I/we, the parent(s) or guardian(s) named here-in, authorize Calvary Temple Winnipeg duly authorized program personnel, in the event of emergency, to sign consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant(s) named above.
I/we, named here-in, undertake and agree to indemnify and hold harmless Program Personnel, Calvary Temple Winnipeg, and its Leaders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of Calvary Temple Winnipeg, as well as of any medical treatment authorized by the supervising individuals representing Calvary Temple Winnipeg. This consent and authorization is effective only when participating in or traveling to events sponsored by Calvary Temple Winnipeg.
Photos, Videos, Electronic Communication, Social Media
I/we, hereby grant our permission to Calvary Temple Winnipeg to take reasonable photos and videos of our child within the registered program setting(s) for purposes of program promotion and for all other uses that could be reasonably deemed to be to the advancement of the purposes and ministries of Calvary Temple Winnipeg to be used without compensation or prior notice to me/us. I/we, hereby grant permission for images and videos to be posted on Calvary Temple Winnipeg social media pages and profiles of social media platforms as deemed prudent solely by Calvary Temple Winnipeg and its authorized representatives. Enrollment in this program and signing the front of this form grants Calvary Temple Winnipeg authorization to contact me/us via electronic communication including but not limited to email and text messages and at the email address(es) and phone number(s) provided in the foregoing.
Purposes and Extent
The safety of your child is our primary concern. Precautions will be taken for their well-being and protection. Calvary Temple Winnipeg is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to assign the student to the appropriate classes, to develop and nurture ongoing relationships with you and your child, and to inform you of program updates and upcoming opportunities at out Calvary Temple Winnipeg. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish Calvary Temple Winnipeg to limit the information collected, or to view your child’s information, please contact us in writing.
I/WE have read, understood and agree with the terms and conditions above.
I/WE are the parent(s) / guardian(s) of the above named children and have authority to sign on their behalf.