Forest Lake Nature School LLC
Version 2.1 | 2026–2027
This packet is for families who already completed FLNS registration. You are not being asked to reauthorize tuition or payment terms or photo, video, or media use. Those separate agreements remain in effect according to their terms.
This packet records current health, emergency, pickup, safety, and activity information and contains the more specific 2026–2027 medical authorization and outdoor liability agreement. For the safety, medical, activity, pickup, and liability subjects addressed here, this packet controls if it conflicts with earlier general medical or liability language.
Complete one packet for each enrolled child.
Master participant and signer record. Complete one packet for each enrolled child.
Enter legal names once: The child and parent or legal guardian entered in Step 1 apply to the remaining sections of this packet. Every initial, choice, and electronic-signature action is attached to this same supplemental-packet record.
Enter the initials you will use for this packet. Later pages will ask you to click “Apply my electronic initials” after specific acknowledgments. Each click applies these same initials to that statement as a separate electronic-signature action.
This information is used to support the child's safety. Disclose needs relevant to participation; a diagnosis is not required when functional information is sufficient.
Step 1 record: This section applies to the child and signer identified in Step 1 and to the child’s participation in FLNS programs during the 2026–2027 program year. No name re-entry is needed.
Complete every field that applies. Leave a field blank when there is nothing relevant to disclose. These fields provide safety information and do not create a daily participation opt-out.
I confirm that the health, emergency-contact, and support information is complete and accurate to the best of my knowledge, and I accept the parent responsibilities above.
Check the box below to apply the initials entered in Step 1 as your electronic signature for this acknowledgment.
Required for every enrolled child. A separate Medication Authorization is required if FLNS will administer medication.
I authorize Forest Lake Nature School LLC ("FLNS") staff and representatives, acting within their training and program procedures, to: provide basic first aid; perform CPR; use an automated external defibrillator when available and indicated; contact poison control; call 911; request emergency medical services; and arrange ambulance transportation for the child identified in Step 1.
If I and the child's other emergency contacts cannot be reached promptly, I authorize licensed emergency and health-care professionals to evaluate and provide treatment that they determine should not be delayed. Minnesota law may separately permit emergency treatment without parental consent when delay would endanger a minor's life or health.
I authorize FLNS to share the child's relevant health information, emergency action plans, medication information, and identifying information with FLNS personnel who need it for safety and with emergency dispatchers, emergency medical personnel, and health-care professionals involved in the child's care.
I understand that FLNS personnel are not acting as physicians or guaranteeing a diagnosis, treatment, response time, transportation outcome, or medical result. FLNS will attempt to contact the parent or guardian as soon as reasonably practicable.
I accept financial responsibility for ambulance, hospital, physician, pharmacy, and other medical costs incurred for the child, subject to any applicable insurance coverage or legal responsibility of another party. This provision does not waive a claim that cannot legally be waived.
This authorization remains effective through the 2026–2027 program year unless I revoke it in writing. Revocation is prospective and does not affect action already taken in reliance on it. Revocation may make continued participation impossible if FLNS cannot safely serve the child without emergency authorization.
READ CAREFULLY. THIS AGREEMENT AFFECTS LEGAL RIGHTS AND INCLUDES A RELEASE OF CLAIMS FOR ORDINARY NEGLIGENCE.
Step 1 record: This agreement applies to the child and signer identified in Step 1 and to the child’s participation in FLNS programs during the 2026–2027 program year. No name re-entry is needed.
I give permission for the child to participate in FLNS programs at program sites and on associated trails and outdoor areas. Depending on the child’s FLNS activities, the integrated authorizations in this packet, and FLNS participation decisions, activities may include hiking and wandering on foot; running and active games; nature play; climbing on low natural features; gardening; contact with soil, plants, insects, and animals; cooking and food preparation; supervised fire activities; plant-foraging education and tasting; carpentry; whittling; and use of age-appropriate hand tools or drills.
I understand that outdoor, nature-based, child-directed, and tool-based programs involve risks that cannot be completely eliminated without changing the character of the program. Risks may be known or unknown, obvious or unexpected, and may arise from natural conditions, other participants, third parties, equipment, or the acts or omissions of FLNS.
I knowingly and voluntarily accept and assume, for myself and to the fullest extent I may legally do so for the child, the risks described above and the other risks of participation, including risks arising from the ordinary negligence of a Released Party. I understand that serious injury, illness, permanent disability, death, or property damage is possible even when reasonable precautions are used.
I have read Sections 1 through 3. I understand the activities and risks, including the possibility of serious injury, illness, permanent disability, death, or property damage, and I knowingly accept and assume those risks as stated. By checking the electronic-signature box below, I apply the initials entered in Step 1 as my electronic signature for this acknowledgment.
TO THE FULLEST EXTENT PERMITTED BY MINNESOTA LAW, I, individually and on behalf of the child to the extent I have legal authority to do so, release and discharge Forest Lake Nature School LLC; its owners, members, officers, employees, contractors, volunteers, agents, and representatives; and the owners, occupiers, and operators of property identified by FLNS as a program site (collectively, the "Released Parties") from claims for personal injury, illness, death, or property damage arising from participation in or presence at an FLNS program when the claim is caused by an inherent risk, another participant, a third party, or the ordinary negligence of FLNS or another Released Party, including FLNS's or that Released Party's own negligent acts or omissions.
This release does not apply to gross negligence, reckless conduct, willful or wanton conduct, intentional misconduct, sexual abuse, or any claim that cannot lawfully be released.
I UNDERSTAND THAT SECTION 4 RELEASES CLAIMS CAUSED BY FLNS'S OWN ORDINARY NEGLIGENCE OR ANOTHER RELEASED PARTY'S OWN ORDINARY NEGLIGENCE, INCLUDING THEIR NEGLIGENT ACTS OR OMISSIONS. I ALSO UNDERSTAND THE EXPRESS LIMITATIONS STATED IN SECTION 4. By checking the electronic-signature box below, I apply the initials entered in Step 1 as my electronic signature for this acknowledgment.
To the fullest extent permitted by law, I agree not to bring or maintain a released claim against a Released Party. This provision is limited to the claims described in Section 4 and does not apply to a nonwaivable claim.
I agree to indemnify and reimburse the Released Parties for third-party claims, damages, and reasonable defense costs to the extent caused by my own or the child's negligent, reckless, willful, or intentional conduct; my material misrepresentation or failure to disclose information required by these forms; or my material breach of this agreement. I do not agree to indemnify a Released Party for that party's own negligence or other wrongful conduct.
I understand the limited indemnity in Section 6 applies only to the causes stated there and does not require me to indemnify a Released Party for that party's own negligence or other wrongful conduct. By checking the electronic-signature box below, I apply the initials entered in Step 1 as my electronic signature for this acknowledgment.
I will help the child understand that program rules and staff safety directions must be followed. FLNS may limit an activity, require pickup, suspend participation, or end participation when FLNS reasonably determines that continued participation presents an unacceptable safety risk or program disruption. I accept responsibility for property damage caused by my or the child's negligent, reckless, willful, or intentional conduct, excluding ordinary wear and damage not caused by such conduct.
This agreement applies to the child’s participation in FLNS programs during the 2026–2027 program year, including arrival, dismissal, walking movement within or adjacent to a program site, program activities, and FLNS-sponsored Family Day activities involving the same or substantially similar activities and risks described above. It does not cover non-enrolled children or other adults, who may be required to complete a separate guest waiver. It does not authorize transportation in a motor vehicle, swimming, wading, boating, ice travel, intentional entry into a natural body of water, or a materially different activity that FLNS states requires separate consent.
Signing this supplemental agreement is a condition of participation in the 2026–2027 program. I may ask questions and consult legal counsel before signing. The child may not participate until this packet is completed. Declining or failing to sign does not change or override the separate enrollment and tuition agreement accepted at registration, including its payment, refund, cancellation, and withdrawal terms.
Minnesota law governs this agreement. If a provision is held invalid or unenforceable, it will be narrowed or severed to the minimum extent necessary, and the remaining provisions will continue in effect. This form is the complete agreement concerning the subjects it addresses and may be modified only in a writing accepted by FLNS and the signer.
I represent that I am the child's parent or legal guardian and have authority to sign. I consent to use an electronic record and electronic signature and intend my typed signature and submission to have the same effect as my handwritten signature.
FLNS activities and ordinary outdoor-care practices are integrated into the program. This authorization establishes a consistent program-wide framework rather than a menu of daily activity choices.
Family information and FLNS judgment work together: I provide accurate information about my child. FLNS decides whether, when, and how an activity or ordinary-care practice is appropriate based on the enrolled program, conditions, supervision, disclosed needs, observed readiness, and reasonable safety judgment.
I authorize the integrated activities, ordinary outdoor care, immediate safety actions, and FLNS participation decisions described above. I have provided relevant information and understand that a different arrangement requires written FLNS acceptance.
FLNS will release the child only to an authorized person unless law enforcement or a court order requires otherwise. Most families will only need to list their authorized pickup adults and select that no custody restrictions apply.
Most families should select “No, none apply.” Additional fields will only appear if you select Yes.
I authorize release to the adults listed above, confirm that my custody-restriction selection and any required details are complete and accurate, and agree to the release procedures in this form.
This agreement supports predictable responses when a child is ill, unsafe, or unable to participate.
I will keep the child home and notify FLNS when the child:
FLNS may require prompt pickup when symptoms arise. Return may require the applicable exclusion period, improvement sufficient for participation, or health-care guidance when reasonably requested. FLNS cannot guarantee that exposure to communicable illness will not occur.
I have read and agree to the safety, behavior, illness, weather, gear, arrival, pickup, and communication responsibilities in this form.
This packet is for one child. Your answer below tells FLNS whether a separate packet is still needed for another child in your family.
Before submitting, use the Previous button to review any page. Submission records the packet version, the information entered, required acknowledgments, initials, electronic-signature actions, date, time, and available submission information retained by Fluent Forms.
