discharges, Toastmasters International/Ajax-Pickering Toastmasters Club, its affiliates, employee, agents or as- signs f
Improve your communication skills Develop real world leadership skills Build your confidence speaking in front of an audience
Toastmasters Youth Leadership Program: FREE!!! ~ Starts Monday September 19th (6:45pm - 8:30pm) ~ 8 weeks ~ Students age 13-18yrs The Gathering Place 1920 Bayly Street Pickering ON L1V 3R6 905-428-6888
For registration please contact: (Toastmaster) Marlon Shaw
[email protected] (PPC) Pastor Josh Livingston
[email protected]
Toastmasters Youth Leadership Program
Registration Information AGE
NAME ADDRESS
PHONE # EMAIL WAIVER: The participant agrees that participation in the program is at his/her own risk and hereby releases and discharges, Toastmasters International/Ajax-Pickering Toastmasters Club, its affiliates, employee, agents or assigns from any and all claims or causes of action including but not limited to negligence arising directly or indirectly from participation in the program. Participant agrees that this waiver is binding upon his/her heirs, assigns or administrators and for him/herself and them agrees to indemnify and save harmless Toastmasters International/Ajax-Pickering Toastmasters Club from any claims or action brought by him/her or them. Toastmasters International/Ajax-Pickering Toastmasters Club shall not be liable for loss, or theft, or damage
Privacy Policy: Personal information collected for participation in the program offered, will be used and held solely for the purpose of correspondence regarding changes to programs or upcoming events.
Dated this ____________ day of ___________________________ Day
Month
I have read and agree to the above
____________________ Year
Emergency Contact Information.
NAME: Phone# Participant Signature Parental consent for participants under 16yrs of age.
Parent or Guardian Signature
