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Consent Form - CYBC 2023

Consent Form - CYBC 2023

Registration at ZTF Bible Center - Quebec
18questions
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    Veuillez sélectionner
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    • Afghanistan
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    • Aruba
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    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
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    • Burkina Faso
    • Burundi
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    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
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    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
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    • Cote d'Ivoire
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    • Dominica
    • Dominican Republic
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    • Egypt
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    • Gibraltar
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    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
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    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Autre
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  • 5
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  • 6
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  • 7
    Answer : Canada Youth Bible Camp
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  • 8
    Veuillez sélectionner votre date de début de séjour au camp.
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  • 9
    Veuillez sélectionner votre date de fin de séjour au camp.
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  • 10
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  • 11
    Veuillez sélectionner
    • Veuillez sélectionner
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
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  • 12
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  • 14
    Type N/A if there is nothing to report.
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  • 15
    My following health conditions, allergies, physical impairments, dietary restrictions and medical requirements and/or other conditions may limit my full participation in the program, and are hereby made know to any physician, or professionally trained medical support person, attending to my needs. Type N/A if there is nothing to report.
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  • 16

    Consent to Treatment

    In the event that specific medical treatment or procedure is deemed necessary, or advisable, during the diagnosis and treatment of myself (or, the child under my guardianship) as the participant so named above, by my signature below, I authorize any physician, or professionally trained medical support person, to perform this treatment or procedure. This authorization also covers surgical treatment by any physician, if deemed necessary

     

    Complete Release, Waiver of Claim, and Assumption of Risk

    Activities such as hiking, canoeing and kayaking on the lake, swimming in the pool, participation in "challenges and initiatives" courses, the use of the Tarzan rope as well as all winter sports including cross-country skiing, sliding activities, ice skating and snowshoeing and all spring and summer sports all have an element of danger of their own. Rocks, trees, changing weather conditions, changes in slopes, movements near cables, sports fields, roads, water, lanes or traffic trails as well as any other risks and hindrances exist in the environment where I might be involved with ZIF Bible Center.

    I realize that all these activities that I could take part in involve an adventure part "in the middle of nature". ZIF takes all necessary precautions to comply with the conditions and assess the risks in order to judge the feasibility of the activities. It is recognized that these outdoor or "outdoor" activities are, in fact, carried out in a natural environment, which may present changes that cannot be foreseen by ZTF.

    A. I acknowledge that the terms "outdoor activities" or "outdoor activities" include all activities organized by ZTF, as well as any travel in sight or inherent in such activities.

    B. I acknowledge that ZTF does not take any steps about the conditions of the various fields at any time. By participating in any program or activity, I acknowledge and agree that such hazards or risks are included without limitation the possibility of personal injury, or property loss or damage, inherent in or caused by such risks or hazards.

    C. I undertake to comply with all instructions given by the ZTF facilitators, their assistants, the managers and the auxiliary members of the team. I also undertake to respect the decisions taken by ZTF if they refuse my participation in one or more activities offered.

    Considering my participation in "outdoor" and "outdoor" activities and considering the share attributed to directors, directors, agents and employees in these "outdoor" and "outdoor" activities, I undertake to protect and exonerate ZIF, its directors, directors, agents and employees against and against any recourse, lawsuits, litigation costs, financial charges and requirements in connection with death, personal injury, loss or damage to property, whether caused or caused by or as a result of my participation in any of these activities proposed by ZIF and despite the death, injury, loss or damage to injury or property that may have been caused or caused by the negligence of ZTF or its directors, directors, agents and employees.

     

    I have read and understood all the conditions mentioned in this registration form in the frameworks "disclaimer" and "emergency contacts and mdical consent". 

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  • 18
    For participants under the age of 18, the signature of a parent or legal guardian will be required.
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