900 Hanwell Rd., Fredericton, New Brunswick, Canada

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Applicant Information


I, (Participant Name), a member of the (Sport) team, request permission to leave the custody of Team New Brunswick on (Date/Time) and confirm that I will have alternate travel arrangements to return from Halifax, Nova Scotia.

(Participant Name)
(Signature of Participant - Must be 19 or older)

(Participant Name)
(Signature of Parent/Guardian – required for all athletes under the age of 19)