SUNSET YOGA

Registration Form

This form must be filled out in full by each person who wishes to participate.

Waiver and Indemnification

In consideration of permission to use the property, facilities, staff, equipment and services of the Town of Ajax, I on behalf of myself, my heirs, personal representatives, or assigns, or as the legal guardian of the minor registrant, do hereby release indemnify and save harmless, waive, and forever discharge the Town of Ajax and its employees, volunteers and agents from liability from any and all claims resulting in person injury, accidents or illnesses and property loss resulting from, but not limited to participation in activities, classes, observation, and use of facilities, premises or equipment. 

I fully understand this waiver and indemnification and its terms.

I choose to participate in this class at my own risk.

Par-Q:

Please read the 7 questions below carefully and answer each one honestly; check yes or no.

Collection of Personal Information

Personal information collected on this form is collected pursuant to the Municipal Act, 2001, s. 11(1), and will only be used for the purpose for which it is collected, and will not be distributed or used by the Town of Ajax for any other purpose. Questions about this collection may be directed to the Town of Ajax Records and Freedom of Information Coordinator at 65 Harwood Avenue South, Ajax, Ontario, L1S 2H9 or 905-683-4550.

Learn more about the Town of Ajax's Privacy Policy.

Accessibility

If you require this form in an alternative format, please contact the Town of Ajax Accessibility Coordinator, at 905-683-4550, or by e-mail at contactus@ajax.ca.