bcnlcparentform23 - UCMAS Canada

	Date	Time	Venue
Competition (British Columbia)	28th May (Sunday)	9:00 AM Onwards	Bonsor Recreation Complex, 6550 Bonsor Ave, Burnaby, BC V5H 3G4
Award (British Columbia)	17th June (Saturday)	11:00 AM Onwards	Bonsor Recreation Complex, 6550 Bonsor Ave, Burnaby, BC V5H 3G4

UCMAS Location*

Course Instuctor Name*

Student First Name*

Student Last Name*

Student Code

CABC - - - S0

Year of Birth*

Parent Email*

Parent Phone*

Select your current UCMAS level (Please refer your child's current UCMAS Books)*

Competition Category*

Visual

yesNo

Listening

yesNo

Flash (Eligibility for Flash is level Elementary B and above)

yesNo

Terms & Conditions

By submitting this application, Parents (on behalf of the students) and Franchisees agree to all the conditions of the “Parent Consent Form”, Including indemnifying UCMAS competition.
The last date for registration for parents is 8th April 2023
No placement is confirmed prior to any mode of payment.
Late fee of $10 will be charged if the registration is done after the deadline of 8th April 2023 (9th to 15th April 2023)
No application will be accepted after 16th April 2023

Registration Fee

	Closing Date for Registration	Only Visual/Listening/ Flash	Visual + Listening	Visual +Listening + Flash
Registration Fee	8th April 2023	CAD $55	CAD $85	CAD $105
Registration With Late Fee	9th to 15th April 2023	CAD $65	CAD $95	CAD $115

Time of competition and other details will be sent to each student along with the hall tickets.

*Note: Visual Competition: All Categories can be attempted either mentally or using abacus or both.

Parent Consent

I/We,(name of parent) hereby give my consent for my son / daughterto participate in the above mentioned competition.I/We agree that though the organizer will make every reasonable effort within their scope of duties to ensure safety and well-being of my child, I/we realize that even under close supervision, children may have occasional accidents. Therefore, we hereby release for indemnity and hold UCMAS Canada INC., its franchisee and employees harmless from any and all claims, damages or other liabilities for injuries to my child which are notresult of direct negligence of the staff.

I/We further agree that in spite of being extremely careful and vigilant about the quality of PA and audio/video system for the listening/flash competition there might be certain uncontrollable disturbances in the audio or video output and we hereby release for indemnity and hold UCMAS free from any responsibilities caused due to such uncontrollable circumstances.We grant permission to the organizers of the event to use photographs and visual recordings of my child taken in this event, provided that no identification (name or address) will be used unless explicitly authorized.

I/We agree that all statements made by us on the competition form are correct; and we acknowledge that we have read, understood and agree to all rules and regulations of the competition.