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ONTARIO CYCLING ASSOCIATION INCORPORATED

ACKNOWLEDGEMENT, RELEASE, INDEMNITY and ASSUMPTION of RISK regarding COVID-19

(FOR ADULTS OVER THE AGE OF MAJORITY i.e. over 18)

 

 

ONTARIO CYCLING ASSOCIATION

ACKNOWLEDGEMENT, RELEASE, INDEMNITY and ASSUMPTION of RISK regarding COVID-19

(FOR ADULTS OVER THE AGE OF MAJORITY i.e. over 18)

 

WARNING!

By signing this document you will waive certain legal rights, including the right to sue in circumstances outlined in this Agreement . Please read carefully.

 

1.     This is a binding legal agreement; therefore clarify any questions or concerns before signing. As a Participant in the sport of cycling and/or the events, programs, races and activities ("Activities") organized, operated conducted and sanctioned by the Ontario Cycling Association ("OCA") alone or with another organization (each an “Organizer”), the undersigned being the Participant acknowledges and agrees to the following:

2.     I acknowledge that the World Health Organization has classified the Coronavirus Disease (“COVID-19”) outbreak as a global pandemic and am aware of the risks of COVID-19. I specifically acknowledge and agree that I am are aware of the risks to personal health, including by the failure to follow physical distancing, flowing from COVID-19, and that I am assuming all health risks and adverse health related consequences caused by or arising from engaging in any Activities (the “Assumed Risks”).

3.     I acknowledge that the Organizers are implementing OCA’s Progressive Return to Cycling Policy (the “Return Policy”) the most recent version of which will be posted from time to time on OCA’s website. I specifically acknowledge and agree that I am aware of the Return Policy, that I will abide by the Return Policy, and that the Return Policy is subject to all federal, provincial and municipal laws, regulations, by-laws and orders as they may exist from time to time.

4.     I hereby release the Organizers, their respective members, officers, directors, employees, independent contractors, agents, and volunteers ("Releasees") from all liability, recourse, proceedings, claims, and causes of action of any kind whatsoever, in respect of all damages, personal injuries, death, or property losses which I may suffer arising out of or connected with the Assumed Risks, the content or implementation of the Return Policy (including without limitation the conduct of any screening of any individual), and the preparation for, or participation in, the Activities, notwithstanding that any such losses were caused solely or partly by the negligence of any of the Releasees.

5.     I hereby agree to indemnify and hold harmless the Releasees from any and all damages or losses of any kind as a result of any and all claims, demands, causes of action of any kind whatsoever including those involving negligence on the part of any of the Releasees that may be made or initiated by arising out of or connected with the Assumed Risks as they relate to me, the content or implementation of the Return Policy as it relates to me, and my preparation for and/or participation in any of the Activities.

6.     And, I hereby acknowledge and agree that:

a)    I understand that none of the Releasees assumes any responsibility whatsoever for my safety during the course of any preparation for or participation in the Activities;
b)    I will comply with the Return Policy and its implementation and that any failure on my part to comply with the Return Policy and its implementation may have consequences (including without limitation a withdrawal of permission for me to participate   in an Activity or Activities) and could jeopardize relevant insurance coverage;
c)    I understand that the implementation of the Return Policy may involve the collection, use and disclosure of personal information about me and I consent to same;
d)    I have carefully read this ACKNOWLEDGEMENT, RELEASE, INDEMNITY and ASSUMPTION of RISK regarding COVID19, that I fully understand same, and that I am freely and voluntarily executing same;
e)   I have been given the opportunity and that I am encouraged to seek independent legal advice prior to signing this document;
f)    I understand that the Organizers would not permit me to participate in any Activities unless I signed this ACKNOWLEDGEMENT, RELEASE, INDEMNITY and ASSUMPTION of RISK regarding COVID19, which applies to all Activities whether           occurring in the near or distant future and that the terms of this document need not be brought to my attention each time I participate in an Activity in order for it to be effective;
g)    the term “Activities” as used herein includes, without limiting the generality of that term, training sessions, clinics, and events that are in any way authorized, sanctioned, organized or operated by any of the Organizers on its own or together with        another, or to which OCA has issued a permit; and
h)    this ACKNOWLEDGEMENT, RELEASE, INDEMNITY and ASSUMPTION of RISK regarding COVID19 agreement is binding on myself, my heirs, my executors, administrators, personal representatives and assigns.

By signing below, you agree to be bound this ACKNOWLEDGEMENT, RELEASE, INDEMNITY and ASSUMPTION of RISK regarding COVID19.


January 22, 2021

First Participant's Name

First Name*

Middle Name

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

Name of Club or Team if Applicable
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Name of Club or Team if Applicable
Second Participant's Signature*
Third Participant's Name

First Name*

Middle Name

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

Name of Club or Team if Applicable
Third Participant's Signature*
Fourth Participant's Name

First Name*

Middle Name

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

Name of Club or Team if Applicable
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Middle Name

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

Name of Club or Team if Applicable
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Middle Name

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

Name of Club or Team if Applicable
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Middle Name

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

Name of Club or Team if Applicable
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Middle Name

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

Name of Club or Team if Applicable
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Middle Name

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

Name of Club or Team if Applicable
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Middle Name

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

Name of Club or Team if Applicable
Tenth 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 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*

Middle Name

Last Name*

Relationship*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Name of Club or Team if Applicable
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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