THE GERRARD RESOURCE CENTRE ______________________________________________________
350 Victoria St. KHW 383A, Toronto Ontario, M5B 2K3
TEL: 416-979-5000 x2535, FAX: 416-979-5239
TRAVEL CONSENT FORM
I, _______________________________, hereby give the Gerrard Resource Centre staff
permission to take my child(ren) __________________________________________________
___________________________________________________on walks in the Neighbourhood.
Date: __________________________________
Parent / Guardian Signature: __________________________
Staff signature: ____________________________________
I understand that the Gerrard Resource Centre will use the personal information collected on this form for the purpose of
communicating with me from time to time about programs, services, fundraising activities, and changes in policy and I
consent to the use of my information for this purpose. I understand that I can withdraw this consent at any time by writing the
Gerrard Resource Centre at 350 Victoria St. Toronto, Ontario M5B 2K3or emailing at cmoher@ryerson.ca