Kivalliq Inuit Program Funding Form

I hereby certify that the information contained in this application is true and correct to the best of my knowledge and ability, and that I do not have any outstanding debts to the Kivalliq Inuit Association.

I agree to release my ATV, boat, outboard motor, snowmobile, cabin and all other camping and hunting equipment for the purpose of this proposed program.

I, further agree that KIA is not responsible for damages that may occur before, during and after the completion of this program. Furthermore, KIA is not responsible for any liability before, during or after the completion of the proposed project. All proponents and participants involved are solely responsible on the own accord.