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Schedule C 

Release Agreement

THIS IS A LEGAL AGREEMENT. BY SIGNING THIS RELEASE AGREEMENT, YOU ARE INDICATING THAT YOU HAVE READ AND ACCEPT THIS CONTRACTUAL AGREEMENT AND THAT YOU UNDERSTAND YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION (INCLUDING YOUR MINOR CHILD/WARD’S RIGHT TO SUE OR CLAIM COMPENSATION) FOLLOWING AN ACCIDENT.

PLEASE READ CAREFULLY!


TO: MOSAIC FOREST MANAGEMENT CORPORATION (collectively, the “Permittor”), and their related companies, partners, directors, officers, employees, representatives, licensees, permittees, invitees, contractors, subcontractors, agents and affiliates (collectively, the “Releasees”).

I am of the full age of 19 years or am the parent/legal guardian having full legal responsibility for decisions regarding my minor child/ward under the age of 19 and I HAVE READ AND UNDERSTOOD THIS RELEASE AGREEMENT PRIOR TO SIGNING IT, and I am aware that by signing this Release Agreement, I am irrevocably and forever waiving certain legal rights which I, my minor child/ward, and my or my minor child/ward’s invitees, heirs, next-of-kin, executors, administrators, assigns and representatives (collectively, the “Releasors”) may have against the Releasees.

I am aware that:

  • the lands (the "Lands") used by the Permittee are owned by the Permittor and are accessed by private industrial road (the "Road") which the Permittor owns or has the right to use;
  • the Lands and Road are used by the Permittor for logging and logging related activities;
  • the Lands and Road are used by oversized loaded and unloaded logging trucks as well as other forest industry vehicles and equipment of every nature and kind ("Industrial Vehicles"); and
  • the Industrial Vehicles have priority of use and right of way on the Lands and Road.

On behalf of myself and my minor child/ward, if applicable, I freely acknowledge, accept and fully assume the dangers and risks and the possibility of personal injury, death, property damage or loss resulting from me or my minor child/ward’s participation in any and all activities on the Lands and Roads, including but not limited to: orientation and instructions sessions; travel by foot, bicycle, motor vehicle, all-terrain vehicle, snowmobile or any other means within and beyond designated boundaries, if any; and any ancillary recreational activities (collectively, the “Activities”).

MINOR PARTICIPANT

In consideration for allowing my minor child/ward to participate in the Activities, I hereby warrant and agree as follows:

  1. I am familiar with and accept, on behalf of myself and my minor child/ward that there is the risk of serious injury and death in participation in the Activities and use of the Lands and the Road;
  2. I have satisfied myself and believe that my minor child/ward is physically, emotionally and mentally able to participate in the Activities, and that her/his equipment, if applicable, is mechanically fit for her/his use;
  3. I understand, and will instruct my minor child/ward, that all applicable rules for participation must be followed and that at all times sole responsibility for the personal safety of my minor child/ward remains with me;
  4. I will advise my minor child/ward to immediately remove her/himself from participation, and notify the nearest person, if at any time she/he he senses or observes any unusual hazard or unsafe condition or if she/he feels any deterioration in her/his physical, emotional or mental fitness for continued participation
  5. I authorize emergency medical treatment in accordance with the best interests of my minor child/ward, should I not be present at the relevant time to grant consent myself; and
  6. I agree to hold harmless and indemnify the Releasees from any claims or demands that might be made against the Releasees by my minor child/ward if this Release Agreement is declared void or unenforceable against my minor child/ward in whole or in part for any reason.

I HEREBY AGREE AS FOLLOWS:

TO IRREVOCABLY AND FOREVER WAIVE ANY AND ALL CLAIMS that I or any Releasor may have against the Releasees and to release the Releasees from any and all liability for any loss, damage, expense or injury, including death, that I or my minor child/ward may suffer or that my or my minor child/ward’s next of kin may suffer, as a result of me or my child/ward’s participation in the Activities or use of the Lands and the Road, due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care, including any duty of care owed under the Occupiers Liability Act, on the part of the Permittor, and further including the failure on the part of the Permittor to safeguard or protect me or my child/ward from the risks, dangers and hazards of participating in the Activities and use of the Lands and the Road;

  • TO IRREVOCABLY AND FOREVER WAIVE ANY AND ALL CLAIMS that I or any Releasor may have against the Releasees and to release the Releasees from any and all liability for any loss, damage, expense or injury, including death, that I or my minor child/ward may suffer or that my or my minor child/ward’s next of kin may suffer, as a result of me or my child/ward’s participation in the Activities or use of the Lands and the Road, due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care, including any duty of care owed under the Occupiers Liability Act, on the part of the Permittor, and further including the failure on the part of the Permittor to safeguard or protect me or my child/ward from the risks, dangers and hazards of participating in the Activities and use of the Lands and the Road;



  • TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES FROM ANY AND ALL LIABILITY for any property damage or personal injury to any third party resulting from me or my minor child/ward’s participation in the Activities and use of the Lands and the Road; and
  • THAT this Release Agreement will be effective and binding upon my and, if applicable, my minor child/ward’s, heirs, next-of-kin, executors, administrators, assigns and representatives, in the event of me or my minor child/ward’s death or incapacity.



Today's Date: January 8, 2025

First Member's Name

First Name*

Last Name*

Phone*
First Member's Date of Birth*
First Member's Signature*
Second Member's Name

First Name*

Last Name*
Second Member's Date of Birth*
Third Member's Name

First Name*

Last Name*
Third Member's Date of Birth*
Fourth Member's Name

First Name*

Last Name*
Fourth Member's Date of Birth*
Fifth Member's Name

First Name*

Last Name*
Fifth Member's Date of Birth*
Sixth Member's Name

First Name*

Last Name*
Sixth Member's Date of Birth*
Seventh Member's Name

First Name*

Last Name*
Seventh Member's Date of Birth*
Eighth Member's Name

First Name*

Last Name*
Eighth Member's Date of Birth*
Ninth Member's Name

First Name*

Last Name*
Ninth Member's Date of Birth*
Tenth Member's Name

First Name*

Last Name*
Tenth Member's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Member's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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