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Parental Consent Form City of Port Moody Sports Award (Youth) Nomination

This consent form is to be used by:

  • a nominee's parent/guardian if the nominee is under 19; and/or
  • a nominator's parent/guardian if the nominator is under 19.

If you would prefer to fill out a paper form, you can pick one up at City Hall (100 Newport Drive). If you have any questions, please email the Executive Assistant to Mayor and Council at councilea@portmoody.ca.

Consent (please read carefully) 

a) If applicable, I agree to my child being a nominee (i.e. an individual who is nominated) for the Sports Award (Youth).

b) If applicable, I agree to my child being a nominator (i.e. an individual who is nominating a youth) for the Sports Award (Youth).

c) I give consent for my child’s personal information to be collected and used by the City of Port Moody and for the purpose of administering the Sports Award (Youth), including for the purposes of the City Awards Program and the Annual Committee Volunteer Dinner. 

c) I give consent for my child’s information included in the nomination form to be disclosed to Council, Youth Focus Committee members, and City staff on an as-needed basis for the purpose of conducting award-related business only. (It may be required for staff to communicate with your child directly via email for award-related inquires and planning).

 

I consent to all of the above
 

Please note that when an award winner is selected, if the winner is under 19, the City will seek permission from the successful candidate's parent/guardian before publicly sharing the youth's full name and/or image (photograph).

Collection of information 

Personal information is collected by the City of Port Moody pursuant to Section 26 of the British Columbia Freedom of Information and Protection of Privacy Act, R.S.B.C. 1996, c. 165 and will be used for the sole purpose of administering the City’s Civic Awards Program. Questions regarding this collection of information can be directed to the City’s Legislative Services department by email at FOI@portmoody.ca or mail at 100 Newport Drive, Port Moody, B.C. V3H 5C9.