Cerebral Palsy Association of BC

Summer Camp Subsidy Waiver & Release


Waiver

I,  ,

 

 

  • The information provided on the application is true to the best of my knowledge
  • The CPABC has not had any part in selecting the camp referred on the application
  • Any decision by CPABC to award a campership to me will not constitute a representation or warranty by CPABC that the camp referred on the application is appropriate or suitable for me in any particular respect
  • CPABC shall not incur any liability in connection with my attendance at the camp
  • All arrangements for my attendance at the camp are my responsibility.

 


Photo Release

I, , hereby

to give The Cerebral Palsy Association of BC permission to use my photo/ video or the photo/video of   ( ) for public relations purposes in the community.


This may include using the photo:

  • in the Association’s quarterly publication, or other publications
  • in newspapers
  • in the Association’s brochures
  • on the Association’s portable display board, which may be used at resource fairs etc., in the community
  • in the Association’s videos
  • on the Association’s website
  • for fund raising

 


Parent / Guardian Name:

 


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

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Summer Camp Subsidy Waiver & Release
lock iconUnique Document ID: c951dcf016d471c0b890e234046ec2f60fa3c935
Timestamp Audit
July 7, 2020 12:08 am PSTSummer Camp Subsidy Waiver & Release Uploaded by Denzil Muncherji - programs@bccerebralpalsy.com IP 23.16.205.224
August 12, 2024 3:10 pm PSTCPABC Info - info@bccerebralpalsy.com added by Denzil Muncherji - programs@bccerebralpalsy.com as a CC'd Recipient Ip: 23.16.205.224
August 12, 2024 3:11 pm PSTCPABC Info - info@bccerebralpalsy.com added by Denzil Muncherji - programs@bccerebralpalsy.com as a CC'd Recipient Ip: 23.16.205.224