LATIN AMERICAN REVOLUTIONS LATIN AMERICAN REVOLUTIONS: MENU CAUSESLEADERS EFFECTS.
Revolutions waiver 2015
1
Youth Unlimited – Revolution(s) Permission Form and Activity Waiver for 2015: January 1 st 2015December 31 st 2015 Clem Lee: 4165087355 Jesse James: 6478358062 Youth Unlimited: 4163831477 Dear Parent/Guardian: Over the remaining months of the year 2015, we are and will be planning many activities, and would love to have your child participate. A form signed by you is needed before your child can continue participating. Thank you! Please read the details below. Fill in the permission portion, and return the detached portion to Jesse or Clem. All YU activities are led by YU Leaders who have been YU Safety Checked and are organized according to YU Policy to ensure the maximum safety for each participant. Feel free to contact Jesse or Clem with any questions or concerns. All activities and events will be conducted according to the laws of both the City of Toronto and the Province of Ontario. There will always be supervision provided for each event and activity. Again, contact Jesse or Clem prior to the beginning of any activity or event to ascertain the extent to which the activity or event is to be supervised. Jesse James and Clem Lee will coordinate transportation to and from events. Please contact us for more details concerning any Revolution(s) activity. Food may be provided. Please advise Clem or Jesse about any food sensitivities your child(ren) may have. The cost will vary with each event and activity. Please detach, fill in & give to Jesse or Clem Child’s Name and Age Health Card Food Sensitivities Emergency Contact Info. Child #1 1. 2. Child #2 1. 2. Child #3 1. 2. Photography and Video taken of my child can be used for reports & promotion (circle one): Yes No I am the parent or guardian of the child named above and I give my permission for them to participate in the activity named above and to receive medical attention in the event of an emergency. Parent/Guardian Name: Parent/Guardian Signature: Date Signed:
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Revolutions waiver 2015
Transcript of Revolutions waiver 2015
Youth Unlimited – Revolution(s) Permission Form and Activity
Waiver for 2015: January 1st 2015-‐December 31st
2015
Clem Lee: 416-‐508-‐7355 Jesse James: 647-‐835-‐8062 Youth Unlimited: 416-‐383-‐1477 Dear Parent/Guardian: Over the remaining months of the year 2015, we are and will be planning many activities, and would love to have your child participate. A form signed by you is needed before your child can continue participating. Thank you! Please read the details below. Fill in the permission portion, and return the detached portion to Jesse or Clem. All YU activities are led by YU Leaders who have been YU Safety Checked and are organized according to YU Policy to ensure the maximum safety for each participant. Feel free to contact Jesse or Clem with any questions or concerns. All activities and events will be conducted according to the laws of both the City of Toronto and the Province of Ontario. There will always be supervision provided for each event and activity. Again, contact Jesse or Clem prior to the beginning of any activity or event to ascertain the extent to which the activity or event is to be supervised. Jesse James and Clem Lee will coordinate transportation to and from events. Please contact us for more details concerning any Revolution(s) activity. Food may be provided. Please advise Clem or Jesse about any food sensitivities your child(ren) may have. The cost will vary with each event and activity. --------------------------------------------------------Please detach, fill in & give to Jesse or Clem--------------------------------------------------------
Child’s Name and Age Health Card Food Sensitivities Emergency Contact Info.
Child #1
1. 2.
Child #2
1. 2.
Child #3
1. 2.
Photography and Video taken of my child can be used for reports & promotion (circle one): Yes No I am the parent or guardian of the child named above and I give my permission for them to participate in the activity named above and to receive medical attention in the event of an emergency. Parent/Guardian Name: Parent/Guardian Signature: Date Signed:
