Parent's Day Out Application

Please note that if this child does not have medical insurance, a credit card will need to be left on file in case of emergency.  

I, the undersigned, hereby grant permission to Little Explorers Parent's Day out, Pentecostal Church of All Nations, and its representatives to take photographs and/or video recordings of my child during program activities. I understand that these images may be used for:

• Internal documentation and classroom displays
• Program newsletters or updates to families
• Social media platforms (e.g., Facebook, Instagram)
• Promotional materials (flyers, brochures, website)

I understand that my child’s full name will not be used in any public materials without additional written consent.

At Little Explorers, we believe that play is an essential part of a child’s development. Our daily schedule includes a variety of indoor and outdoor play activities designed to promote physical, social, and emotional growth.

These activities may include:

• Outdoor playground time
• Group games and movement activities
• Water play (weather permitting)
• Sensory play (e.g., sand, playdough, finger painting)
• Use of age-appropriate play equipment

As part of our program, we offer age-appropriate religious activities that may include:

• Bible stories
• Prayer before meals
• Christian songs and music
• Seasonal celebrations (e.g., Christmas, Easter)

These activities are designed to be inclusive, gentle, and developmentally appropriate for young children.

I, the undersigned, understand that while every effort is made to provide a safe and secure environment for my child, participation in the the Little Explorer's Parent’s Day Out program involves some level of risk, including but not limited to physical activity, indoor play, and interaction with other children.

By signing below, I agree to the following:

• I release and hold harmless [Program Name], its staff, volunteers, and affiliated organization(s) from any and all liability, claims, demands, or causes of action that may arise from injury, illness, or other incidents occurring during my child’s participation in the program, except in cases of gross negligence or intentional misconduct.
• I understand that basic first aid may be administered to my child if needed, and in the event of a medical emergency, I authorize the program staff to seek emergency medical treatment for my child.
  
  
• I accept full responsibility for any medical expenses incurred as a result of such treatment.