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Create a team for 2025 Cycle For Autism
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Waiver Form
I acknowledge that I understand the intent of the Cycle for Autism, which is to raise funds for Autism Edmonton by collecting pledges and increasing autism awareness in our community by participating in this public event. I agree to absolve and hold harmless Autism Edmonton, corporate sponsors, directors, officers, employees, co-operating organizations and other parties connected in any way, single or collectively, from and against any blame and liability for misadventure, harm, loss, inconvenience, or damage hereby suffered by me or my children as a result of participation in the 2024 Cycle for Autism hosted by Autism Edmonton or any activities associated therewith. I hereby consent to and permit emergency treatment for me or my participating children in any event of injury or illness. I give full permission for the use of my name, photo, video and/or team profile in connection with this event, for use in advertising and promotional materials for Autism Edmonton.
I HEREBY CONSENT TO AND PERMIT EMERGENCY TREATMENT FOR ME OR MY PARTICIPATING CHILDREN IN ANY EVENT OF INJURY OR ILLNESS. I GIVE FULL PERMISSION FOR THE USE OF MY NAME, PHOTO, VIDEO AND/OR TEAM PROFILE IN CONNECTION WITH THIS EVENT, FOR USE IN ADVERTISING AND PROMOTIONAL MATERIALS FOR AUTISM EDMONTON.
Yes, I’d like to receive email communications from Autism Edmonton. I understand I can withdraw my consent at anytime. For more details, please
contact us using the following information.
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