REGISTRATION FORM

As a participant in programs at ORIOLE FOOD SPACE, your photo/video may be taken and used to promote the program within the community. These photos will not be used for any profit. Please read the following and sign below if you agree to the terms. I hereby release Flemingdon Health Centre (FHC), North York Harvest Food Bank (NYHFB) and Working Women Community Centre (WWCC) any and all claims for libel and invasion of privacy. I understand that this release is irrevocable by me so that FHC, NYHFB and WWCC may proceed in full reliance thereon.

I understand that ORIOLE FOOD SPACE has an obligation to keep my personal information confidential. I also understand that I allow ORIOLE FOOD SPACE to release/share my personal information among the three partner agencies. Please read the following and sign below if you agree to the terms. I hereby release Flemingdon Health Centre (FHC), North York Harvest Food Bank (NYHFB), and Working Women Community Centre (WWCC) any and all claims for libel and invasion of privacy. I understand that this consent to releasing my information can be withdrawn by me at any time by contacting FHC, NYHFB, and/or WWCC.

I acknowledge that ORIOLE FOOD SPACE and facilitator kitchen/group is not responsible for any injury or illness that might be a direct or indirect result of my participation in cooking classes and community kitchens at this address, including but not limited to: cuts, burns, slips, falls, allergic reactions, and other injuries as a result of activities and products used. I release ORIOLE FOOD SPACE, facilitator kitchen, and its agents, representatives, employees, volunteers, and sponsors from any and all damages, causes of action, claims, and liability that might arise from my participation in this community kitchen.