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LIABILITY WAIVER FOR

DERRYDALE GOLF COURSE AND

ERIN HEIGHTS GOLF COURSE

Every customer of, or visitor to, Derrydale Golf Course Limited must read and complete this Waiver upon arrival at the Club's properties (Derrydale Golf Course and Erin Heights Golf Course) and before participating in Club Activities (as defined below)

1. By signing below, I confirm that I am the individual named below, and that I have read and understand this Waiver and Release. (hereinafter also the “Parent/Guardian/Representative”)

2. Understanding: I understand this Waiver is made for the benefit of Derrydale Golf Course Limited and each of its directors, officers, employees, subsidiaries, affiliates and related companies (collectively, the "Club"). I am a Member or Customer of the Club regardless of if I pay to participate in the Activities of the Club, am a guest at the Club or if I am visiting the Club (all the "Customer"). I/We acknowledge that golf is a game played in variable weather conditions and agree to abide by the rain check policy as stated in the pro shop. I acknowledge that if I am accompanied by a minor then I confirm that all statements made herein are being made on behalf of such minor and are complete and truthful.

3. Risks: I understand that there are inherent risks ("Risks") associated the game of golf, the use of golf equipment and golf power carts and the use of the Club's facilities, and participation in sports, f itness, instruction, food &beverage services, and all other activities, services, programs or events provided or organized by the Club (the "Activities").

4. Potential for Injury: I am aware that the Risks include the potential for serious personal injury, death, or property damage. I understand the Risks may be relative to my own state of fitness and health (including physical, mental and emotional), and to the awareness, care and skill with which I conduct myself.

5. Assumption of Risk: I freely accept and fully assume all responsibility for all Risks and possibilities of personal injury, death, property damage, or other loss resulting from my participation in the activities. I accept these Risks and agree to the terms of this Waiver, even if the Club is found to be negligent or in breach of any duty of care or any obligation to me in any way in respect of the Activities.

6. Use of Golf Carts IN CONSIDERATION OF my /our use of the Derrydale Golf Course Limited, facilities, namely Derrydale Golf Course and Erin Heights Golf Course and use of any Derrydale Golf Course Ltd carts (collectively, the "Activity"), I/we acknowledge and agree to the following:

a. The undersigned identified as the driver of this golf cart, the driver (the "Driver"), must be 16 years of age or older, have a valid driver's license, and shall be the sole driver/operator of the golf cart. The Driver's license must not be temporarily or permanently revoked or suspended, and the driver/operator is not otherwise prohibited, restricted or disqualified from operating a motorized conveyance in the Province of Ontario, or elsewhere.

b. Those drivers presently facing charges, penalties or other restrictions of their driving privileges are disqualified from the use of a Derrydale Golf cart.

c. am familiar with the safe use and operation of golf carts and will always keep the carts off greens and tees and only on fairways or pathway in areas specifically permitted by the Club.

d. will pay for any damage to the golf cart and will be fully responsible for any personal injury to myself or to others or for property damage arising from the use of the golf cart

e. will only use the cart with two persons and two golf bags on or in the golf cart and will not pull any objects or persons with the cart and that no minor will operate the cart at any time.

f. will always apply the emergency brake when the cart is parked or stationary.

g. will keep both feet and arms inside the cart when it is moving; and

h. if driving the cart, will be always in full control of the cart and will check directional switch or key position to ensure that it is in proper position before releasing emergency brake or using throttle.

7. Waiver of Claims and Release: In addition to consideration given to the Club for my participation in Activities and for being on the Club property, I and my heirs, next of kin, executors, administrators and assigns (collectively my "Legal Representatives") agree:

a. to waive all claims that I have or may have in the future against the Club.

b. to release and forever discharge the Club from all liability for all personal injury, death, property damage or other loss resulting from my participation in Activities due to any cause , including but not limited to negligence (failure to use such care as a reasonably prudent and careful person would use under similar circumstances) either passive or active, breach of any duty imposed by law, breach of contract or mistake or error of judgement of the Club;

c. to release and forever discharge the Club from all liability for all personal injury, death, property damage or other loss resulting from any infectious disease, virus, bacterium or other microorganism (whether asymptomatic or not);

d. to be liable for and to hold harmless and indemnify the Club from all actions, proceedings, claims, damages, costs, demands including court costs and costs on a solicitor and client basis, and liabilities of whosoever nature or kind arising out of or in any way connected with my, or my guests or any minor at the Club with my participation in Activities.

8. Application: I agree that this Waiver shall remain in full force and effect for all visits by me to the Club whenever they occur and that entry onto the Club property is conditional upon agreeing to the terms of this Waiver.

9. Governing Law: I agree that this Waiver and all terms contained within are governed by the law as of the Province of Ontario. I hereby irrevocably submit to the exclusive jurisdiction of the courts of Ontario. Any litigation to enforce this Waiver must be instituted in the Province of Ontario.

10. Confirmation: I confirm that I have had sufficient time to read and understand each term in this waiver in its entirety and have agreed to the terms freely and voluntarily. I understand that this Waiver is binding on myself and my Legal Representatives. I confirm that I have reached the age of majority in the Province of Ontario.

I have read and fully understand and agree to all the terms and conditions of this Waiver.


Today's Date: April 29, 2025

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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