Parent/Guardian - consent to participate
The volunteers of Scarborough Chapter of Professional Engineers
Ontario have organized the Mathletics 2007 Competition for the benefit
of school children in our community. A parent or legal guardian who
wants their child to participate in this competition must complete and
sign this form. The completed form with the registration fee must
be mailed and received by us before the published deadline.
I understand that the Scarborough Chapter of Professional Engineers
Ontario (SCPEO) and its representatives will take all reasonable steps
to provide an environment in which everyone’s safety is of prime
importance. SCPEO volunteers have arranged the competition, but
SCPEO cannot take direct care and control of your child. We encourage
you to be present at the competition so that both of you will share and
enjoy your child’s successes and achievements.
I am aware that SCPEO and its volunteers cannot assume responsibility
for any injury, loss, damage or harm to any child or to his/her
property during the course of any activity, which is part of the above
program, including travelling to and from the competition site. I
understand and acknowledge that certain risks of injury, loss, damage
or harm are inherent to participation in any program or activity and I
agree to indemnify and save harmless Professional Engineers Ontario,
Scarborough Chapter of Professional Engineers, prize sponsors,
officers, employees, agents and the volunteers from and against any
injury, loss, damage or harm that may befall my child(ren) as a result
of their participation in this competition.
Personal information collected will be used to conduct this competition
and recognize participants and winners. Names and photographs and
articles written on this event will be posted on SCPEO’s Internet
web site and be used to promote this and future events e.g. solicit
individuals and companies for financial sponsorship and/or prizes.
Permission is hereby given for any photographs, videos or other
recordings made before, during or after this event of my child to be used as described above.
I hereby grant permission for my child to participate fully in this
Mathletics 2007 Competition. I declare having read and understood the
above and hereby consent to my child participating on the basis
described.
I also understand that the wireless Clicker provided for the
competition must be returned to SCPEO in good working order
immediately after the competition. If a wireless Clicker is damaged, I
undertake to reimburse SCPEO US$100 as the cost of each
replacement unit.
| Name of
child/participant |
| Signature of
child’s parent,
guardian or responsible adult |
| Printed
name
of above adult |
Relationship
to child |
|
|
|
| Emergency contact
information: |
| Allergies or
medical conditions
we should know about: |
