Health and permissions
The health history provided on the form is accurate to the best of my knowledge and the person herein described has my permission to engage in all planned CYMC activities, except as noted by the examining physician and me. In the event that neither I nor the emergency contact described can be reached in an EMERGENCY, I hereby give permission to the health care provider selected by the CYMC administration to hospitalize, provide proper treatment for and order injections as necessary.
I agree to the following:
The students have permission to be transported by certified CYMC volunteers or staff for CYMC activities.
The students have permission to swim on beaches with no lifeguard on duty but with a councillor and/or volunteer supervision.
The students have permission to be given over-the-counter medication if requested. (ie.: Tylenol)
The students have permission to ride in a car driven by someone other than staff or an approved volunteer. (e.g.: other students/friend’s car)
The students have permission to go offsite by themselves if they wish to go for a walk.
If you disagree with any of the above statements please contact the registrar at firstname.lastname@example.org
for special arrangements.
VIDEO, PHOTO AND AUDIO RELEASE 2022
We at CYMC delight in the sights and sounds of our summer students as they practice and perform. Throughout the season, we will be documenting these sights and sounds through photographs, video footage and audio recordings, many of which will be made available to the students and public.
I hereby give the CYMC photographer, sound engineer, and assignees my permission to license the images and sound recordings in any media and for any purpose (except defamatory), which may include advertising, promotion, marketing, and packaging for any product or service. I agree that the images and sound recordings may be combined with other images, text and graphics. They may be cropped altered or modified.
I agree that I have no rights to the images or sound recordings and all rights to the images belong to the CYMC photographer, sound engineer and assignees. I acknowledge and agree that I have no further right to additional consideration or accounting, and that I will make no further claim for any reason to the photographer, CYMC or the assignees. I agree that this release is binding upon my heirs and assignees. I agree that this release is irrevocable, worldwide and perpetual and will be governed by the laws of the Province of British Columbia, Canada.
“Media” means all media, including digital, electronic, print, television, film, and other known or invented media.
“Photographer” means photographer, illustrator, filmmaker or cinematographer, sound engineer or any other person or entity photographing or recording students.
“Assignees” means a person or any company to which a photographer or CYMC has assigned or licensed rights under this release as well as the licensees of any such person or company.
“Images” means all photographs, film or recordings taken of the student as part of the season.
“Consideration” means something of value I have received in exchange for the rights granted by me in this release.
RELEASE & WAIVER
In consideration of CYMC accepting this application I, for myself, my heirs, executors, administrators and assignees release CYMC its respective servants, agents or employees from any demands, damages, and actions or causes of action arising out of or in consequence of any loss, injury or damage to my person or property incurred during my residency in Resident Dorms or Billets, and while attending or participating in a CYMC music course or any other CYMC sanctioned activity, including off-campus activities and travel to and from same, notwithstanding any such loss of injury or damage may have arisen by reason of the negligence of CYMC, its servants, agents or employees. Without limiting the generality of the foregoing, I further release any recourse which I may now or hereafter have resulting from any decision of CYMC.
LIABILITY & RESPONSIBILITY
I, parent/guardian, or student if 19 years or older, accept full financial responsibility for any actions intentional or otherwise that (student name) may have committed to cause damage to any facility across the entire CYMC campus; including but not limited to Georges P. Vanier Secondary School, Sid Williams Theatre, and the camp facilities while attending CYMC.
If the applicant is under the age of 19 this indemnification must be accepted by a parent or guardian.
I, parent/guardian of the student applicant, agree to indemnify CYMC, its servants, agents, volunteers, or employees from any claims or demands which might be made against CYMC arising out of or in consequence of being a resident in Resident Dorms or Billets, or attending a sanctioned CYMC music course
In accepting the terms and conditions you are hereby agreeing to the above information and constituting acceptance to the form as an electronic signature.