INFORMED CONSENT AGREEMENT:

I, the parent or guardian named above, agree to and give permission for:

The child named on this form to participate in the Centre Street Church Crossover Sports, Rec, and Fitness Program ("the Program"), and
Staff members of Centre Street Church to authorize any physician or hospital to provide medical assessment, treatment, or procedures for the Child if necessary while the Child is participating in the Program.

ACTIVITIES:

I understand that all physical activities have risks. I agree to allow my Child to participate in the Program knowing there are physical risks and hazards inherent in any activity, including those undertaken during the Program. These may include activities such as: hockey, ball hockey, basketball, pickle ball, volleyball, soccer, badminton, frisbee, remote control cars, dodge ball, gaga ball, 9-square, bounce houses, and other standard recreational equipment.

PHOTOS AND VIDEO:

I understand that during the program that photos and videos may be taken of my child for the purpose of highlighting what is happening at the program and future promotions of the program. My child's name will not be publicised with any photo unless I give permission. If any images and video are publicized, they may appear on the following: CSC social media channels, CSC website, program emails, and printed handouts/materials.

COLLECTION AND USE OF INFORMATION:

I understand that the personal information in this form is being collected for the purposes of enrolling my Child in Crossover Sports, Rec, and Fitness and the Program, to assign the Child to appropriate teams/groups, to develop and nurture ongoing relationships, and to inform me of program updates and upcoming opportunities in Crossover Sports, Rec, and Fitness and Centre Street Church via digital/online media and text message.

Attendance for children involved is collected and stored for all activities, practices, games, events, drop-in activities, and other gatherings when children are participating in the Program.

I understand that my personal information is protected under the Personal Information Protection Act in the Province of Alberta. If I have any questions about my personal information, I can contact the Centre Street Church Privacy Officer by emailing privacy@cschurch.ca or calling 403.293.3900

By signing below, I am stating that I have read and understood the statements above and agree to allow my Child to participate in the Program.

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