Welcome to Code Ninjas Bring A Friend Program! Please complete the form below and we look forward to your child attending our Program!
ALTERNATE EMERGENCY CONTACT- Please provide a contact name and number for emergencys if you are not available.
I. SERVICES PROVIDED. In exchange for the payments referenced in Section II below, in addition to the undersigned full release and/or waiver contained in Section VII below, Code Ninjas agrees to provide the following described Program(s) to Child, in accordance with the dates and times associated therewith: Code Ninjas Activites, Camps and Programs. Code Ninjas reserves the right to dismiss and/or suspend any Child who violates Code Ninjas rules of conduct or otherwise fails to adhere to the direction of Code Ninjas or its personnel. Grounds for dismissal shall be for reasonable cause as determined by the sole discretion of Code Ninjas. The undersigned hereby acknowledges that Child’s dismissal and/or suspension from the Program does not relieve the undersigned of any duties or payment obligations under this Agreement and does not entitle the undersigned to any full or partial refund. Furthermore, the Program requires Child’s active participation in accordance with the Program’s curriculum. CODE NINJAS DOES NOT WARRANT ANY SPECIFIED SUCCESS RATE WITH RESPECT TO PARTICIPATION AND/OR PERFORMANCE IN THE PROGRAM BY CHILD. PROGRAM IS NOT LICENSED WITH THE STATE OF KANSAS OR THE STATE OF MISSOURI AND IS NOT CONSIDERED A CHILD CARE FACILITY, A DAY CARE FACILITY, OR AN AFTER-SCHOOL PROGRAM
II EMERGENCY MEDICAL TREATMENT. In the event of a medical emergency, the Program staff will first use reasonable efforts to contact the parent(s) and /or guardian(s) before administering or authorizing any treatment. However, the undersigned understands that Code Ninjas does not have medical personnel on staff. The undersigned agrees and hereby grants Code Ninjas permission to authorize emergency medical treatment, if necessary, to Child. The undersigned understands and agrees that Code Ninjas assumes no responsibility for any injury or damage which might arise out of or in connection with such authorized emergency medical treatment. The undersigned further acknowledges and represents that there are no undisclosed health-related reasons or problems which preclude or restrict Child from participation in the Program, and that Child has adequate health insurance to provide for and pay any medical costs that may be attendant as a result of injury to Child. The undersigned further acknowledges that it is the sole responsibility of the undersigned to notify, inform, and update Code Ninjas of any medical conditions of Child, including but not limited to known drug and food allergies, known dietary restrictions, and other medical conditions.
I hereby acknowledge and affirmatively represent that Child does not have any food or drug allergies, or any dietary restrictions, other than those provided to Code Ninjas in writing in conjunction with this Agreement.