Halton Regional Police Service
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Citizen Police Academy (CPA) - Agreement

Due to the nature of the course curriculum, police will be conducting security checks on all applicants.

I authorize the Halton Regional Police Service to collect personal information concerning myself.

I acknowledge this information is to be used solely for purposes of this application.

I acknowledge that the Halton Regional Police Service reserves the right to select applicants at its sole discretion.

I hereby give Halton Regional Police Service and any person or agency designated by Halton Regional Police Service the irrevocable right to use any photographs for reproduction in any medium including but not limited to print and electronic (e.g.: internet) for purposes of advertising, display, exhibition or editorial use.

I understand that electronic recording is prohibited and I will not engage in any type of recording during my participation and enrolment in the Citizen Police Academy.

I HEREBY RELEASE, WAIVE, AND FOREVER DISCHARGE The Regional Municipality of Halton Police Services Board, the Halton Regional Police Service, The Regional Municipality of Halton, and all their respective agents, officials, Board Members, councillors, officers, and employees (“the Police”) from any and all claims, demands, damages, costs, expenses, actions, and causes of action, whether in law or equity, in respect of death, injury, loss or damage to any person or property, arising or likely to arise directly or indirectly from the acts or omissions of the Police in relation to my participation in the Citizen Police Academy, and in particular any participation in use of force or firearms demonstrations.

I hereby declare that the foregoing information is true and complete to the best of my knowledge, and I warrant that I am the applicant named above. I understand that a false statement can disqualify me from participation in the Citizen Police Academy. If I am selected, I will not disclose any confidential information to which I may be privy to any person without the express written consent of the Halton Regional Police Service.