Walking Waiver

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+1.647.888.2939

info@superscientist.ca

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2402 Robin Drive, Mississauga, ON L5K 1S9, Canada

First Name

Primary Phone

Last Name

Participant Name

I give permission for my child to particpate in Neighbourhood walks under the direct supervision of Super Scientist. Ratios must be a minimum of 1:5, Staff to Student for these to occur.

Your Signature

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