PLEASE COMPLETE ALL DETAILS, SIGN AND DATE ON THIS PAGE.
Supervision Requirement: Please acknowledge that all attendees must be residents of University Family Housing, University of Toronto, and it is a sole responsibility of the registrant mentioned above for the supervision of their children, and/or family members if applicable, during this program. Children are to always be supervised and accompanied by an adult. Under no circumstances may a child be left unattended. Should a child's caregiver need to step out of the room, even briefly, they must take their child with them.
Risk Acknowledgement/Waiver: I understand and acknowledge that certain risks of injury, loss, damage or harm inherent to participation in this event, and I agree to indemnify and save the harmless THE GOVERNING COUNCIL OF THE UNIVERSITY OF TORONTO, its officers, employees, agents and volunteers from and against any injury, loss, damage or harm that may befall myself or my child or children in my care as a result of their participation in any activity.
I hereby authorize any necessary medical treatment for myself or my child or children in my care by qualified medical practitioners in the event of illness or injury sustained in my absence while they are participating in the program. I declare that I have disclosed any special dietary, allergy, care, or health issues concerning myself or my child or children in my care to University Family Housing.
I am aware that it is each participant’s responsibility to ensure that they have adequate health coverage and medical or disability insurance. University Family Housing does not provide any health or accidental coverage.
BY SIGNING THIS ELECTRONIC FORM: I DECLARE THAT I HAVE READ AND UNDERSTOOD THE ABOVE CONDITIONS AND I HEREBY CONSENT TO BOTH MYSELF, MY FAMILY MEMBER AND/OR MY CHILD/CHILDREN IN MY CARE PARTICIPATING ON THIS AGREED BASIS.