Swimming Natation Canada Consent Form For Minors To Participate In An Open Water Competition

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CONSENT FORM FOR MINORS (17 YEARS OLD AND UNDER) TO PARTICIPATE IN AN OPEN WATER
COMPETITION
(CONSENT FORM)
Name of parent or coach) __________________________________ authorizes (Name of person 17
years and under)________________________________ Age __________
Date of birth ________________________________ to participate in an Open Water swimming
competition.
(Day/month/year)
To be held on: __________________________________
Hosted by: __________________________________
This competition is sanctioned by Swimming/Natation Canada and the Provincial section of Swimming/
Natation Canada
Signature of parent or guardian ________________________________
Or, by default, his/her coach ________________________________
Name of coach: _______________________________
Emergency contact: ________________________________
Telephone number: ________________________
Signed this date_______________ of year ______________

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