Registration & Consent Form — Spanish Immersion Program for Preschoolers
2026 Fall Term ·Project Play Langley
Thank you for choosing Words in Motion!
Before completing your registration, please review the Program Details & Fees (Link here) — this form focuses on collecting your child's information and your consent to participate.
Fees
Registration and Program Fee: $320+ GST
For your convenience the program fee will be devided into two equal payments:
First Payment: October,
Second payment: November
Payment Method
Payments will be processed automatically by credit card. The first payment is paid securely online immediately after completing this form.
You'll receive a secure payment link by email for the November payment.
By completing registration, you authorize Words in Motion to process your First October Fee now, and to send your second tuition link in November.
In the case of absenteeism (including illness, vacations and holidays), the fee is still due.
Participation Release Waiver
Health Acknowledgment
As the Authorized Signatory of the listed participating student, I attest that I, and the Student, will:
- Not attend if experiencing symptoms of illness such as cough, shortness of breath, fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell
- Not attend if we believe we have been exposed to someone with a suspected or confirmed case of COVID
- Not attend if diagnosed with COVID and not yet cleared as non-contagious by local doctors and public health authorities
Release of Liability
I hereby release and agree not to hold Life in Motion Education Inc., its directors, owners, employees, volunteers, host facilities, or others acting on their behalf, liable for any physical or mental injury, illness, death, or loss of personal property that may occur during or in connection with the Services. I voluntarily release and forever discharge Life in Motion Education Inc. from any and all causes of action connected with the Services, including with respect to COVID-19 and any bodily injury, illness, medical treatment, or property damage arising from participation. This release extends to all directors, partners, employees, locations, and volunteers.
Emergency Care Authorization
In the event of an accident or illness while in the care of Words in Motion staff, facilitators will make their best effort to contact the parent or guardian immediately. If unavailable, facilitators are authorized to secure appropriate care and will attempt to contact the emergency contact listed in this form. The parent agrees that where staff have acted in good faith to follow proper procedures, the organization shall not be held liable, and any such liability is expressly waived by the parent.
Agreement
By signing below, I confirm that I have read and agree to the Program Guidelines, Fees, Payment Method, and Withdrawal Policy described above and on the program page. I authorize my child to participate in the Words in Motion program.