PRC Programs - Participant Information

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Participant Information
Child's name
Child's address
Emergency Contact
Parent/Guardian Information
Parent/Guardian Contact numbers
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Parent/Guardian Information
Parent/Guardian Contact numbers
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Local Emergency Contact
Participant Special Information
Food, medication and environment

I authorize the following people to pick up my child, at the program location in the event parent(s)/guardian(s) are unable to and have contacted Parks, Recreation & Culture staff prior to pick-up

Authorized persons to pick up my child
Authorized persons to pick up my child
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Some program/camp activities my include off-site activities. Parent/guardians will be informed of all off-site activities prior to the outing. By signing this form, you are giving permission for your child to particiapte in supervised off-site excursions with the City of Abbotsford Parks, Recreation & Culture Staff.

In the unlikely event that the participant is injured or becomes seriously ill while with City of Abbotsford staff, and I (parent/guardian) cannot be reached, I authorize staff to seek and authorize any and all hospitalization, medical, dental and/or surgical treatment deemed advisable by the circumstances.


 
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