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TO:

FLEXPEDITIONS Inc., Her Majesty the Queen in the right of the Province of British Columbia and their directors, officers, employees, instructors, guides, volunteers, agents, representatives, independent contractors, subcontractors, suppliers, sponsors, successors, and assigns (collectively referred to as the “Releasees”).

DEFINITIONS:

In this Release Agreement, the term "wilderness activities" shall include all activities, accommodation, transportation, events and services provided, arranged, organized, conducted, sponsored or authorized by the Releasees and shall include but is not limited to: mountaineering, rock climbing, belaying, top-roping, bouldering, whitewater kayaking, canoeing, whitewater canoeing, camping, hiking, horse riding, and other forms of backcountry travel; rental or use other equipment; demonstrations; orientational and instructional courses; loading, unloading and travel by or movement in or around motor vehicles; and other activities, events and services in any way connected with or related to wilderness activities.

ASSUMPTION OF RISKS:

I, participant / guardian, am aware that “wilderness activities” are dangerous and involve many risks and hazards and I fully and in all legal and other respects assume and accept all those dangers, risks and hazards. These may include, but are not limited to:

  • When rock climbing falling from the wall or other equipment, falls to the ground, impacts with other people, impacts with the wall, the ground or other structures and equipment, such as climbing holds, ledges and edges, rope abrasion, entanglement, and other injuries resulting from climbing; equipment failure, such as the failure of ropes, slings, harnesses, climbing hardware, anchor points, or any part of the climbing structure, variable, difficult or slippery conditions; dropped equipment; slipping, tripping and falling on uneven and variable floor surface; the negligence of other persons; and negligence on the part of the Releasees, including the failure of the Releasees to safeguard or protect me from the risks, dangers, and hazards of “wilderness activities”.
  • When canoeing or kayaking on flatwater or whitewater: slips and falls whilst getting into or out of the boats; overturning of the boats; loss of balance; impact, collision with or entrapment by trees, logs, deadfall, boats or equipment; hypothermia; changing or inclement weather conditions including storms, high winds, high waves, and lightning; encounters with domestic or wild animals; negligence on the part of other participants; and negligence of other persons; and negligence on the part of the Releasees, including the failure of the Releasees to safeguard or protect me from the risks, dangers, and hazards of “wilderness activities”.

 I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH WILDERNESS ACTIVITIES AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM. 

I , participant/guardian name declare the following:

  • The Releasees have explained, illustrated, and/or demonstrated to my satisfaction the nature, risks, and dangers of the above mentioned “wilderness activities”, and I accept these risks.
    I Agree
  • I am aware that the activity that I am about to participate is physically demanding and dangerous and the possibility of injury, loss, trauma, sudden cardiac arrest, crippling, drowning or death exists.
    I Agree
     
  • I declare that if canoeing/kayaking I have been advised to wear a lifejacket at all times.
    I Agree
     
  • I declare my intention to participate in these activities is at my own risk and I specifically release the Releasees from any responsibility regarding any loss or damage I may suffer.
    I Agree
     
  • I declare that I am not under the influence of alcohol or other drugs and that I will not partake in the use of any for the duration of the activity.
    I Agree
     
  • I will follow and comply with each and all instructions given by the Releasees, its guides, instructors, or any of its employees.
    I Agree
     
  • I am responsible for any expenses incurred on my behalf or as a result of my actions.
    I Agree
     

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

In consideration of THE RELEASEES allowing me to participate in wilderness activities, I hereby agree as follows:

  1. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against THE RELEASEES and TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense including but not limited to rescue expenses or injury including death that I may suffer or that my next of kin may suffer as a result of my participation in wilderness activities, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER ANY APPLICABLE OCCUPIERS LIABILITY LEGISLATION OR LAW ON THE PART OF THE RELEASEES. I UNDERSTAND THAT NEGLIGENCE INCLUDES FAILURE ON THE PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF WILDERNESS ACTIVITIES REFERRED TO ABOVE; BUT IS NOT INTENDED TO AFFECT ANY RIGHTS I MAY OR MAY NOT HAVE UNDER PROVINCIAL WORKER’S COMPENSATION LEGISLATION.
  2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any property damage or personal injury to any third party resulting from my participation in wilderness activities;
  3. This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity;
  4. This Release Agreement and any rights, duties and obligations as between the parties to this Release Agreement shall be governed by and interpreted solely in accordance with the laws of the Province or Territory in which the wilderness activities take place and no other jurisdiction; and
  5. Any litigation involving the parties to this Release Agreement shall be brought solely within the Province or Territory in which the wilderness activities take place and shall be within the exclusive jurisdiction of the Courts of that Province or Territory.

In entering into this Release Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of wilderness activities, other than what is set forth in this Release Agreement.

I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS RELEASE AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS RELEASE AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATOR, ASSIGNS AND REPRESENTATIVE MAY HAVE AGAINST THE RELEASEES.

Signed on this day of September 30, 2020.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Height: *

Weight: *

MEDICAL INFORMATION


Allergies (includes any nuts allergies, insect bites, penicillin, etc.)

Medications 


Medical Conditions (includes asthma, epilepsy, diabetes, heart conditions, migraine headaches, etc.)

Family Doctor


Name: *

Phone Number: *

Health Card #: *

Medical Insurance


Provider: *

Phone Number: *

Other Health or Medical Information
Do you consider yourself a competent swimmer?*
No
Yes
PHOTO RELEASE - I consent to photographs taken of me during my participation in the activities, and to publication of the photographs by the Releasees for advertising, promotional, and marking purposes.*
MAILING LIST - I consent for my e-mail address to be added to the Flexpeditions Mailing List to receive e-mails about upcoming courses/trips/programs.*
First Participant's Signature*
Second Participant's Name

First Name*

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

Height: *

Weight: *

MEDICAL INFORMATION


Allergies (includes any nuts allergies, insect bites, penicillin, etc.)

Medications 


Medical Conditions (includes asthma, epilepsy, diabetes, heart conditions, migraine headaches, etc.)

Family Doctor


Name: *

Phone Number: *

Health Card #: *

Medical Insurance


Provider: *

Phone Number: *

Other Health or Medical Information
Do you consider yourself a competent swimmer?*
No
Yes
PHOTO RELEASE - I consent to photographs taken of me during my participation in the activities, and to publication of the photographs by the Releasees for advertising, promotional, and marking purposes.*
MAILING LIST - I consent for my e-mail address to be added to the Flexpeditions Mailing List to receive e-mails about upcoming courses/trips/programs.*
Third Participant's Name

First Name*

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

Height: *

Weight: *

MEDICAL INFORMATION


Allergies (includes any nuts allergies, insect bites, penicillin, etc.)

Medications 


Medical Conditions (includes asthma, epilepsy, diabetes, heart conditions, migraine headaches, etc.)

Family Doctor


Name: *

Phone Number: *

Health Card #: *

Medical Insurance


Provider: *

Phone Number: *

Other Health or Medical Information
Do you consider yourself a competent swimmer?*
No
Yes
PHOTO RELEASE - I consent to photographs taken of me during my participation in the activities, and to publication of the photographs by the Releasees for advertising, promotional, and marking purposes.*
MAILING LIST - I consent for my e-mail address to be added to the Flexpeditions Mailing List to receive e-mails about upcoming courses/trips/programs.*
Fourth Participant's Name

First Name*

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

Height: *

Weight: *

MEDICAL INFORMATION


Allergies (includes any nuts allergies, insect bites, penicillin, etc.)

Medications 


Medical Conditions (includes asthma, epilepsy, diabetes, heart conditions, migraine headaches, etc.)

Family Doctor


Name: *

Phone Number: *

Health Card #: *

Medical Insurance


Provider: *

Phone Number: *

Other Health or Medical Information
Do you consider yourself a competent swimmer?*
No
Yes
PHOTO RELEASE - I consent to photographs taken of me during my participation in the activities, and to publication of the photographs by the Releasees for advertising, promotional, and marking purposes.*
MAILING LIST - I consent for my e-mail address to be added to the Flexpeditions Mailing List to receive e-mails about upcoming courses/trips/programs.*
Fifth Participant's Name

First Name*

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

Height: *

Weight: *

MEDICAL INFORMATION


Allergies (includes any nuts allergies, insect bites, penicillin, etc.)

Medications 


Medical Conditions (includes asthma, epilepsy, diabetes, heart conditions, migraine headaches, etc.)

Family Doctor


Name: *

Phone Number: *

Health Card #: *

Medical Insurance


Provider: *

Phone Number: *

Other Health or Medical Information
Do you consider yourself a competent swimmer?*
No
Yes
PHOTO RELEASE - I consent to photographs taken of me during my participation in the activities, and to publication of the photographs by the Releasees for advertising, promotional, and marking purposes.*
MAILING LIST - I consent for my e-mail address to be added to the Flexpeditions Mailing List to receive e-mails about upcoming courses/trips/programs.*
Sixth Participant's Name

First Name*

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

Height: *

Weight: *

MEDICAL INFORMATION


Allergies (includes any nuts allergies, insect bites, penicillin, etc.)

Medications 


Medical Conditions (includes asthma, epilepsy, diabetes, heart conditions, migraine headaches, etc.)

Family Doctor


Name: *

Phone Number: *

Health Card #: *

Medical Insurance


Provider: *

Phone Number: *

Other Health or Medical Information
Do you consider yourself a competent swimmer?*
No
Yes
PHOTO RELEASE - I consent to photographs taken of me during my participation in the activities, and to publication of the photographs by the Releasees for advertising, promotional, and marking purposes.*
MAILING LIST - I consent for my e-mail address to be added to the Flexpeditions Mailing List to receive e-mails about upcoming courses/trips/programs.*
Seventh Participant's Name

First Name*

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

Height: *

Weight: *

MEDICAL INFORMATION


Allergies (includes any nuts allergies, insect bites, penicillin, etc.)

Medications 


Medical Conditions (includes asthma, epilepsy, diabetes, heart conditions, migraine headaches, etc.)

Family Doctor


Name: *

Phone Number: *

Health Card #: *

Medical Insurance


Provider: *

Phone Number: *

Other Health or Medical Information
Do you consider yourself a competent swimmer?*
No
Yes
PHOTO RELEASE - I consent to photographs taken of me during my participation in the activities, and to publication of the photographs by the Releasees for advertising, promotional, and marking purposes.*
MAILING LIST - I consent for my e-mail address to be added to the Flexpeditions Mailing List to receive e-mails about upcoming courses/trips/programs.*
Eighth Participant's Name

First Name*

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

Height: *

Weight: *

MEDICAL INFORMATION


Allergies (includes any nuts allergies, insect bites, penicillin, etc.)

Medications 


Medical Conditions (includes asthma, epilepsy, diabetes, heart conditions, migraine headaches, etc.)

Family Doctor


Name: *

Phone Number: *

Health Card #: *

Medical Insurance


Provider: *

Phone Number: *

Other Health or Medical Information
Do you consider yourself a competent swimmer?*
No
Yes
PHOTO RELEASE - I consent to photographs taken of me during my participation in the activities, and to publication of the photographs by the Releasees for advertising, promotional, and marking purposes.*
MAILING LIST - I consent for my e-mail address to be added to the Flexpeditions Mailing List to receive e-mails about upcoming courses/trips/programs.*
Ninth Participant's Name

First Name*

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

Height: *

Weight: *

MEDICAL INFORMATION


Allergies (includes any nuts allergies, insect bites, penicillin, etc.)

Medications 


Medical Conditions (includes asthma, epilepsy, diabetes, heart conditions, migraine headaches, etc.)

Family Doctor


Name: *

Phone Number: *

Health Card #: *

Medical Insurance


Provider: *

Phone Number: *

Other Health or Medical Information
Do you consider yourself a competent swimmer?*
No
Yes
PHOTO RELEASE - I consent to photographs taken of me during my participation in the activities, and to publication of the photographs by the Releasees for advertising, promotional, and marking purposes.*
MAILING LIST - I consent for my e-mail address to be added to the Flexpeditions Mailing List to receive e-mails about upcoming courses/trips/programs.*
Tenth Participant's Name

First Name*

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

Height: *

Weight: *

MEDICAL INFORMATION


Allergies (includes any nuts allergies, insect bites, penicillin, etc.)

Medications 


Medical Conditions (includes asthma, epilepsy, diabetes, heart conditions, migraine headaches, etc.)

Family Doctor


Name: *

Phone Number: *

Health Card #: *

Medical Insurance


Provider: *

Phone Number: *

Other Health or Medical Information
Do you consider yourself a competent swimmer?*
No
Yes
PHOTO RELEASE - I consent to photographs taken of me during my participation in the activities, and to publication of the photographs by the Releasees for advertising, promotional, and marking purposes.*
MAILING LIST - I consent for my e-mail address to be added to the Flexpeditions Mailing List to receive e-mails about upcoming courses/trips/programs.*
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*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
ACTIVITY INFORMATION

ACTIVITY NAME: *

ACTIVITY DATE(S): *
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*

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

Height: *

Weight: *

MEDICAL INFORMATION


Allergies (includes any nuts allergies, insect bites, penicillin, etc.)

Medications 


Medical Conditions (includes asthma, epilepsy, diabetes, heart conditions, migraine headaches, etc.)

Family Doctor


Name: *

Phone Number: *

Health Card #: *

Medical Insurance


Provider: *

Phone Number: *

Other Health or Medical Information
Do you consider yourself a competent swimmer?*
No
Yes
PHOTO RELEASE - I consent to photographs taken of me during my participation in the activities, and to publication of the photographs by the Releasees for advertising, promotional, and marking purposes.*
MAILING LIST - I consent for my e-mail address to be added to the Flexpeditions Mailing List to receive e-mails about upcoming courses/trips/programs.*
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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