Aboriginal Youth Skilled Trades Fair

November 4, 5 & 6, 2018

Halifax, Nova Scotia

Name: ______
Email: ______
Phone: ______
School: ______
Sweater Size ______Community/Band ______

PERSONAL INFORMATION:

Mailing address: ______

Parent/Guardian (under18):______

Contact Phone: ______

Emergency Contact: ______Phone:______

Date of Birth (Y/M/D): ______

Health Card Number (required):______

Expiry date:______

Doctors Name:______

Medical conditions, allergies, intolerances and/or dietary restrictions:______Please answer the following questions:

1) Why are you interested in attending the Trades Fair? ______

2) What do you hope to learn while attending the fair?

______

3) What do you know about the construction trades?

______

Signature (Student):______

Date:______

Signature Parent/Guardian (under

18):______

Include a letter of recommendation from your Principal, Teacher, Guidance

Councilor, Education Director or Employment Officer.

To be submitted by October 5thto Ann Sylliboy by any of the following methods:

Email:

Fax: 902-567-0337

Online:

A signed form must be submitted to Mi’kmaq Kina’matnewey before Youth can attend the camp. Please keep a copy of this page.

I understand the Trades Fairwill be held in Halifax. I understand the camp is being offered by Mi’kmaw Kina’matnewey, and while attending the Trades Fair, my child/youth will participate in various programs and activities.

I understand that accidents and injuries may occur during participation in such activities, and that every reasonable effort will be made to provide reasonable care by the organizers, facilitators, and chaperones.

I hereby give permission for my child/youth to attend the Trades Fair and to fully participate in all activities.

I hereby give permission for medical attention to be administered to my child/youth by the organizers/facilitators/chaperones in the event of a medical emergency. When I cannot be contacted, I hereby give my consent to have my child/youth transported to a hospital emergency room and the hospital and medical staff have my authorization to provide any treatment that a physician deems necessary for the well-being of my child/youth.

I hereby waive and release Mi’kmaw Kina’matnewey and its trustees, teachers, employees, volunteers, agents and assigns from and against any and all present and future claims, costs, liabilities, expenses, or judgements, including attorney’s fees and court costs, resulting from any damage, loss, personal injury or illness to my child/youth and/or damage to my child/youth’s property arising from or out of my child/youth’s attendance or enrolment in, or out of my child/youth’s participation in activities at or offered by Mi’kmaw Kina’matnewey.

Dismissal of Participant: Mi’kmaw Kina’matnewey reserves the right to dismiss, in its sole discretion, any camper whose behaviour is deemed unsatisfactory or detrimental to the best interests of themselves, other participants, and/or staff.

Child/Youth’s Name:______Date of Birth:____/______/____

I HAVE READ ABD FULLY UNDERSTAND ALL THE TERMS AND CONDITIONS AS EXPLAINED ON THIS GUARDIAN/PARENTAL CONSENT FORM AND GIVE PERMISSION AS OUTLINED ABOVE:

Guardian/Father/Mother/Youth’s Name (signature):______

(Print):______

Date: ______

Please complete the Skills Canada – Nova Scotia Release on the following page.

RELEASE FORM

Release of Liability, Waiver of Claims, Consent & Assumption of Risk

SIGNING THIS DOCUMENT MEANS YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE

Overview

The Skills Canada Nova Scotia (“SCNS”) Skilled Futures program (the “Program”) is an exceptional educational opportunity, but it does involve certain risks, dangers, hazards and liabilities for all participants. These include personal injury, death, illness, property damage, expense and other loss. All persons taking part in the Program are required to accept any liability or risk of injury, loss, damage or expense sustained as a result of any person’s participation in the Program as his or her own.

Each participant in the Program (and their parent/guardian if applicable) is required to sign this form, which releases SCNS, and persons associated with it, from any claims which might arise from participation in the Program.

Privacy Statement

SCNS and its partners respect your privacy. We protect your personal information and adhere to all legislative requirements with respect to protecting privacy. We do not rent, sell, or trade our mailing lists. The information you provide will be used to deliver programming and to keep you informed and up-to-date on the activities of SCNS.

Disclosure of Information (Optional)

I understand and agree that information pertaining to participation in a SCNS program, including but not limited to names, occupation, and status as a student or apprentice, may be shared with or released to the media for coverage of the event. I also agree that photographs and videos taken during the Program may be used and reproduced by SCNS and its partners in media, promotional materials, and bulletins.

?YES

?NO

Description and Assumption of Risks

I understand and acknowledge that the Program involves the risks inherent in participation in certain activities, and participation in the Program, including travel to and from, will involve risks, dangers, hazards and liabilities, including but not limited to personal injury, death, illness, property loss or damage, expense and other loss due to all manner of causes including but not limited to, use of equipment and/or materials related to the trade and food related illness.

I freely accept and assume all risks, dangers, hazards and liabilities, including but not limited to personal injury, death, illness, property loss or damage, expense and other loss which may occur during or as a result of participation by the Student in the Program.

Release of Liability, Waiver of Claims, and Indemnity

In return for the approval of SCNS for the Student’s participation in the Program, I hereby agree to give up any and all claims that I, or the Student, have or may in the future have against SCNS, its employees, directors, officers and representatives, as a result of participation in the Program, and to release SCNS, its employees, directors, officers and representatives from any and all liability for any loss, damage, injury or expense that I, or the Student, may suffer during or as a result of participation in the Program.

I further agree to hold harmless and indemnify SCNS, its employees, directors, officers and representatives from any and all liability for any loss, damage, injury or expense that I, or the Student, or my next of kin, or anyone else may suffer as a result of participation in the Program.

I have carefully read and fully understand and agree to the terms of this Agreement.

Agreed To this _____ day of ______, 20______

______

(Signature of Witness) (Signature of Student)

______

(Name of Witness - Printed) (Name of Student - Printed)

IF STUDENT IS UNDER 19 YEARS OF AGE, SIGNATURE OF PARENT OR GUARDIAN IS ALSO REQUIRED

Agreed To this _____ day of ______, 20__

______

(Signature of Witness) (Signature of Parent/Guardian of Student)

______

(Name of Witness - Printed) (Name of Parent/Guardian of Student -Printed)

Please complete the photo release on the following page.

Consent form for use of photos by Mi’kmaw Kina’matnewey and ……….

Name of child: ______

Name of parent or guardian: ______

Occasionally, Mi’kmaw Kina’matneweystaff may take photographs of youth at Mi’kmaw Kina’matnewey schools or sponsored events. We may use these images in printed publications that we produce, as well as on our website, newsletter, apps, or social media activities. We may also make video or webcam recordings.
For this camp, our sponsors may also take pictures/video to include in their websites or printed publications. Our sponsors for this camp include Apprenticeship NS and……….

To comply with the Data Protection Act 1998, we need your permission before we can photograph or make any recordings of your child for promotional purposes. Please answer questions 1 to 4 below, then sign and date the form where shown.

May we use your child’s photograph in printed publications that we produce for promotional purposes?

/
Yes / No

May we use your child’s image on our website, apps, and in social media activities?

/ Yes / No

May we record your child’s image on video?

/ Yes / No
4.Do you allow permission for your child to appear in the media? / Yes / No?
I have read and understood the conditions of use on this form.
Parent’s or guardian’s signature: /
Date:
Name (in block capitals):

Conditions of use

This form is valid for the 2018 Trades Fair .
We will not use the personal details or full names (which means first name and surname) of any child or adult in a photographic image on video, on our website, or in any of our other printed publications without good reason. For example, we may include the full name of a student in a newsletter to parents if the student has won an award.
If we name a student in the text, we will not use a photograph of that child to accompany the article without good reason. (See point 3 above.)
We will not include personal e-mail or postal addresses, or telephone or fax numbers on video, on our website, or in other printed publications.
We will only use images of students who are suitably dressed, to reduce the risk of such images being used inappropriately.