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Spring Break Camp Subsidy Application

Waiver

I, ,

hereby acknowledge and agree that

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

agree

disagree

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

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.

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Timestamp

Audit

April 21, 2026 11:34 pm PDT

Spring Break Camp Subsidy Application Uploaded by Denzil Muncherji - programs@bccerebralpalsy.com IP ::1