SING-ALONG - REGISTRATION FORM

SING-ALONG WITH NORM
Tuesdays | 11:00 a.m.-12:00 p.m.
Sanctuary

Name

This address will receive a confirmation email

Phone

Address

How did you hear about this program? Member of RUC Attended Past Programs/Events Word of Mouth Social Media Brochure Web Site A Retirement Community Other

If you are associated with a retirement community, which one?

Emergency Contact Name and Relation

Emergency Contact Phone

Participation Waiver and Release of Liability PLEASE READ CAREFULLY. I understand that my participation in programs and activities offered by Rosedale United Church and The Rosedale Centre, whether free or paid, is voluntary and involves certain risks. These may include slips, trips, falls, physical exertion, use of equipment or materials, and other risks associated with the activities. I acknowledge that these risks may result in injury, illness or property damage, including serious injury. I freely accept and assume the risks associated with my participation in the programs identified on this registration form, including their scheduled sessions. By agreeing to this waiver, you may be giving up certain legal rights. In consideration of being permitted to participate, I agree to release and waive claims against Rosedale United Church, including The Rosedale Centre, and its trustees, directors, officers, employees, instructors, contractors and volunteers, arising from my participation or attendance, including claims for injury, illness, death or property loss caused by negligence or breach of a duty of care under Ontario's Occupiers' Liability Act, to the fullest extent permitted by law. I understand that this agreement may limit my right to bring legal action against these parties.

I have read, understand and agree to the Participation Waiver and Release of Liability above.

PHOTO CONSENT: To promote our program, we may capture photos/videos during class activities. These images may be used for promotional materials (flyers, posters, brochures), organization website, social media platforms, newsletters and reports.

Yes, I give permission to be photographed, video recorded, and have my image used for the purposes stated above. I understand these images may be shared publicly. I understand that no personal information (e.g., full name) will be shared without addition No I do not give permission

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SING-ALONG - REGISTRATION FORM

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