Gujarati School Form 2023

Child's Name *

Child's Age

Child's Gender

Parent's Name *

Address

Primary Contact Phone Number *

Secondary Contact Phone Number

Email Address*

Gujarati language reading proficiency level

Gujarati language writing proficiency level

Gujarati language speaking proficiency level

Release of Liability and waiver of claim

TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the GGAC arising out of any aspect of my participation in the any Programs and TO RELEASE GGAC from any and all liability resulting from any loss, damage, expense or injury including death that I may suffer or that my next of kin may suffer during my participation in the Programs, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, AS WELL AS ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT (ALBERTA), ON THE PART OF THE GGAC.

Media consent : I, the undersigned, hereby consent to the use of my photograph or likeness in any publication, videotape, pamphlet or promotion by GGAC or other agencies which are promoting or furthering the mission of GGAC.

I Undersign