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Empowering Pathways Services - Camps & Respite Services Wavier

Consent & Acknowledgement

By registering for Empowering Pathways Services Camps and Respite Programs, I acknowledge that:
● Participation may involve indoor/outdoor activities, and some risks are involved.
● All medical, behavioural, or dietary needs have been shared with staff.
● In case of an emergency, staff may seek medical treatment for the participant.
Release of Liability
I release Empowering Pathways Services, its staff volunteers and affiliates from any liability for injury, illness, or loss, except in cases of gross negligence or intentional misconduct.

Behavior & Safety
I understand that safety and respect are required. If a participant’s behavior endangers themselves or others, staff may modify or end participation.

Media Consent

Agreement

I agree with the terms above.

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info@empoweringpathwaysservices.com

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(289) 991 3316

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190 Harwood Avenue South

Ajax, Ontario L1S 2H6

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