MSR Adult Registration
Emergency Contact Information
I grant permission for the reasonable use of photos and videos containing the participants/students named above in any of the following ways: brochures, posters, reports, newsletters, blog posts, presentations, promotional material, videos, website, Facebook or other social media posts.
Element of Risk
Activities and programs provided, such as playing musical instruments, playing games and performing on stage, involve certain elements of risk. While the Marsh Street Centre employees/volunteers exercise due diligence in an effort to ensure everyone's safety, personal injury including serious injury up to and including loss of life may occur. The risk of sustaining these types of injuries may result from the nature of the activity and can occur without fault of the participant/student or the Marsh Street Centre employees/volunteers. By choosing to allow your child to take part in these activities, you are accepting that your child may be exposed to risks.
Note:The Marsh Street Centre is not an allergy free environment.
I, the student named above, authorize the employees and volunteers of the Marsh Street Centre to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant/student noted above. I undertake and agree to indemnify and hold blameless the employees and volunteers of the Marsh Street Centre and against any loss, damage or injury suffered by the participant as a result of being part of the program stated above.