Returning/Prospective Invitation 2021-2022 Items marked with an asterisk are required.Acceptance Response*We accept SRCCHA's invitation for our child(ren) to attend for the upcoming school year.We decline SRCCHA's invitation for our child(ren) to attend for the upcoming school year.Father's Name* First Last Father's Email Address Enter Email Confirm Email Mother's Name* First Last Mother's Email Address Enter Email Confirm Email AcceptanceStudent(s) Grade Level*Select all that apply K G1 G2 G3 G4 G5 G6 D1 D2 Photo Release*Do you allow SRCCHA to use digital images of your children for the SRCCHA website, brochure or other purpose incorporating pictures that will be viewed publicly? No names will be attached to these images, unless permission is granted in writing for that purpose.We allowWe do not allowConfirm Handbook Read* We have read the SRCCHA Family Handbook and will abide by its guidelines and rules. Check box above to confirm.Confirm Statement of Faith* We have read and agree to having our child(ren) taught at SRCCHA based on the SRCCHA 2021-2022 Statement of Faith. Check box above to confirm.Confirm Student Rules of Conduct (Grammar Students)* We have read the SRCCHA 2021-2022 Student's Rules of Conduct and SRCCHA Dress Code Policy to our Grammar student(s) and agree to abide by those Rules. Check box above to confirm on behalf of your Grammar student(s).D1/D2 Student Rules of Conduct and Dress Code Policy*I have read and agree to abide by the SRCCHA 2021-2022 Student's Rules of Conduct and SRCCHA Dress Code Policy. (student signs here)D1/D2 Student 2 Rules of Conduct and Dress Code Policy*I have read and agree to abide by the SRCCHA 2021-2022 Student's Rules of Conduct and Dress Code Policy. (student signs here)Assumption of Risk and Waiver of Liability*The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. By allowing your child to return to school, you must understand that your child's attendance will require him/her to physically interact with SRCCHA (Severn Run Classical Christian Homeschool Academy) staff members, other students, and our volunteer POTD’s (parent(s) of the day). As such, despite all reasonable efforts on behalf of SREPC (Severn Run Evangelical Presbyterian Church) and SRCCHA (a ministry of SREPC), physical interaction with the public at large may pose some unavoidable risks to your child, and thus your family due to the COVID-19 pandemic. While SREPC and SRCCHA hope that everyone remains safe and healthy during this trying time, we also want to remain both honest and transparent with our parents about the very real risks posed by COVID-19 both inside and outside of our tutorial. By checking this box, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending SRCCHA and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at SRCCHA may result from the actions, omissions, or negligence of myself and others, including, but not limited to SREPC and SRCCHA staff and tutorial volunteers. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to: personal injury, disability, and death, illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at SRCCHA). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless SREPC and SRCCHA of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of SRCCHA, its agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any SRCCHA activity and/or instructional program. I/We assume the risks and waive liability as stated above. Confirm Financial Commitment* We have read, understood, and agree to abide by the SRCCHA 2020–2021 Covenant of Financial Commitment. We promise to pay our child(ren)’s entire annual tuition and Math Lab (if enrolled), for the coming Academy Year, even if we withdraw our child(ren) from the Academy before, or during, the Academy Year. Check box above to confirm.Father's Signature*Mother's Signature*DeclineDecline ReasonsWe are sorry to hear you will not be joining us. We would love to hear your feedback on why you feel SRCCHA is not good fit for you. Thank you!PhoneThis field is for validation purposes and should be left unchanged.