Seniors Line Dancing and Social

Seniors Line Dancing and Social Registration and Waiver

Blessed Trinity Parish
Welcome to a morning of music, movement, and fellowship!

We are thrilled to welcome back a seasoned instructor Deanna Dell'Unto to lead us in a free line dancing classes on March 13th, March 27th, April 10th, and April 24th from 10:00am to 11:00am, followed by a social with snacks and drinks.

Everyone of all physical abilities is welcome to join in the fun - no experience is necessary, just bring your indoor shoes (running shoes are perfect), a water bottle, and a smile! Come for one or come for all - just let us know the ones where you can make it so that we can plan accordingly!

Please note that there is no cost for this event, but the waiver below must be completed to participate.

You may choose to register for the class closer to the date.

If you have any questions, please reach out to Tanya at btfamilylife@gmail.com.

We can't wait to see you on the dance floor!
Name*

First NameLast Name
Email*
example@example.com
I understand that my registration allows me to participate in any of the Line Dancing Classes for Seniors to be held at Blessed Trinity Parish, 3220 Bayview Avenue, Toronto, Ontario. The classes are on March 13th, March 27th, April 10th, and April 24th, followed by a social. I may attend any number of classes. The waiver is applicable to all classes.*

I understand the above statements and agree to the terms of the waiver for all class dates selected above.
This class is geared for individuals 55 years of age and older.*

I am 55 years of age or olderI am UNDER 55 years old
AGREEMENT AND WAIVER / RELEASE OF LIABILITY for the Roman Catholic Episcopal Corporation for the Diocese of Toronto, in Canada (Archdiocese of Toronto) including but not limited to Blessed Trinity Parish. In consideration for being allowed to participate in this activity, which I do freely and voluntarily for my own personal benefit, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns and agree to the following statements:*

I desire to engage voluntarily in any group exercise class such as but not limited to, Line Dancing with Deanna Dell'Unto, being held at Blessed Trinity Parish, 3220 Bayview Avenue, Toronto, Ontario.I understand that the activities may be strenuous, and may require me to do body movement that I am not familiar with in order to improve overall fitness. I understand that I am responsible for monitoring my own condition throughout the group exercise class. Should any unusual symptoms occur, I will cease my participation.I assume full responsibility for any and all injuries, damages (both economic and non-economic), and losses of any type, which may occur to me , and I hereby fully and forever release and discharge the Archdiocese of Toronto, its insurers, employees, officers, directors, and associates, from any and all claims, demands, damages, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated, or unanticipated, resulting from or arising out the use of said group exercise class and facilities.I contract on behalf of myself, my heirs, executors, administrators, successors and assigns, that Archdiocese of Toronto or Blessed Trinity Parish and its insurers, employees, appointed instructors, including but not limited to Deanna Dell'Unto, officers, directors, and associates, shall not be liable for any damages arising from personal injuries (including death) sustained by me in, on, or about the premises, or as a result of participating in any group exercise class and/or the use of the facilities, regardless of whether such injuries result, in whole or in part, from the negligence of the Archdiocese of Toronto.I understand that the Archdiocese of Toronto is not responsible for property that is lost, stolen, or damaged while in, on, or about the premises.I understand I am solely responsible for safety and wellbeing of myself.I release, hold harmless and forever discharge the Archdiocese of Toronto and/or Blessed Trinity Parish staff, appointed instructors, including but not limited to Deanna Dell'Unto, contractors, caregivers, volunteers, directors, employees and affiliates, from any and all liability, claims, losses, damages, costs or expenses, and waive any such claims against and such persons or organizations, arising directly or indirectly from, or attributable in connection with all group exercise activities and programs, onsite through the sponsorship and organization of the Archdiocese of Toronto.
I will attend the Line Dancing Class on March 13th.*

YesNo
I will attend the Line Dancing Class on March 27th.*

YesNoSend me a reminder email, closer to the date to see if I am interested in joining.
I will attend the Line Dancing Class on April 10th.*

YesNoSend me a reminder email, closer to the date to see if I am interested in joining.
I will attend the Line Dancing Class on April 24th.*

YesNoSend me a reminder email, closer to the date to see if I am interested in joining.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Date*

MonthDayYear
Date
In signing this consent form, I affirm that I have read, accept and understand this form in its entirety and that I understand the nature of exercise. I know that there may be risks associated with exercise/fitness programs and willingly accept those possibilities. I know that it is my responsibility to ensure my own safety. I take full responsibility for my own health and safety in participating in the exercise/ fitness class and to the extent I deem advisable, will consult a physician before participating in any of the activities. (Use your mouse or finger if you have a touch screen to insert your signature below).
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Seniors Line Dancing and Social Registration and Waiver