Class Application Form

I authorize Sparknify LLC and its staff to seek emergency medical assistance for my child while participating in the program. These services may include administering medications, ordering X-rays, performing tests, conducting treatment, releasing any records necessary for insurance purposes; and providing or arranging necessary related transportation for me/or my child. I understand that I am fully responsible for any associated costs of such emergency services.

My child has special needs and requires accessibility accommodations. Sparknify will need to develop individualized support strategies for my child.

I have read and agree to the folllowing forms:

• Cancellation Policy

• Participant Safety Policy.

• Photo and Video Consent and Release Form

• Release & Waiver Agreement

• Terms & Conditions

• Privacy Policy.*