Loading...


PLEASE READ CAREFULLY!


In consideration of the services of 1000193701 ONTARIO INC., o/a Rail Yard Wake & Aqua Park (Rail Yard), their agents, officers, volunteers, participants, employees, and all other persons and entities acting in any capacity on behalf (here in after collectively referred to as Rail Yard. I am participating voluntarily in the activities including but not limited to Rail Yard Wake Park, Rail Yard Aqua Park, and use of Stand Up Paddleboards, Pedal Boats, Kayaks, hereinafter referred to as Rail Yard Activities, at my own risk. I hereby agree to release indemnify and discharge Rail Yard on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:


I acknowledge that participating in the Rail Yard Activities involves known and unanticipated risks that could result in physical, personal or emotional injury, paralysis, death or damage to myself, property or third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. I relinquish the right to sue in the case of injury or death due to an honest mistake or outright negligence by Rail Yard or its employees and Affiliates. The risks include, among other things; slips, falls, head injuries, spinal injuries, being struck by equipment, struck by other participants, forces of nature including extremes of weather, lightening and rapid weather changes, exposure to sun, heat stroke, strong wind, cold, the risk of collision with objects or other watercraft, drowning; the risk of exposure to insect bites; and marine life.


I understand that any photograph, sound recording, motion picture or video taken of me under this assignment is for the sole purpose of collecting and or representing factual information in the interest of serving the good work of Rail Yard in education, public good. I hereby assign to Rail Yard, all rights, title, and interest, including copyright, in and to any and all such photographs, sound recordings, motion pictures, or videos, and I hereby irrevocably authorize Rail Yard, its officers, agents, and employees, without limitation, to reproduce, copy, exhibit, publish, or distribute, in any medium now known or later developed, any and all such photographs, sound recordings, motion pictures, or videos in perpetuity for the purposes expressed above. I further assign to Rail Yard, all rights, title, and interest including copyright, in and to any and all such photographs, sound recordings, motion pictures, or videos, including but not limited to any and all claims for invasion of privacy, defamation, or infringement of copyright. By signing below, I acknowledge that I have freely and voluntarily entered into this agreement.


I Agree


In consideration of my participation, I hereby acknowledge that I am aware of the risks, dangers and hazards associated with or related to the Rail Yard Activities. The risks, dangers and hazards include, but are not limited to:


  • Actual or alleged transmission of a communicable diseases such as COVID-19;
  • Executing strenuous and demanding physical techniques;
  • Water hazards, waves, unstable surfaces and extreme weather conditions;
  • Speeds and heights relating to towed water sports;
  • Jumps, water features and obstacles, buoys and other structures that are placed in the water;
  • Exerting and stretching various muscle groups;
  • Failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment;
  • Contact, colliding, falling or being struck by other participants or equipment;
  • Blunt force trauma, serious soft tissue injuries, broken bones, or spinal cord injuries, which may render the Participant permanently paralyzed;
  • Abrasions, entanglements, entrapments, or flying objects and debris.


Furthermore, I am aware;


  • That I am expected to wear an approved Personal Flotation Device (PFD) when on the water, throughout the participation of all activities;
  • That the instructors or guides are available to answer any questions that I may have as to the proper use of the equipment;
  • That injuries sustained can be severe;
  • That my risk of injury is reduced if I follow all rules established for participation; and
  • That my risk of injury increases as I become fatigued.


I Agree


I certify that I have adequate insurance to cover injury or damage I may cause or suffer while participating, or else I agree to bear the cost of such injury or damage myself. I further certify that I am willing to assume all risks of any medical or physical condition(s) I may have. I assume full responsibility for any loss of personal property (camera, glasses, shoes, watches, phones, etc..) and any costs associated with said loss.


In the event that I file a lawsuit against Rail Yard, I agree to do so solely in the Province of Ontario, Canada, and I further agree that the substantive law of the province shall apply in that action without regard to the conflict of law rule of that province. I agree that if any portion of this agreement is found void or unenforceable, the remaining document shall remain in full force and effect. By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in the activity, I may be found by a court of law to have waived by right to maintain a lawsuit against Rail Yard, on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.


For participants under 18 years of age; I hereby certify that I am the parent or guardian of the person participating, and I do hereby give my consent without reservation to the foregoing on behalf of him or her.


I Agree


I acknowledge that I, and all that I am signing for have the ability to competently swim a distance of 25 meters without assistance. I understand that Rail Yard does not have lifeguard on duty for recreational swimming and or use of the cable park. I understand that minor children must be watched by a parent or guardian at all times. I understand that I may be refused participation in any or all activities, if found to be incompetent, with no refund of service booked.


I Agree


April 25, 2025








First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's questions:
Do you have any existing injuries? * *

If YES please list injuries here...

Alternate Name (Nickname)?
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's questions:
Do you have any existing injuries? * *

If YES please list injuries here...

Alternate Name (Nickname)?
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's questions:
Do you have any existing injuries? * *

If YES please list injuries here...

Alternate Name (Nickname)?
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's questions:
Do you have any existing injuries? * *

If YES please list injuries here...

Alternate Name (Nickname)?
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's questions:
Do you have any existing injuries? * *

If YES please list injuries here...

Alternate Name (Nickname)?
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's questions:
Do you have any existing injuries? * *

If YES please list injuries here...

Alternate Name (Nickname)?
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's questions:
Do you have any existing injuries? * *

If YES please list injuries here...

Alternate Name (Nickname)?
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's questions:
Do you have any existing injuries? * *

If YES please list injuries here...

Alternate Name (Nickname)?
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's questions:
Do you have any existing injuries? * *

If YES please list injuries here...

Alternate Name (Nickname)?
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's questions:
Do you have any existing injuries? * *

If YES please list injuries here...

Alternate Name (Nickname)?
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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 questions:
Do you have any existing injuries? * *

If YES please list injuries here...

Alternate Name (Nickname)?
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!