R13, 2020-03-04

NOTE: Ecosource Mississauga does not accept paper waivers, please submit electronically.

ecosource


Thank you for your interest in  Ecosource. All participants MUST have a signed permission form in order to participate in Ecosource activities. A parent or guardian must complete form if participant is under 18 years old. For questions, concerns, or if you require further information, please e-mail info@ecosource.ca.


Permission Form

  1. I have read and understood the information provided in this form about participating for Ecosource (and if participant is under 18 years old, give permission for my son/daughter to participate). I hereby willingly consent to release Ecosource from all liabilities and waive all claims and demands arising from and personal injuries incurred while participating with Ecosource.
  2. I understand that photographs, videos and/or evaluation may be taken of the participant and may be used in the promotion of Ecosource. They may be published or used for any application in newspapers, magazines, film, television commercials, posters, slide presentations or otherwise displayed to the public or used for educational, fundraising, information or training purposes.
  3. I understand that I will not receive any compensation for photographs or videos taken of the participant during Ecosource activities.
  4. I understand that each participant is fully responsible for his or her safety while participating with Ecosource.

Click to Sign
Parent/Guardian Signature



Fri Apr 26, 2024