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Waiver Form

I accept all the dangers and risks and the possibility of personal injury, death, property damage or loss resulting while my child and/or myself are participating in Toronto Clubhouse activities. I agree not to sue Toronto Clubhouse on account of any circumstance whatsoever arising from my child and/or myself participating in any activity organized, sponsored or conducted by Toronto Clubhouse or any of its affiliated branches (all of which are referred to in this clause as an “activity”). If I am signing this waiver as the guardian of a minor, I agree to indemnify and hold harmless Toronto Clubhouse from and against all costs, claims and liabilities of any nature and kind whatsoever arising from the participation of such minor or minors in any activity of Toronto Clubhouse. I also agree for myself, my heirs, my executors, administrators and assignees to forever discharge and release Toronto Clubhouse, for any personal injury, death, property damage or loss sustained by me as a result of my participation in the Toronto Clubhouse activity due to any cause whatsoever, including, without limitation, negligence on the part of Toronto Clubhouse and its staff.

You or your child is participating in an event offered or co‐sponsored by Toronto Clubhouse (the “Event”). During the event, photographs will be taken and possibly audio and video recordings will be made (all of which are referred to in this Consent Form as the “Images”). Images may contain you or your child’s recognizable image, so the purpose of this form is to notify you of this possibility and seek your permission to use any Images of you or your child in publications or promotional material produced by Toronto Clubhouse, in distributions to media (including the internet), in displays produced by Toronto Clubhouse and during Toronto Clubhouse events and activities. Images may also appear in videos or advertisements produced by Toronto Clubhouse. Consent I understand that Images of me or my child may be taken or recorded during the Event. I understand that the Images may be circulated widely if published on Toronto Clubhouse website or other related websites, and that the Images will be available to the public both inside and outside Canada. I consent to Toronto Clubhouse or its authorized representatives taking or recording Images of me or my child for all of the purposes stated above. I consent to Toronto Clubhouse using, reproducing, publishing, broadcasting or displaying Images containing my child’s image and voice for all of the purposes stated above.


Please fill in the form for consent.

Thank you

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