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Sarnia Golf and Curling Club - Waiver/Acknowledgement of Risk and Release of Liability Form

The following waiver of all claims, release from all liability, assumption of all risks and other terms of this agreement are entered into on behalf of a Minor Participant with and for the benefit of The SARNIA GOLF & CURLING CLUB and all of its directors, officers, committee members, members, sponsors, agents, owners/operators, coaches, organizers, employees, volunteers, instructors, officials, (hereinafter collectively referred to as the “Organization”)

 

I am a parent/legal guardian of the "Minor Participant", and am executing this waiver/release of liability on behalf of the Minor Participant in my capacity as his or her parent/legal guardian and with the intent that this waiver be binding on myself and the Minor Participant for all legal purposes.

I recognize that, when participating in the sport of Curling, the Minor Participant will be engaging in strenuous physical activity including, but not limited to, muscle strengthening and endurance training, cardiovascular conditioning and training, and other various fitness-intensive Activities (hereinafter referred to as the “Activities”).

I am aware that there are inherent and significant risks associated with the Minor Participant taking part in the Activities. I am aware that those risks may include, but are not limited to, the potential for serious injury caused by any event or any condition of the facility or equipment where athletic Activities are being provided and engaged in by members of the Organization and the Minor Participant. I specifically acknowledge that health risks associated with these risks may include, but shall not be limited to, bruises, scrapes, broken bones, strains and sprains to the musculoskeletal system, transient light headedness, concussions, fainting, abnormal blood pressure, chest discomfort, muscle cramping, soreness, infectious disease exposure, and nausea. I understand and acknowledge that these risks are all relative to the Minor Participants state of fitness and health (physical, mental and emotional), and to the awareness, care and skill with which the Minor Participant conducts himself/herself while participating in the Activities.

I hereby confirm that I know of no medical problems or conditions that will increase the Minor Participant’s risk of illness or injury as result of him or her participating in physical activity and exercise and in fact, with respect to the Minor Participant named above, I hereby confirm that no such problems or conditions exist.

On behalf of myself and the Minor Participant, I freely accept and assume full responsibility for all risks and the potential for personal injury, death, damage to property, or other loss which the Minor Participant may experience as a result of his or her participation in the Activities. I agree that, although the Organization has taken steps to reduce these risks and to increase the safety associated with the Activities, it is not possible for the Organization to make the Activities completely safe and free from risk. I accept these risks on behalf of myself and the Minor Participant and agree to the terms of this waiver/release of liability even in the event that the Organization is found to be negligent or in breach of any duty of care or any obligation to me or to the Minor Participant as a result of their participation in the Activities.

I acknowledge on behalf of the Minor Participant that they have been informed and understand that they are obligated to immediately inform the nearest member of the Organization’s staff and/or volunteer if he or she feels any pain, discomfort, fatigue or other symptoms which he or she may suffer during and/or immediately after his or her participation in the Activities. I understand and have made the Minor Participant fully aware that they are free to stop participating in the Activities at any time, and may be asked to stop their participation in the Activities by the Organization in the event that symptoms of distress or abnormal responses of any type whatsoever are observed by the staff/volunteers.

In addition to the consideration given to the Organization of the Minor Participants participation in the Activities I, on behalf on my heirs, next of kin, executors, administrators, and assignees as well as the Minor Participant and his or her heirs, next of kin, executors, administrators and assignees (hereinafter collectively referred to as our “Legal Representatives”), hereby agree as follows;

  1. To waive all claims that I or the Minor Participant may have now or may have in the future against the Organization;
  2. To release and forever discharge the Organization from any and all liability arising out of personal injury, death, property damage, or other loss resulting from the Minor Participants participation in the Activities due to any cause of action, including but not limited to negligence, breach of any duty imposed by law, breach of  statutory or other duty of care, breach of contract or mistake or error of judgment by the Organization;
  3. To be liable for and to hold harmless and indemnify the Organization from any and all actions, causes of actions, proceedings, claims, damages, cost demands including any and all legal costs and liabilities whatsoever of any kind resulting from or arising out of or in any way connected to the Minor Participants participation in the Activities;
  4. To release and forever discharge the Organization 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);
  5. To release and forever discharge the Organization from all liability for all personal injury, death, property damage or other loss resulting from Coronavirus (COVID-19) including any mutation or variation thereof, and
  6. To release and forever discharge the Organization from all liability for all personal injury, death, property damage or other loss resulting from pandemic or epidemic, as declared as such by the World Health Organization or any governmental authority.

I agree that this waiver and all terms contained herein are governed exclusively by the laws of the Province of Ontario and I hereby irrevocably submit to the exclusive jurisdiction of the courts of the Province of Ontario. I agree that any litigation to enforce this waiver must be instituted in the Province of Ontario.

I confirm that I have been provided with sufficient time to read and understand the contents of the waiver/ release from liability herein in its entirety and hereby agree to be bound by the said terms and conditions freely and voluntarily. I understand that this waiver is binding upon myself as the parent/guardian of the Minor Participant, and it is also binding upon the Minor Participant and our Legal Representatives.

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
A signed copy of this waiver will be sent to the email address you provide.
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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