By completing the application form your Act agrees to have its performance video and/or audio recorded and photographed for promotional purposes without compensation.
In consideration of your accepting this form, I hereby for myself, heirs, executors and administrators may have against the Town of Ajax and/or any and all sponsors of the event, their representatives or assigns for any and all injuries or losses that may be sustained by participating in this event.
Collection of Personal Information
Personal information on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, C.25, and will be used for the purpose of program registration, payment, aggregate statistical reporting and allocation of staff resources. Questions about this collection may be directed to the Town of Ajax Records & FOI Coordinator at 65 Harwood Avenue South, Ajax, Ontario, L1S 2H9 or 365-282-6355.
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.
