Permission Form Template – Canada

The Permission Form Template – Canada is offered in a variety of formats, including PDF, Word, and Google Docs. These formats are both customizable and print-friendly, ensuring that you can utilize them according to your requirements with ease.


Sample

Permission Form Template – Canada

Editable – Printable



1. Parties Involved



2. Purpose of Permission

3. Description of Material

4. Scope of Permission

5. Duration of Permission

6. Conditions of Use

7. Revocation of Permission

8. Governing Law

9. Signatures and Acceptance




PDF


WORD

Examples


Permission Form Template – Canada (1)
Between:
[Child’s Name]
[Child’s Age]
[Parent/Guardian’s Name]
[Parent/Guardian’s Address]
[Parent/Guardian’s Phone]
[Parent/Guardian’s Email]
Purpose:
This Permission Form grants permission for [Child’s Name] to participate in [specific activity/event] organized by [Organization Name] on [Date].
Details of the Activity:
The activity includes [description of activities involved, e.g., field trips, sports events, workshops] and will take place at [Location] from [Start Time] to [End Time].
Health and Safety:
I confirm that [Child’s Name] is in good health and has no known allergies that would prevent participation in the activities. In the event of an emergency, I can be reached at [Emergency Contact Number].
Liability Waiver:
I acknowledge that [Organization Name] will take all necessary precautions to ensure [Child’s Name]’s safety during the activity. However, I agree to hold [Organization Name] harmless from any injury or accident that may occur.
Photo/Video Release:
I grant permission for [Organization Name] to take photographs and videos of [Child’s Name] during the activity for promotional purposes, including but not limited to social media, newsletters, and brochures.
Duration of Permission:
This permission is valid for the specified activity on [Date] and can be reviewed or revoked by contacting [Parent/Guardian’s Name] at any time prior to the event.
Signed in [City], [Date].
Sincerely,
[Parent/Guardian’s Signature]
[Parent/Guardian’s Name]
Permission Form Template – Canada (2)
Between:
[Child’s Name]
[Child’s Age]
[Parent/Guardian’s Name]
[Parent/Guardian’s Address]
[Parent/Guardian’s Phone]
[Parent/Guardian’s Email]
Purpose:
This Permission Form is for [Child’s Name] to join the [specific program or event] hosted by [Organization Name], occurring on [Date].
Activity Details:
The event will involve [list of activities, e.g., sports, educational games, excursions] and will be held at [Location], from [Start Time] until [End Time].
Emergency Contact:
In case of an emergency, I can be reached at [Emergency Contact Number]. I confirm that [Child’s Name] has no medical conditions that would hinder participation.
Liability Disclaimer:
I understand that while [Organization Name] will take all necessary safety measures, I accept that participation is at my own risk and agree to not hold [Organization Name] liable for any injuries or accidents.
Media Consent:
I give permission for [Child’s Name]’s photo and video image to be used by [Organization Name] for promotional and educational materials, including that they may be posted on their official website and social media accounts.
Effective Period:
This permission is applicable solely for the event on [Date] and may be withdrawn by contacting [Parent/Guardian’s Name] before the date.
Signed in [City], [Date].
Sincerely,
[Parent/Guardian’s Signature]
[Parent/Guardian’s Name]

Printable




Permission Form Template - Canada