WP E-Signature by Approve Me - Sign Documents Using WordPress -

I, , hereby

agree

disagree

to have my name, photo and location released to Cerebral Palsy Association of British Columbia for marketing purposes.

My information:

Phone:
Email:
City:
CPABC Member:
CPABC Programs/Events participation:

I am 18 years or older.

I am under 18 years and will have my parent / guardian sign this form.

Parent / Guardian Name:

By signing below, I certify all information is true and correct to the best of my knowledge.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Signature Certificate

Photo and Video Release

Unique Document ID: f9b0c27e673a57584905bae55c1b6880efb97201

Build. Track. Sign Contracts.

Timestamp

Audit

March 26, 2026 11:03 am PDT

Photo and Video Release Uploaded by Denzil Muncherji - programs@bccerebralpalsy.com IP ::1