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Canadian Sport Institute - Atlantic 


RELEASE OF LIABILITY, WAIVER OR CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT IN SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE



Assumption of Risk:

I acknowledge that participation in a fitness testing or training program has many inherent risks, dangers and hazards and that while I am participating in a fitness testing/training program, I am exposed to and have full knowledge of the nature and extent of such risks, dangers and hazards, which include but are not limited to abnormal blood pressure; fainting; disorders of heart rhythm; heart attack; stroke or other cerebrovascular incident or occurrence; mental, physiological, motor, visual or hearing injuries, difficulties, deficiencies of disturbances; partial or total paralysis; slips, falls or other unintended loss of balance or body movement related to walking which may cause muscular, neurological, orthopedic, or other bodily injury; and other circumstances which could cause bodily injury, impairment, disability or death.


I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS.DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM.



RELEASE OF LIABILITY, WAIVER OF CLAIMS AND IDEMNITY AGREEMENT 

In consideration of approval to participate in the fitness testing/training program, I agree as follows: 

  1. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the CSI Atlantic, its directors, officers, employees, agents, representatives, successors and assigns (hereinafter collectively referred to as “THE RELEASEES”), and TO RELEASE THE RELEASEES from any and all liability for any losses, damages, expenses and claims arising out of or in connection with injury jointly and severally, of and (including death) or damage to property that I may suffer, or that my next of kin may suffer as a result of my participation in the fitness testing program due to any cause whatsoever INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE.
  2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any loss, expenses, damages, demands and claims arising out of or in connection with injuries (including death) or damages to any and all persons and to any and all property, in any way sustained or alleged to have been sustained as a result of activities in which I engage which are beyond the scope of those activities approved by the CSI Atlantic.  
  3. This agreement shall be effective and binding upon my heirs, next of kin, executors, administrators and representatives, in the event of my death or incapacity. This Agreement shall be governed by and interpreted solely in accordance with the laws of Nova Scotia.

I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.




Please select who will be participating...
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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
What is your primary sport*
First Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*

Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 19 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 Information
What is your primary sport*
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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