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6 MUSIC DISCOVERIES 2018 WAIVER AND AGREEMENTS Please read the following waiver carefully. It includes release of liability and waiver of legal rights, and deprives you of the ability to sue certain parties. By signing below, you acknowledge that you have both read and understood all text presented to you as part of the registration process. Waiver I agree that my child will follow all reasonable instructions and directions of the leaders and instructors duly appointed by the University of Victoria Student Music Educators' Association (UVSMEA) in connection with the operation of Music Discoveries. There are many possible risks associated with participation in Music Discoveries such as: - Allergic reactions to food served at the camp; - Fighting with other students; - Falling while carrying a musical instrument to name but a few. I hereby release, remise, and forever discharge the UVSMEA, the University of Victoria, the University of Victoria Students' Society, their agents, and their volunteers of and from all manner of actions, claims, and demands of whatever nature which result from any loss, injury, or expense sustained, arising out of or in any way connected with participation in any program or attendance at a location operated by the UVSMEA. I FREELY ACCEPT AND FULLY ASSUME ALL RISKS, DAMAGES AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS TO MYSELF OR MY CHILD. BY SIGNING THIS FORM OR BY CLICKING "I ACCEPT" BELOW, I AGREE TO WAIVE ALL CLAIMS DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE. I UNDERSTAND THAT THE UVSMEA, UVSS, UVic, THE MUSIC DISCOVERIES COORDINATORS AND THEIR AGENTS OR VOLUNTEERS ARE NOT RESPONSIBLE FOR PROVIDING ME WITH ANY REFUND FOR FEES PAID FOR MUSIC DISCOVERIES I authorize the UVSMEA to use any photographs, video or audio recordings taken of my child while participating in Music Discoveries 2018 to be used in future Music Discoveries and UVSMEA brochures and promotional material/media for the sole purpose of improving Music Education in Victoria. By signing, I am aware of and agree that my child will comply with the rules regarding no alcohol, no recreational drugs, no violence, and no sexual activity at Music Discoveries ACKNOWLEDGEMENT I acknowledge that I have read this agreement, that I have executed this agreement voluntarily, and that this agreement is to be binding upon myself, my heirs, executors, administrators and representatives, in the event of my death or incapacity. Signed on (DD/MM/YYYY ): / / Signature of Parent/Guardian Printed Name of Parent/Guardian Name of Child Participant:

7 MUSIC DISCOVERIES 2018: PAYMENT NAME OF CHILD PARTICIPANT: CREDIT CARD AUTHORIZATION (complete ONLY if paying by Credit Card) I authorize the use of the following credit card to cover fees as follows ( check one ): One (1) Music Discoveries 2018 Registration $40.00 CAD Payment Type: Visa MasterCard I hereby authorize the UVSMEA to deduct $40.00 to cover the cost of Music Discoveries 2018 Credit Card Number: Security Code (on back of card): Expiry Date: / (Month / Year) Print Cardholder s Last Name: First Name: Signature of Cardholder: Date signed: / / (Month / Day / Year) OTHER PAYMENTS ( complete if paying by CHEQUE or CASH) : Please find attached enclosed (check one) : A cheque payable to UVic Students Society for $40.00 (write in the Memo Line UVSMEA Music Discoveries 2018 ) $40.00 in cash *Please make cheques payable to University of Victoria Students Society. In the Memo Line, write UVSMEA Music Discoveries 2018 Registration checklist: Complete REGISTRATION FORM Complete WAIVER FORM Complete PAYMENT FORM

8 MUSIC DISCOVERIES 2018: REGISTRATION SUBMISSION Mail your completed registration form, waiver and payment to: UVic Student Music Educators Association University of Victoria School of Music P.O. Box 1700 STN CSC Victoria, BC V8W 2Y2 Canada Digital submissions also accepted to: REGISTRATION DEADLINE: Any questions? Registrations will be accepted no later than January 24th, 2018 at 11:59 pm Please don t hesitate to contact Emily Axford, registrar with any questions or concerns. All inquiries can be sent to: For More Information: Music Discoveries Website: UVic Student Music Educators Association:

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