Informed Consent and Acknowledgement, Waiver and Release Liability:
Throughout the Couses, students may be photographed and/or
recorded to promote Canada Super Spelling Bee Inc. (CSSB) programs and events.
Students may be featured in print and/or social media to increase awareness for CSSB.
These types of media include: brochures, web, social media, and other types of media.
I, the undersigned, authorize Canada Super Spelling Bee Inc. and its employees and representatives’ permission to print,
photograph, and record me for use in audio, video, film, or other media platforms.
I hereby give my approval for my child’s participation in any and all activities prepared
by Canada Super Spelling Bee during the selected program. In exchange for the acceptance of
said child’s candidacy by Canada Super Spelling Bee Inc., I assume all risk and hazards
incidental to the conduct of the activities, and release, absolve and hold harmless Canada
Super Spelling bee and all its respective officers, agents, and representatives from any and
all liability for injuries to said child arising out of traveling to, participating in, or
returning from selected program sessions.
As Parent and/or Guardian of the named student, I hereby authorize
the diagnosis and treatment by a qualified and licensed medical professional,
of the minor child, in the event of a medical emergency, which in the opinion
of the attending medical professional, requires immediate attention to prevent
further endangerment of the minor’s life, physical disfigurement, physical impairment,
or other undue pain, suffering or discomfort, if delayed.
Permission is hereby granted to the attending physician to proceed with any medical
or minor surgical treatment, x-ray examination and immunizations for the named student.
In the event of an emergency arising out of serious illness, the need for major surgery,
or significant accidental injury, I understand that every attempt will be made by the
attending physician to contact me in the most expeditious way possible. This authorization
is granted only after a reasonable effort has been made to reach me.
Permission is also granted to the Canada Super Spelling Bee Inc. and its affiliates including Directors,
Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission
to the medical facility.
Release authorized on the dates and/or duration of the registered season.
This release is authorized and executed of my own free will, with the sole purpose of authorizing
medical treatment under emergency circumstances, for the protection of life and limb of the named minor child,
in my absence.
In case of injury to said child, I hereby waive all claims against Canada Super Spelling Bee Inc.,
including all executives, directors, managers, staffs, teachers, coaches, counsellors, volunteers, agents, partners, and affiliates,
all participants, sponsoring agencies, medias, advertisers, and, if applicable, owners and lessors
of premises used to conduct the event. There is a risk of being injured that is inherent in all
physical activities, including all sports and travel activities. Some of these injuries include,
but are not limited to, the risk of fractures, paralysis, or death.
Download Standard Consent, Waiver and Release of Liability