Youth Travel Consent Form

I understand that participation in this event requires travel to an off-site location. I give permission for my child to participate in the event, and for Halifax Public Libraries to transport my child as follows:

Anneka Janes
janesa@halifax.ca
902-476-9012

Sarah Ziolkowska
ziolkos@halifax.ca
902-717-3764

Donna Nicholson
nichold@halifax.ca
902-830-9807

I give Halifax Public Libraries and its partners non-exclusive permission to use content (text quotes, interview material, audio, photos, images, or video) of and/or made by the participant for digital or print publications.

I understand that this may included but is not limited to, social media posts, websites, newsletters, advertisements, posters and pamphlets.

I also understand that on occasion, Library photos, video, audio, or publications may be shared with media outlets and community partners for use in promotions of Library events, initiatives, and stories.

I certify that no other person's permission is needed to authorize the use of said images or content.

I agree that Halifax Public Libraries cannot be held liable for images or content used with my consent.

As the Parent/Guardian, I give permission for my son/daughter to participate in the event listed above.

I understand and agree that Halifax Regional Municipality, its officers and employees, and the Halifax Public Libraries, its staff members, its Board of Directors or its project funding partners will not be liable for accidents or injuries that occur during this program, or during travel to and from events.

I have read and understood all sections of this form, and that the information I have provided is full and correct.