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INFORMED CONSENT/ACKNOWLEDGEMENT AND ASSUMPTION OF RISKS

TO: ORO-MEDONTE FOREST SCHOOL INC., AND ITS DIRECTORS, EMPLOYEES, INSTRUCTORS, AGENTS, INDEPENDENT CONTRACTORS AND REPRESENTATIVES [HEREIN COLLECTIVELY REFERRED TO AS “OMFS”]

FROM: the below named Parent/Guardian
[HEREIN REFERRED TO AS THE “PARENT/GUARDIAN”]

In consideration of OMFS permitting your child (named below) [HEREIN REFERRED TO AS THE “PARTICIPANT”], the child/ward of the below named Parent/Guardian, to participate in the outdoor recreational program operated by OMFS {the “OMFS Program”}, I  AGREE to allow the Participant to participate in all activities described below and ACKNOWLEDGE the defined risks involved in these activities.
 

At OMFS safety and preventing injury is a priority. Below is a detailed description of the program activities and the risks involved in these activities. Being an outdoor program, the OMFS Program carries with it an innate risk. Despite our constant efforts to navigate and control risk, nature can be unpredictable.

At OMFS we assist and support children in activities involving risk so that they may learn how to manage risk in a responsible manner.  

I, the undersigned, represent and warrant that I have full legal responsibility for decisions regarding the Participant and AGREE that my child may be involved in the following activities, which carry with them an inherent level of risk:

  • Tree climbing
  • Tool use - with assistance and/or supervision from an educator. Tools may include knives, bow saws, hammers, drills, ropes.
  • Playing near or in shallow bodies of water such as creeks, ponds and wetlands.
  • Rough and tumble play with other children 
  • Playing with sticks, rocks, wood, and various natural materials
  • Building and attending fires
  • Cooking over an open fire
  • Building temporary shelters with wood found in the forest
  • Moving along uneven terrain which may include icy/slippery areas; rocky areas; muddy areas and areas with deadfall

We have strict safety procedures in place, contained within our policies and procedures manual.  Educators and volunteers have read the manual and know that injuries could occur if the safety procedures are not followed.  OMFS educators complete risk/benefit assessments on every activity and these are reviewed regularly. Daily site assessments and on-the spot safety assessments are conducted to ensure the natural area doesn’t contain hazards that pose immediate risks to the participants.

OMFS has a 5:1 or 6:1 (where applicable) child to adult ratio and all tool use and fire use is supervised closely. Tool use is only permitted after proper, step-by-step instruction and when the educator believes that the child is ready.  Activiites may be suspended if an educator feels that a child is not able to adhere to the stated rules for that particular activity and/or the child doesn’t appear to be ready for the responsibility on a particular day.

When participating in the OMFS Program there is the risk of injury that includes, but is not limited to, cuts, scrapes, burns, sprains, strains, bruises, insect bites, poison ivy, allergic reactions, risks associated with adverse weather conditions as well as more serious injuries (both acute and permanent) and in very rare cases, death.

I, ACKNOWLEDGE that the OMFS Program carries with it an element of risk and the possibility of injury.  I feel that I have been adequately informed of the risks involved and I have had the opportunity to ask clarifying questions to further my understanding of these risks. I UNDERSTAND that injuries sustained during outdoor activities have the potential to be severe and in very rare cases, even fatal. I FREELY AND VOLUNTARILY AGREE to enroll the Participant in this program, AWARE of these risks and I ASSUME FULL RESPONSIBILITY for the Participant’s involvement in the OMFS Program.  I hereby CONSENT TO and AUTHORISE OMFS to administer care/first aid to stabilize and/or improve any injury that the Participant may have sustained during any activities related to the OMFS Program and hereby GIVE MY CONSENT to illness treatment when I cannot be reached to provide consent.

ON BEHALF OF THE PARTICIPANT, MYSELF AND OUR RESPECTIVE HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN:

a.    I hereby ASSUME ALL RISKS associated with the Participant’s participation in the OMFS Program;
b.    I hereby provide a FULL AND FINAL RELEASE AND WAIVER OF LIABILITY to OMFS and AGREE NOT TO SUE OMFS for any loss, injury, disability, death, costs or damages of any type, howsoever caused or arising, and whether directly or indirectly caused or arising from the participation of the Participant in the OMFS Program;
c.    I hereby AGREE TO INDEMNIFY AND TO SAVE AND HOLD HARMLESS OMFS from any litigation expense, legal fees, liability, damage, award or cost, of any form or type whatsoever, that they may incur due to any claim made against them with regard to the Participant’s participation in the OMFS Program.

I HAVE READ THIS DOCUMENT THOROUGHLY AND UNDERSTAND THAT OMFS IS RELYING ON MY WARRANTIES, ASSUMPTIONS WAIVER AND RELEASES WHEN ACCEPTING THE PARTICIPANT’S PARTICIPATION IN THE OMFS PROGRAM.

I UNDERSTAND THAT BY SIGNING THIS DOCUMENT I GIVE UP SUBSTANTIAL LEGAL RIGHTS THAT I AND/OR THE PARTICIPANT WOULD OTHERWISE HAVE.

I AM SIGNING THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT.

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Full Name:

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First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Full Name:

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Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Full Name:

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Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Full Name:

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Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Full Name:

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Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Full Name:

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Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Full Name:

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Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Full Name:

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Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Full Name:

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Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Full Name:

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Parent or Guardian's Email Address

Email*

Confirm Email*
Program Start Date:

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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*

Relationship*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Full Name:

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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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