The responsibility for sport safety must be shared by all. I, the undersigned, am aware that there is a certain risk of injury involved in my own or my child’s participation in sport, either while traveling to or from the event, or while attending or participating in the programs or activities of the events which are sanctioned/approved by Acera Insurance OR Kermode Friendship Society. It is understood by me that the signing of this document is intended to indicate that on behalf of myself and/or my child, I grant permission to Kermode Friendship Society to use my name and likeness in photographs, motion pictures, recordings or any other record for legitimate promotional purposes for the event. I understand that there are no refunds for this event in the case that I can not or decide not to participate. I understand that the event is subject to cancellation by local health authorities. 

Signature of Applicant: ________________________________ Date: ___________________

 Signature of Parent/Legal Guardian: ______________________ Date: ___________________