Please be aware that all online registrations are charged a processing fee, which is charged by the registration system, and not the Township of Woolwich. This allows payment by credit card. Unfortunately, this fee cannot be refunded for any reason.

We reserve the right to cancel or postpone any program or activity due to inclement weather or low enrollment. A service fee will be imposed for all returned cheques and could result in refusal of future participation. A service fee will be applied to all refunds and withdrawals with the exception of those due to program cancellation or medical/illness.

MEDIA EXPOSURE

The child(ren) listed on the Participant Form may appear in any publicity arranged by the Township of Woolwich, through the various media, newspaper, radio, television, slide presentations and other publications.

**If you do not wish to have your child in program publicity, please stroke out this section and initial.

EMERGENCY CARE

In the event of accident or illness involving my child(ren) while attending the program; I hereby authorize, if I am not immediately available, my permission for my child(ren) to be transported to the hospital by ambulance, and if required the administration of any medical procedure deemed necessary by the physician at the hospital.

PERSONAL INFORMATION

To the extent that the foregoing information constitutes personal information under the Municipal Freedom of Information and Protection of Privacy Act, 1989, the information is collected under the authority delegated to the Township of Woolwich by virtue of the Revised Statutes of Ontario and will be used for the purposes indicated or implied by this form. Questions about the collection of personal information should be directed to Clerk, Township of Woolwich, Box 158, 24 Church Street West, Elmira, Ontario, N3B 2Z6. Phone 519-669-1647.
CANCELLATIONS

Requests for refunds must be made 7 days before the start date of the Program. Participants who withdraw during a program, for medical conditions only will be issued a refund. Participants who withdraw during a program for any other reason other than medical will not be issued a refund. ALL refunds/credits are subject to a administration fee ($35.00).