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Language Wonder Lab LLC Liability Waiver & Acknowledgment

We’re committed to creating a joyful, safe, and engaging environment for your child.Our classes are designed for children in K-2 (5 to 8 years old).We plan them with care, but like all active, creative play, there’s a small amount of risk involved. This waiver helps us be clear about those risks and how we work together to keep your child safe.

1. Health and Medical

I understand that my child will participate in activities that may include movement, art, outdoor exploration, and use of materials and tools appropriate for their age.

  • I acknowledge that these activities carry inherent risks of minor injury (such as bumps, scrapes, paint spills, or falls) and that Language Wonder Lab LLC takes reasonable measures to prevent and respond to such incidents. 
  • In the event of illness or injury when I cannot be reached, I authorize Language Wonder Lab LLC staff to seek emergency medical care for my child. I agree to be responsible for any costs incurred.

2. Release of Liability

In consideration of my child’s participation in Language Wonder Lab LLC programs, I release and hold harmless Language Wonder Lab, its owners, instructors, staff, and affiliates from any and all claims, liabilities, or expenses arising out of my child’s participation, except in cases of gross negligence or intentional misconduct.

3. Childcare License Exemption

Language Wonder Lab LLC has a legal childcare license exemption through Bright from the Start, a department of the Georgia Government. We do not hold a childcare license, nor do we need to for the type of programming we do. 

4. Child Sign In and Sign Out Policy

All classes are organized, supervised, and equipped to allow dropping-off of students, unless otherwise stated. To support safety protocols signing and submitting this waiver at least one week before the first class is required, as well as a sign-in and sign-out with one of our instructors.

Your child’s safety is our top priority from the moment they arrive until they’re back in your care. To ensure a smooth and secure handoff, we follow a strict sign-in and sign-out procedure for every class.

  • Drop-Off (Sign-In): A parent/guardian or authorized adult must bring the child into the classroom and sign them in each day. Please note any special instructions for the day (pick-up changes, allergies, etc.) directly on the sign-in sheet or with a staff member.
  • Pick-Up (Sign-Out): Only the parent/guardian or adults listed on the child’s Authorized Pick-Up List may sign a child out. Photo ID may be requested at any time for pick-up verification. If someone not listed will pick up your child, you must provide written or text authorization in advance.
  • Late Pick-Up: If you are running late, please call or text as soon as possible. After a 10-minute grace period, a late fee of $25 per 15 minutes will be added to your account.
  • Early Pick-Up: Please let us know at drop-off if you plan to pick up your child early so we can have them ready.
  • Safety First: Children will not be released to anyone under the age of 18, even if they are on the authorized pick-up list.

We reserve the right to refuse release if we believe a child’s safety could be compromised.

5. Behavior & Safety

I understand that Language Wonder Lab LLC reserves the right to remove a child from the program if their behavior presents a safety risk or significantly disrupts the learning environment, after reasonable attempts to address the behavior. Refunds or credits in these cases will follow the program’s stated cancellation policies.

6. Acknowledgment of Policies

I confirm that I have read and agree with the policies stated in this waiver, including the allergy, photo release, and age requirements following this section. 

August 14, 2025

Age Group
Our current sessions are designed for Kindergarten through 2nd grade. Does the child you are registering fulfill our age requirement? *
No
Yes

We are open to making exceptions for children who are age 4 if they: 1) Have prior experience with drop-off programs (comfortable separating from parents/caregivers); 2) Can participate in a small group setting and follow basic instructions independently; and 3) Are excited to join activities alongside older children If this sounds like your child, we’d love to welcome them. However, please email us to confirm that your child is ready to participate. 

Please see our cancellation policy for additional information regarding our age group requirements: http://languagewonderlab.com/cancellation-policy

Allergies
We do not serve food or snacks during class, but we still want to be aware of any allergies or sensitivities—especially to environmental factors (e.g., pollen, grass) or materials we might use in art and play activities. Does your child have any allergies or sensitivities?*
No
Yes
If yes, type of allergy (environmental, material, insect, medication, other): *
If yes, specific allergen(s) and reaction symptoms:
If yes, treatment required (e.g., EpiPen, antihistamine):

*If your child requires emergency medication (such as an EpiPen), please make sure both your child and our staff knows where to located, along with written instructions from your healthcare provider.

Photo Release
We would love to capture the joy and curiosity that happens in our classes!Photos or videos may appear on: 1) Our private family updates (email or printed materials); 2) Our public website, social media channels, or printed flyers. Your choice matters. Please check one:*
Yes, I give permission for my child to be photographed or filmed during Language Wonder Lab activities, and for these images/videos to be used as described above.
No, I do not give permission for my child to be photographed or filmed.

Note: We will never include your child’s name with their image without separate, specific permission.

First Child's Name
First Name*
Last Name*
Phone*
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First Child's Date of Birth*
Date of Birth
First Child's Signature*
Second Child's Name
First Name*
Last Name*
Child's Date of Birth*
Date of Birth
Third Child's Name
First Name*
Last Name*
Child's Date of Birth*
Date of Birth
Fourth Child's Name
First Name*
Last Name*
Child's Date of Birth*
Date of Birth
Fifth Child's Name
First Name*
Last Name*
Child's Date of Birth*
Date of Birth
Sixth Child's Name
First Name*
Last Name*
Child's Date of Birth*
Date of Birth
Seventh Child's Name
First Name*
Last Name*
Child's Date of Birth*
Date of Birth
Eighth Child's Name
First Name*
Last Name*
Child's Date of Birth*
Date of Birth
Ninth Child's Name
First Name*
Last Name*
Child's Date of Birth*
Date of Birth
Tenth Child's Name
First Name*
Last Name*
Child's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant
Child's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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