ELC Site Visit and Member Roundtable with RESCo Energy

Participant Name(Required)

First Last

Name of Organization(Required)

Email(Required)

Enter Email Confirm Email

Job Title

City(Required)

Please note the city in which your organization is located (not your city of residence)

Please indicate any dietary restrictions or allergies:

We will always serve vegetarian food with gluten-free and dairy-free options.

Will you be joining the in-person facility tour?

PPE is required for the facility tour: Please confirm that you have safety shoes:(Required)

Please indicate any accessibility needs:

You may include any information the event staff should be mindful of. This allows us to do our best to allow you to participate equally and comfortably.

Photo/Digital Image Consent(Required)

I accept

I do not accept

I understand and acknowledge that my likeness/image may be digitally recorded (“Digital Image”) by or on behalf of Toronto and Region Conservation Authority (“TRCA”), for use by TRCA or an authorized third party in promotional and other activities as described below. “Digital Image” includes video recording, photographs, testimonials, quotations and any image technology. I hereby authorize and give my full consent to TRCA and its assigns, successors, officers, directors, employees, agents, officials, servants, and representatives, the right to use, reproduce, distribute and display my name and likeness/image and the Digital Image in all forms and media by TRCA and/or an authorized third party for purposes of publicity, advertising, sale and promotion including but not limited to use in flyers, brochures, web site, digital media, videos, displays and general TRCA promotion throughout the world. I hereby assign all rights in the Digital Image to TRCA and hereby waive all rights in and to the Digital Image including any moral rights I may have in my likeness/image and/or the Digital Image. I expressly release TRCA and its, assigns, successors, officers, directors, employees, agents, officials, servants, and representatives, from any and all claims and demands arising out of or in connection with any such use of the Digital Image.

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