BRCC Informed Consent and Assumption of Risk Agreement (for Youth)

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Instructions

1. Every individual who enters the ice area must have a completed waiver on file. This can be completed online using this form.

2. The form should only take a few minutes to complete.
3. Complete a separate form for each youth curler.

4. Contact the club at brcc@ns.aliantzinc.ca if you have any questions.

Youth's Name *

Youth's Date of Birth *

YYYY

Parent/Guardian's Name *

Parent/Guardian's Phone

Emergency Contact's Name *

Emergency Contact's Phone Number *

Please follow the link below to review the Informed Consent and Assumption of Risk Agreement for minors and select Yes to agree.

Yes

Submit

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