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MSH SCHOOL PROGRAM RELEASE and INDEMNITY

ACKNOWLEDGEMENT AND AGREEMENT TO ACCEPT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY POLICY OF MARKHAM STOUFFVILLE HOSPITAL FOUNDATION

I hereby ACKNOWLEDGE that I have READ AND DO ACCEPT THE TERMS AND CONDITIONS set out in the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY POLICY of THE MARKHAM STOUFFVILLE HOSPITAL FOUNDATION (the “Waiver and Release Policy”) as published on The Markham Stouffville Hospital Foundation website www.msh5k.ca in CONSIDERATION of being permitted, or any minor (under the age of 18) under my care being permitted, to participate in or attend the event (more particularly described in the entry form). I further ACKNOWLEDGE that I UNDERSTAND and ACCEPT that the terms and conditions set out in the Waiver and Release Policy LIMIT AND AFFECT MY LEGAL RIGHTS, including my right to sue in negligence, and freely agree to the terms and conditions set out in the Waiver and Release Policy. Your child may be photographed or filmed at their school event and participation implies consent. The Markham Stouffville Hospital Foundation keeps all personal information in strict confidence. For more information visit www.mshf.on.ca/promise.