Loading...

REGINA SKATEBOARD COALITION -
ACKNOWLEDGEMENT, RELEASE, INDEMNITY and ASSUMPTION of RISK

(FOR ADULTS OVER THE AGE OF MAJORITY i.e. over 18 in Alberta, Manitoba,  Ontario, P.E.I.,
Quebec, Saskatchewan and over 19 in other Provinces and Territories)

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

This is a binding legal document; therefor you should clarify any questions or concerns before signing. As a participant in the sport of skateboarding and/or the events, programs, competitions and activities ("Activities") organized, operated, conducted and/or sanctioned by the Regina Skateboard Coalition or with another organization (each an “Organizer”), you, the undersigned, acknowledge and agree to the following:

  1. I acknowledge that the World Health Organization has classified the Coronavirus Disease (“COVID-19”) outbreak as a global pandemic and I 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 (up to and including hospitalization or death) caused by or arising from engaging in any Activities (the “Assumed COVID Risks”).
     
  2. I acknowledge and agree that I am participating voluntarily in the sport of skateboarding and the Activities.  In consideration of my participation in the sport of skateboarding and the Activities, I hereby acknowledge that I am aware of the risks, dangers and hazards (including the Assumed COVID Risks) associated with or related to the sport of skateboarding and the Activities and that I may be exposed to such risks, dangers and hazards (including the Assumed COVID Risks). The risks, dangers and hazards include, but are not limited to the Assumed COVID Risks as well as injuries or illness (up to and including death) from:
    a)    The sport of skateboarding, which can include, but is not limited to : skateboarding, BMX bike riding, scooter riding;
    b)    Executing strenuous and demanding physical techniques in skateboarding and/or exerting and stretching various muscle groups;
    c)    Vigorous physical exertion, rapid movements, quick turns and stops, and strenuous cardiovascular workouts;
    d)    Mounting, dismounting or falling off a skateboard;
    e)    Falling, tumbling or hitting any ground, surface, concrete, road, track or other surfaces;
    f)    Physical contact with other participants (including those engaged in the programs, activities and events support);
    g)    Failure to properly use any equipment, the mechanical failure of any piece of equipment or inadequate safety equipment, improper maintenance or adjustment of equipment;
    h)    Contact, collisions or being struck by other participants, pedestrians, fixed objects, spectators, equipment, wild or domestic animals or vehicles;
    i)     Road conditions, terrains and vehicular traffic while skateboarding;
    j)     Failure to stay within the designated facility area;
    k)    Extreme weather and temperature conditions which may result in dehydration, heatstroke, sunstroke or hypothermia;
    l)     Spinal cord injuries which may render me permanently paralyzed; and/or
    m)   Travel to and from events.
     
  3. Furthermore, I am aware:
    a)    That injuries or illness sustained can be severe;
    b)    That I may experience anxiety while challenging myself during the sport of skateboarding and the activities, events and programs;
    c)    That my risk of injury is reduced if I follow all rules established for participation; and
    d)    That my risk of injury increases as I become fatigued.
     
  4. In consideration of the Organization allowing me to participate, I hereby release each of the Organizers and their respective directors, officers, committee members, members, employees, volunteers, participants, agents and representatives (collectively the “Releasees”) from all liability, recourse, proceedings, claims, and causes of action of any kind whatsoever, in respect of any injury, personal injury, damage, property damage, expense, loss of income or loss of any kind which I may suffer arising out of or connected with:  (A) the Assumed COVID Risks; (B) the content or implementation of the RSC Code of Conduct (including without limitation the conduct of any screening of any individual); and (C) the preparation for, or participation in, the Activities, including without limitation:  (i) during, or as a result of, the sport of skateboarding; (ii) caused by the risks, dangers and hazards associated with the sport of skateboarding (some, but not all, of which are listed in 4 and 5 above); (iii) caused in any manner by any of the Releasees, including without limiting the foregoing, the negligence, gross negligence, negligent rescue, omissions, carelessness, breach of contract and/or breach of any duty of care of any of the Releasees.
     
  5. In consideration of the Organization allowing me to participate, I also hereby 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 or gross negligence on the part of any of the Releasees that may be made or initiated by arising out of or connected with:  (A) the Assumed COVID Risks as they relate to me; (B) the content or implementation of the RSC Code of Conduct as it relates to me; and (C) my preparation for and/or participation in any of the Activities, including without limitation:  (i) during, or as a result of, the sport of skateboarding; (ii) caused by the risks, dangers and hazards associated with the sport of skateboarding (some, but not all, of which are listed in 4 and 5 above); (iii) caused in any manner by any of the Releasees, including without limiting the foregoing, the negligence, gross negligence, negligent rescue, omissions, carelessness, breach of contract and/or breach of any duty of care of any of the Releasees.
     
  6. In consideration of the Organization allowing me to participate, I also agree:
    a)    That my physical condition has been verified by a medical doctor to participate in the sport of skateboarding and in the activities, events and programs of the Organization;
    b)    That the rules of participation must be followed and that the sole responsibility for my safety remains with me, including physical and emotional preparation and fitness;
    c)    To discontinue participation if I sense or observe any unusual hazard or unsafe condition; or feel unable or unfit to safely continue;
    d)    To WAIVE any and all claims that I may have now or in the future against the Organization; and
    e)    To ACCEPT AND FULLY ASSUME all risks, dangers and hazards (including without limitation the Assumed COVID Risks) arising out of, associated with or related to my participation in the sport of skateboarding (some, but not all, of which are listed in 4 and 5 above).
     
  7. I acknowledge that I have read this document and understand it, that I have signed this document voluntarily, and that this document is to be binding upon myself, my heirs, spouse, children, parents, guardians, next of kin, executors, administrators and legal or personal representatives.

By signing below [typing in your name below and clicking the “I Agree” icon], you agree: to be bound by this ACKNOWLEDGEMENT, RELEASE, INDEMNITY and ASSUMPTION of RISK;

Today's Date: November 10, 2024

I Agree

First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*

Middle Name

Last Name*

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


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!