Informed Consent and Acknowledgement
I hereby give my approval for my child’s participation in any and all activities prepared by Earl Grey Community Centre during the selected camp.
I UNDERSTAND THAT BY COMPLETING THIS FORM, THE CITY COMMUNITY CENTRE IS COLLECTING CERTAIN INFORMATION ABOUT MY
CHILD, MYSELF AND OTHER FAMILY MEMBERS INCLUDING WHEN NECESSARY MY MANITOBA HEALTH REGISTRATION NUMBER.
I ALSO UNDERSTAND THAT THIS PERSONAL INFORMATION WILL BE USED FOR THE PURPOSE OF REGISTERING IN THE COMMUNITY
CENTRE SPORT RECREATION AND LEISURE PROGRAMS AND THAT SUCH USE SHALL INVOLVE THE DISCLOSURE OF THIS PERSONAL
INFORMATION TO THE APPROPRIATE SPORT ASSOCIATION(S) , COACH(ES), STAFF, CAMP LEADER(S) AND MANAGERS
I will follow all current all current public health rules set out for COVID -19