1. I have been advised of the program activities and I am aware that there are certain risks inherent in my child's
participation in the program activities.
2. I understand that every care and attention will be given to the health and comfort of the participant, and that the Fort
McMurray Boys & Girls Club/Board and Staff cannot be held liable for any injuries sustained.
3. I hereby authorize the leaders of the program to secure medical advice and services, as they deem necessary, for the
health and safety of my child; and I agree to accept financial responsibility for the costs greater than the benefits.
4. It shall be the discretion of the leader of the activity, as to what steps must be taken for the welfare and safety of the
participant. Each program is a group living experience; members of each group are expected to participate fully in the program
and to behave in the appropriate manner. Each child is given as much care and attention as possible, but the parents and
the children must note that continuous disruptive behavior, which affects the enjoyment and safety of others, may result
in the child being sent home.
5. I, the Parent/Guardian of the child do hereby agree to give the Fort McMurray Boys & Girls Club permission to take
pictures of my child while participating in the various programs and activities at the Boys & Girls Club for the purpose of
advertisement, promotion and publicity campaigns. What might include posting to the internet. I also agree to give the
Fort McMurray Boys & Girls Club permission to take my child on supervised walking field trips off the property.
6. I give permission to release my child`s information to the Alberta Child and Family Services Licensing Officer for
quality and licensing purposes.
7. I understand that my child is to be picked up at the end of the scheduled program time each day. (Your child must be signed out every day).
If I do not adhere to this I understand that it will result in a $1.00 per minute charge for each minute that I am late.
I fully understand all the information in this form, and I have discussed this carefully with my child. NOTE: NO REFUNDS
WILL BE GIVEN.