FOOTNOTES WAIVER - VOLUNTEERS/GUEST PERFORMERS (non members)

Name:______________________________________________________________

Address:____________________________________________________________

City/Town:_________________________ Postal Code:_____________________

Telephone Number:__________________

Email Address:_____________________ Website:_________________________

WAIVER: I, the undersigned, personally and on behalf of my heirs, executors, administrators and assigns, hereby release and forever discharge the following:

1. Burlington Footnotes Senior Performing Troupe Inc.
2. All sponsors, organizers and volunteers of said organizations, their respective officers, directors, agents, representatives or successors, from any and all claims or demands that I have or my heirs, executors, administrators, assigns or any third party may have for personal injuries and property damage of any nature whatsoever, arising by reason of my participation or volunteering at any level of the organization's programs and productions.

I have read the above Statement, understood it and my signature confirms its acceptance. I attest and verify that I have full knowledge of the risks involved in my participation at The Oakville Centre for the Performing Arts and I am physically fit and able to participate in said programs and productions.

Signature: __________________________________ Date: ____________________

Witness Signature _______________________

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