Event Waiver Consent Blue Mountain Consent Form Full Legal Name(Required) First Last Are you under the age of 18 and require parent/guardian consent?(Required) YES, I am under the age of 18 NO, I am 18 or older Name of Parent or Guardian(Required) First Last Email of Parent or Guardian(Required) Enter Email Confirm Email Email(Required) Enter Email Confirm Email Event Waiver Release(Required)I understand that there are risks in being in attendance on the CCSAI GOES TO BLUE MOUNTAIN trip. In consideration for being permitted to participate in the trip, I on my own behalf and on behalf of my dependents, heirs, successors, assigns, executors and administrators, hereby release and forever discharge the Releases and waive and rights which I might have against the Release with respect to any claims and liabilities whatsoever, without limitation, in connection with all activities associated with my participation in the trip, transport, and activities, including, any injuries or impairment to virtually any part of my body which could limit my health and well-being; loss of life; expenses, permanent or temporary suffered by me. I recognize and accept the risks involved, and hereby release Centennial College, Centennial College Student Association, its Partners, Board of Governors, Officers, Servants, and Agents from any liability arising out of or in connection with this CCSAI GOES TO BLUE MOUNTAIN trip. I further acknowledge that I have read the above release and understand that I am relinquishing any and all rights that I, or any of my dependents, or my heirs, executors, or administrators might have against the College for any loss, damage, injury, or expense suffered by me in connection with my association with this event. I further confirm that I am over the age of 18. I sign it freely and voluntarily without any inducement. I agree to the event waiver release.Parent or Guardian Event Waiver Release(Required)This is to certify that I, as Parent/Guardian with legal responsibility for this participant, do consent and agree to his/her release as provided under the CCSAI GOES TO BLUE MOUNTAIN WAIVER AND RELEASE FORM of all Releases, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the Releases from any and all liabilities incident to my minor child’s involvement or participation in this event as provided in this form. I agree to the event waiver release.Emergency Contact(Required) First Last RelationshipPhone(Required)Email(Required) Statement on Privacy and Data Collection All submissions are kept in strict confidence. Data will be safeguarded at all levels to protect against damage, loss, and breaches of security. Access and use of data will be granted internally when a legitimate need for the data is demonstrated and appropriate approval given. Data will only be used for the purpose for which use has been authorized. Data shall be stored in such a way as to ensure that the data is secure, and that access to data is limited to authorized users. If there are any questions or concerns about our data collection and storage methods, please reach out to us at [email protected].Please Confirm: I have read and accepted the Privacy & Data Collection Statement.
