Information:
All information provided is complete to the best of my knowledge. I have not withheld any information that will affect the care of the individual.
I understand that I can change and update the information via EDSS at any time I agree that while EDSS does not charge a fee for this intake process, I understand that membership to EDSS is required.
I agree to be placed on the EDSS e-newsletter list to receive email notifications.
Photo:
As the parent/guardian of the member, I understand that there are times when Edmonton Down Syndrome Society will take archival and/or promotional photos of the participants.
To keep the legacy of our core purpose alive and to further market our programs, we would like to promote successful experiences to prospective and current participants by displaying our people involved in meaningful ways and purposeful support.
Photos may be used externally at the discretion of Edmonton Down Syndrome Society (i.e.. website, social media and advertising purposes)
Assumption of Risk:
As the parent/guardian of the member, I understand that there are risks/dangers which are inherent to each specific activity provided by Edmonton Down Syndrome Society. These risks include but are not limited to, the loss of personal property, the possibility of physical injury to them or another participant, including the possible risk of severe or fatal injury.
Edmonton Down Syndrome Society strives to provide awareness of risks associated with each of the services/programs/activities it offers. As a parent/guardian, I understand that it is my responsibility to ascertain whether there are any health conditions which make it inadvisable for participation in any Edmonton Down Syndrome Society program. I also understand that I am responsible for any medical treatment or costs which may occur as a result of participation.
I, the parent/guardian remise, release and forever discharge Edmonton Down Syndrome Society, its heirs, successors, executives, administrators, directors, officers, employees, students, insurers, agents, and assigns of an from any and all manner of action, causes of action, suits, debts, costs, claims, damages, whatsoever arising out of or in consequence of any loss, injury, or damage of any kind sustained by child/adult in an Edmonton Down Syndrome Society program. In the event of an accident, I give permission to qualified Edmonton Down Syndrome Society employees to administer first aid and/or CPR, and/or accompany them in ambulance.
I understand that I will be responsible for the cost, in full of any transportation, to and from the hospital or location of treatment, including but not limited to ambulance transportation.
I understand that I or another emergency contact must be available to pick up the person named above immediately at any time during an EDSS program due to emergency situations, sickness or behaviors.
I acknowledge that I have read and understand this agreement, that I understand, appreciate, and accept the risks associated with the participant in an Edmonton Down Syndrome Society program. As the parent/guardian, I consent for them to participate in Edmonton Down Syndrome Society programs.
