1. While every reasonable precaution shall be taken to ensure the safety and protection of your child, the UKRAINIAN YOUTH ASSOCIATION OF CANADA (CYM) (hereinafter called “UYA”), its Directors, Officers, Staff Members,
Employees, Volunteers and all facilities used by the UYA to deliver its programs, are hereby released from all and any
liability, in the event of loss of personal property or any accident or misfortune that may occur to your child.
3. In signing this form, the parent or guardian certifies that the information correctly portrays your child's medical profile
and habits, and is amenable to necessary discipline if required.
4. The signature of the parent or guardian shall give the UYA and its Directors, Officers, helpers the right to arrange for any
special services or other requirements necessary, in the best interest of your child and shall give the UYA the permission to
obtain or approve medical interventions necessary for your child’s welfare and good health and the parent or guardian hereby
agrees to pay for all such services as may be required as indicated above.
5. It is understood that in the course of UYA camp activity, pictures or recordings may be taken. I hereby authorize and
release copyright to the UYA to use photographs, digital or other images in which my child appears, for UYA promotional
or marketing purposes including UYA brochures, newsletters, annual reports or UYA website.
6. I hereby give permission for my son/daughter/attendee to participate in field trips planned during all
UYA camps wherever they may be held. This includes outdoor adventure (hiking) camps wherever they may be organized.
I, the undersigned parent/ guardian, assume full responsibility for payment of all camp fees and medical expenses not covered
by insurance
I understand that I am liable for all costs related to, but not limited to damages caused by my child or children, or for
additional costs incurred by the UYA as a result of my child’s or children’s actions, be they intentional or unintentional
(telephone, broken windows, kiosk, etc.)
The safety of each individual is of the utmost importance to the UYA. In order to ensure the safety and well-being of all
participants, the UYA reserves the right to alter the program at any time without compensation to participants, parents or
guardians.
Furthermore, my child has been made aware of rules and regulations as found in the Handbook for parents and campers, and
has agreed to abide by them.