Name *

First Name

Last Name

Waiver *

By submitting this report, I confirm that the Branch listed above has obtained permission for ORMTA and CFMTA to publish the names and photos included in this submission. The Branch understands that the text or image(s) may appear in electronic form on the Internet or in publications outside the control of ORMTA or CFMTA. We agree that we will not hold ORMTA or CFMTA responsible for any consequences that may arise from such unauthorized reproduction.

Yes