever possible, please give a two (2) hour notice if you are unable to attend class. We regret that we cannot excuse you from payment or grant refunds for absences. Advanced notice of tardiness is appreciated as it may impact the rhythm of the class. If your child’s class is cancelled due to inclement weather or illness, a make-up class will be offered. Participant Behavior We reserve the right to terminate enrollment at any time should a participant’s behavior/needs, consistently and beyond an initial adjustment period, impact the quality of the environment, interfere with the functioning of the class as a whole and/or endanger himself or others.Children's Information & Photo Release, Children's Medical Information, Emergency Contact, Registration Policy, Waiver, Studio Rules, Parent Agreement Acknowledgement:* By signing below, you are agreeing that the information provided is accurate and that you have read the Photo Release, Registration Policy, Waiver, Studio Rules and Parent Agreement. My signature below indicates that I agree to all of the above provisions regarding my family’s participation in the program(s). Parent/Guardian Name:* First Last Parent/Guardian Signature*Parent/Guardian Name: First Last Parent/Guardian Signature