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Yukan Canoe School

Division of Jane & Trevor’s Adventure Network
8 Lupin Whitehorse, YT Y1A 5T9
667-2628 info@yukancanoe.com

Release of Liability, Waiver of Claims, Assumption of Risks and Idemnity Agreement

Please Read Carefully. By signing this document you will waive certain legal rights, including the right to sue.

To: Yukan Canoe School a division of Jane & Trevor’s Adventure Network, its officers, employees, agents, representatives (all of whom are collectively referred to Yukan Canoe School.

I am aware that my participation in a Paddle sport course with Yukan Canoe School involves exposure to many Risks, dangers and hazards that  may include but are not limited to:

  • Travel and Survival in the wilderness
  • Inadequate physical fitness and endurance
  • The use of paddlesport water craft and related equipment
  • The use of defective equipment
  • Changing weather conditions
  • Varying environmental conditions
  • Encounters with and attacks by wild animals
  • Drowning, near drowning, contacts with object in river, falls, slips Emotional trauma due to accidents
  • Negligence on the part of Yukan Canoe School
  • Negligence on the part of fellow participants
  • Exposure to the Covid 19 Virus and other viruses, bacteria and environmental pathogens.

 

I am further aware that I may be exposed to Risks, Dangers and Hazards other than those listed above.

I Agree

I freely accept and fully assume all and any such Risks, Dangers and Hazards and the possibility of Personal Injury, Death, Property Damage, or loss resulting from such Risks, Hazards and Dangers. 

I Agree

I agree to comply with the directions and instructions of Yukan Canoe School before and throughout the course.

I Agree

I agree to allow Yukan School to use any and all images and /or testimonials taken of or provided by me during the course for any and all marketing purposes.

In consideration of Yukan Canoe School , accepting my application and permitting my participation in the course, I HEREBY AGREE as Follows.

  • To Assume and Accept all and any risk, dangers and hazards arising out of, incidental to or in any way connected to my participation in the course.
  • To waive any and all claim, actions, costs, expenses and demands that I may against Yukan Canoe School.
  • To Release Yukan Canoe School from any and all liability for any loss, damage, injury or expense that I or my next of kin may suffer or incur as a resultof my participation on the course due to any cause whatsoever, including negligence on the part of Yukan Canoe School.
  •  To hold harmless and indemnify Yukan Canoe School from any and all liability for property damage, personal injury or death suffered by myself or by a third party as a result of participation on the course.
  •  To obey all directions and Instructions from Yukan Canoe School before and throughout the trip.
  •  That my level of physical fitness and endurance is adequate for my participation in the course.
  •  That this release and indemnity agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, and assigns, in the event of my death.
  •  I agree that the Laws of the Yukon Territory govern this contract and that any legal concerns will be handled in the competent and fair courts in Whitehorse, Yukon, Canada.

I have read and understood this release and indemnity agreement prior to signing it. I am aware that by signing below, I am affecting my legal rights and liabilities of my heirs, next of kin, executors, administrators and assigns in relation to Yukan Canoe School.

Dated: July 4, 2020 

I understand this waiver will apply to all courses taken with Yukan Canoe during the year 2020.

I Agree

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Medical concerns

Allegies

Medications
First Participant's Signature*
Second Participant's Name

First Name*

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

Medical concerns

Allegies

Medications
Third Participant's Name

First Name*

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

Medical concerns

Allegies

Medications
Fourth Participant's Name

First Name*

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

Medical concerns

Allegies

Medications
Fifth Participant's Name

First Name*

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

Medical concerns

Allegies

Medications
Sixth Participant's Name

First Name*

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

Medical concerns

Allegies

Medications
Seventh Participant's Name

First Name*

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

Medical concerns

Allegies

Medications
Eighth Participant's Name

First Name*

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

Medical concerns

Allegies

Medications
Ninth Participant's Name

First Name*

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

Medical concerns

Allegies

Medications
Tenth Participant's Name

First Name*

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

Medical concerns

Allegies

Medications
Participant'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 or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Course Information

Course name/date *
Have your travelled outside of the Yukon in the 14 days prior to the start of your course?*
No
Yes
Have you completed the Yukon Covid Self Assessment? Located at Yukon.ca - Covid Self Assessment*
No
Yes
Are your currently experiencing any Covid 19 Symptoms?*
No
Yes
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.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Medical concerns

Allegies

Medications
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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