Required fields are marked with asterisks (*)

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City Property and Facility Film Indemnity

A collaborative approach

Thank-you for your interest in filming in Brantford.  Our goal is to work collaboratively to make your project successful and easy while balancing safety and convenience for our residents and businesses.  Together we will find creative solutions to support your production.

Screening Questions

Please review and complete the Release, Waiver, Assumption of Risk and Indemnity and Consent and Authorization. This will need to be completed by each person from your party before coming onto City property.

Additional information

If you have any questions, please contact us for more information and to obtain further assistance.  Be sure to reference the City's Film Policy for more information on filming parameters in Brantford.

Fields marked with an asterisk (*) are required.


Production Company

 

Contact

 

What Brantford location are you visiting?
 

Release, Waiver of Liability, Assumption of Risk and Indemnity

 

I acknowledge that entry on, use of, and activity on and around property owned by The Corporation of the City of Brantford (the “City”) involves risks which may be beyond the control of the City. The risks, dangers or hazards on or about the property may result in harm, including but not limited to, broken bones, bruises, cuts, sprains, dislocations, concussions, other injuries (whether physical or mental), disability, illness and death. I voluntarily assume and accept all such risks resulting from, occurring during or being connected in any manner with my entry on the City’s property, whether caused by the acts or omissions of the City or other persons. I, and for my heirs, executors, administrators, successors, assigns and invitees, further agree to release, waive and forever discharge the City, its employees, agents, contractors, representatives, elected and appointed officials, successors, assigns (collectively the “ Indemnitees”) from any and all claims, demands, damages, costs, expenses, actions and causes of action whatsoever, whether in law or equity, in respect of death, injury, loss or damage to my person or property, however caused, arising or to arise by reason of this permission being granted for the purpose of evaluating and assessing the City’s facilities for the purposes of film activity.

I further hereby undertake to hold the Indemnitees harmless and agree to indemnify any or all of the Indemnitees from and against any and all liability incurred arising as a result of, or in any way connected with, the permission granted to me.

I further agree to pay to the City the cost of any emergency evacuation of my person or belongings that may be necessary. I affirm that I am aware of the nature of the activity, the inherent risks, and that I am properly equipped and physically able to undertake it.

By signing this statement, I acknowledge having read, understood and agreed to the above Release, Waiver of Liability, Assumption of Risk and Indemnity.

Consent and authority
 
Clear

Personal information on this form is collected under the authority of Section 10(1) of the Municipal Act, 2001, S.O. 2001, c.25, as amended and will be used to contact you concerning your service request/inquiry to the City of Brantford. Questions about this collection should be directed to:

City of Brantford - Film Liaison
58 Dalhousie Street
Brantford, ON N3T 2J2
Telephone: 519-759-4150
Email: film@brantford.ca