I , give permission to participate in the BGC group out-trips as outlined below. I understand that these activities involve a degree of risk in varying locations in the lower mainland. Possible out-trips activities include; hiking, water activities, parks and beach activities, activities in public recreation sites such as biking, bowling, laser tag, ropes courses, go-karting, Playland rides, etc. Transportation may include staff vehicles and/or BGC vans.
Guardian's Signature: Date:
Guardian's Phone #:
Youth's Date of Birth: Care Card #:
Please List Allergies (Indicate if it is a serious allergy)
Please List Prescribed Medications
Do you consent to BGC to use photographs, video, etc. for publicity purposes connected with the promotion of the work of BGC? YesNo
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