C2C – Transportation Waiver

YFC Canada

YFC is a national organization built on local chapters.

Registered Charity #106868847RR0001

YFC Northumberland

Registered Charity #132177296RR0001

This waiver gives permission to Christine Moss (Northumberland Youth Unlimited staff member) to transport the youth named below to and from Created to Create programs.
For more information, please contact Christine Moss at 905-376-8001.
Youth Name*
First Last
Parent/Guardian Name*
First Last
Parent/Guardian Email*
Parent/Guardian Cell Phone*
Consents
TRANSPORTATION Waiver*
Yes
I give permission for the youth in my care noted above, to travel in a vehicle owned by Northumberland Youth Unlimited, or by its staff or volunteers, to and from Created to Create programs in Cobourg or Port Hope, as requested by me. I understand that drivers and their vehicles are licensed and insured according to local, provincial and federal laws, insurance policies and NYU’s Policies & Procedures. Furthermore, I do not hold Northumberland Youth Unlimited responsible for any harm that may occur to the youth in my care noted above, as a result of their wilful participation in the transportation.
Signature*

Consents