Applicable to: Adult Lessons - Surrey Seals 4 - Burnaby Regional Group 3 Lessons Divisional Group 4 Lessons Seals 5 - Burnaby Provincial Group 5 Lessons Seals 6 - Burnaby Seals 7 - Burnaby National Group 6 Lessons Seals 1 - Surrey Seals 2 - Surrey Seals 3 - Surrey Seals 4 - Surrey Seals 5 - Surrey Seals 6 - Surrey Seals 7 - Surrey

I certify that I am the parent or legal guardian for my child(ren). I hereby give my permission for any supervisor, coach or other team administrator associated with the Dynamo Swim Club to seek and give appropriate medical attention for our child(ren) in the event of accident, injury, illness. I will be responsible for any and all costs associated with any necessary medical attention and/or treatment.


I hereby waive, release and forever discharge Dynamo Swim Club and associated supervisor, coach or other team administrator from all rights and claims for damages, injury, loss to person or property which may be sustained or occur during participation in Dynamo Swim Club activities, whether or not damages or loss is due to negligence. I hereby acknowledge that my children is (are) physically fit and capable of participation in all Swim Team activities.