The Regent Park Project – June Intensive

Registration Form

    PARTICIPANT

    IF UNDER 18 – PARENT/GUARDIAN

    EMERGENCY CONTACT

    REGENT PARK PROJECT CREATIVE AGREEMENT

    In order to create a safe and collaborative space for all participants, we have created the following agreement regarding participation and creation:

    • All voices are important and should be heard.

    • Respect everyone’s experiences/opinions without passing judgment.

    • Laugh and have fun! But… Do not laugh ‘at’ others’ questions or ideas.

    • Be on time. Be committed, Be present.

    • Commit to staying on task – gage how much you dominate the discussion/creation.

    • Provide gentle encouragement to those who may want to contribute, but may be too shy to participate.

    • Practice the use of inclusive pronouns as people request them.

    • Be respectful both in person and on social media.

    By signing below I acknowledge that I/we (the participant or parent/guardian) have read, understand and agree to the Regent Park Project Creative Agreement.

    MEDIA RELEASE FORM

    I, the individual pictured/filmed/videoed, do hereby grant permission to Kick Start Arts Society, their Artistic Directors and assigns to use and reproduce any media, video footage, writing, audio recording, or photographs taken/used/created during the process of participating in the writing/acting classes which are part of The Regent Park Project, for use on television, in festivals, and shows, in workshops, or in print, on the internet, or any other format, in any manner suitable to promote and air this project, or others created in the future. Where appropriate, Kick Start Arts Society will acknowledge participants fully for their role.

    By signing below I/we (the participant or parent/guardian) acknowledge, understand and agree to the Regent Park Project Media Release Form.

    INJURY RISK DISCLAIMER

    I/we (the participant or parent/guardian) realize that participation in drama/acting classes and activities could result in some possible personal injury. Despite precautions being taken by Kick Start Arts Society and our instructors, accidents and injuries may occur. By signing this release form, I/we (the participant or parent/guardian) assume all risks related to the use of any and all spaces used by Kick Start Arts Society. I/we (the participant or parent/guardian) agree to release from responsibility Kick Start Arts Society, our instructors, our Artistic Directors, guests, Board, and any other artist-educators involved from any cause of action, claims, or demands now and in the future. I/we (the participant or parent/guardian) will not hold Kick Start Arts Society, liable for any personal injury including: scrapes, bruises, cuts, sprains, fractures, broken bones, concussions, death or other injuries, or any personal property damage/loss, which may occur on the premises before, during or after classes.

    I/we agree to obey the project and facility rules and take full responsibility for my/our behavior in addition to any damage I/we may cause to the facilities utilized by Kick Start Arts Society.

    In the event that I/we (the participant or parent/guardian) should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to our Instructor, and the Artistic Director, as soon as possible.

    By signing below I acknowledge that I/we (the participant or parent/guardian) have read, understand and agree to the Regent Park Project Injury Risk Disclaimer.

    COVID-19 ADVISORY

    Please be advised. We are following all current COVID 19 guidelines. Participants are not required to wear a mask, but they are welcome to wear one if they wish to. In order to keep participants as protected as possible, when you register, you are agreeing that each day, prior to class, you will do the following check.

    Do you have:

    • Runny nose or nasal congestion

    • Headache

    • Extreme fatigue or tiredness

    • Sore throat

    • Muscle aches or joint pain

    • Gastrointestinal symptoms (such as vomiting or diarrhea)

    • Loss of taste or smell

    • Have you come in contact in the last week with anyone who is sick with COVID 19?

    If you answer yes to any of these questions, you agree you will not attend class, to protect others in the group.

    By signing below I acknowledge that I/we (the participant or parent/guardian) have read, understand and agree to the Regent Park Project COVID-19 advisory and precautions.


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