Except as I have stated in The Theatre’s Child Information and Waiver Form (the “CIW Form”), the Participant does not have any behavioral, physical (including major allergies) or mental health conditions that could affect his or her ability to participate in the Activity, or that would involve health or safety risks to other participants, the public, any third party or the Participant. If any such conditions exist, I waive any claims against the Releasees (defined in Section 8 below) arising in respect of such conditions. To the extent I or The Theatre determine any such behavioral, physical or health conditions of the Participant warrant it, then I will retain, at my cost, an attendant, caregiver or support person (the “Caregiver”) to accompany the Participant at all times during the Activity, including during breaks in the Activity. I will notify The Theatre of the name of the Caregiver prior to the Activity commencing.

I confirm and warrant to The Theatre that I have disclosed in the CIW Form all accurate and complete information requested related to the Participant, including as to his/her age, school grade and any behavioral, physical or mental health conditions. I understand that The Theatre may rely upon such information and I confirm that such information is accurate and complete. I understand that failure by me to disclose necessary or relevant information related to the Participant, including as to any such behavioral, physical or mental conditions, may result in immediate withdrawal of the Participant from the Activity by The Theatre.

In a medical emergency involving the Participant, I agree that The Theatre staff may administer the Medications to the Participant in compliance with the physician’s instruction letter, provided the Medications are in pill form and/or are an asthma inhaler and/ or EpiPen. If they deem it to be appropriate in an emergency, The Theatre staff also may administer CPR to the Participant and/or contact emergency health (911 Services). I acknowledge that The Theatre staff are not medically licensed or trained. If the Participant is accompanied by a Caregiver, then I confirm that the Caregiver is primarily responsible for handling the Medications and also will coordinate with The Theatre in an emergency.

I also confirm and warrant to The Theatre that to the extent that the Participant is taking medications (“Medications”): a) The Participant’s Caregiver (or, if there is no accompanying Caregiver, then the Participant) is able to and will administer those Medications; and b) I have attached to this form a physician’s letter instructing as to use of the Medications prescribed to the Participant.

The Participant’s participation in each part of the Activity is not mandatory and I or the Participant (or the Caregiver) may choose not to have the Participant participate in any particular part(s) of the Activity by giving prior notice to the Activity instructor. In such event, I acknowledge that The Theatre may not be able to provide alternate activities for the Participant.

If the Participant leaves the location at which the Activity is being conducted without the prior consent of the Activity instructor, such departure and any liabilities, losses or costs that result are at my sole risk and, additionally, The Theatre may refuse to register the Participant in future Activities.

I acknowledge that from time-to-time The Theatre personnel, third parties or the media, in each case as authorized by The Theatre, may take photographs or videos of the Activity that include the Participant in the photographs or videos. I consent to the taking of any such photographs and/or videos and the use and display by The Theatre of such videos in regard to the promotion of the Activity and any reasonable and directly related use, provided the Participant shall not be identified by The Theatre by name. I understand that The Theatre has no control of any such photographs or videos when they are in the public domain.

I waive and release, on my own behalf and on behalf of the Participant, The Theatre, The Centre For Artistic Development, its governors, officers, employees, agents, consultants and volunteers and The Theatre camp leaders (all of whom are collectively referred to as the “Releasees”) from all actions, claims, demands, damages, liabilities, losses, costs and expenses whatsoever arising or that may arise, directly or indirectly, from or in relation to participation by the Participant in the Activity and including, without limitation, in respect of withdrawal by The Theatre of the Participant from the Activity as set forth in Sections 3 and 10, departure of the Participant from the Activity without Activity Instructor consent pursuant to Section 6 and any matters arising in respect of the Participant’s behavioral, physical or mental conditions, including during a medical emergency.

I confirm that failure to provide a signed copy of this CIW Form to The Theatre at least one week before the Activity commences may result in The Theatre, in its sole discretion, immediately withdrawing the Participant from the Activity. In such event, none of the Releasees, including The Theatre, shall be liable for any such withdrawal or the costs of withdrawal.

If The Theatre determines, at its sole discretion, that the Participant’s involvement in the Activity is or is reasonably likely to be disruptive or detrimental to any other participants, the public, or any other third party, then The Theatre may immediately withdraw the Participant from the Activity. In such event, none of the Releasees, including The Theatre, shall be liable for such withdrawal or the costs of withdrawal.

I am aware that no refunds of Activity fees will be provided by The Theatre, except in accordance with the Rules.

I have read and fully understand the foregoing terms and conditions and: (a) confirm that I am entering into this document freely, voluntarily and of my own accord without duress and have had an opportunity to consult with independent legal counsel; and (b) this document binds me, my heirs and legal representatives.