CSS Registration, Medical Consent and Emergency Contact
CSS Academic Communication
CSS Pre-Season Concussion Education
Canadian Sport School Photo Release
PISE Canadian Sport School Informed Consent Agreement
CSS_Withdrawal and Refund Policy

CSS Registration, Medical Consent and Emergency Contact

Registering for Canadian Sport School 2024/25 - 09/03/2024 12:00 AM - 06/19/2025 12:00 AM Change

Program Consent:

By signing below, I am giving consent for my child to participate in the Canadian Sport School program operated by PISE, the Pacific Institute for Sport Excellence. In consideration of my child’s participation in this program, I, and our heirs and assigns, now forever release, discharge and hold harmless the PISE directors, officers, employees, coaches, representatives, agents, and volunteers from any liability for an injury, loss or damage sustained by our child, howsoever caused, arising out of or in connection with our child’s participation in the above-mentioned program.


Emergency Treatment:

In the case of illness or accident of my child, and I cannot be reached by phone, I hereby authorize PISE staff to send for or seek medical assistance. I agree that in the case of an EMERGENCY, PISE program staff may call upon the local hospital or ambulance. All costs incurred are the responsibility of the parent or guardian.

It is my responsibility to inform PISE in writing of any changes to this information in the one-year term (September 1 - August 31, of the current academic year).


 

Signee Information

ex. May 1, 2005

Please list any medical conditions or other concerns (include any information regarding conditions that could inhibit or impact your child’s participation in program activities). In addition, please specify if your child is currently taking any medications.

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.