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Waiver and Release Agreement

RELEASE OF LIABILITY, WAIVER OF CLAIMS, AND ASSUMPTION OF RISKS AGREEMENT.

BY SIGNING THIS RELEASE AGREEMENT, YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT.

PLEASE READ CAREFULLY.  


 

1. I agree to comply with all rules, regulations and instructions from Zero Ceiling Society of Canada, Vail Resorts, Inc. and its subsidiaries and affiliates, and all related or associated companies, and their staff, volunteers and agents [THE RELEASEES].

2. I understand that I take sole responsibility for my personal belongings, hired and borrowed equipment. I agree to pay for, or replace any damaged or missing equipment.

3. I consent to receiving medical treatment in the event of injury, accident or illness during this activity.

4. I am aware that recreational activities such as snowboarding, skiing, mountain biking, hiking, rafting, ziplining, ropes courses/aerial obstacle courses, etc. involves risks, dangers, and hazards and that injuries are a common and ordinary occurrence of these sports. These risks and dangers include but are not limited to collision with natural or man-made objects, other participants, variable weather conditions, negligence of other participants and negligence on the part of Zero Ceiling and their staff, volunteers, agents, and partners (the releasees), and infectious disease contracted through viruses, bacteria, parasites, and fungi which may be transmitted through direct or indirect contact.

5. I am aware of the risks, dangers and hazards described above and I freely and fully assume all risks and the possibility of personal injury, death, property damage and loss resulting from this activity.

6. I waive any and all claims that I have or may have in the future against the releasees, and release them from any loss, damage, injury or expense that I or my next of kin may suffer arising from participation in this activity 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 under the Occupiers Liability Act RSBC 1996, c337.

7. I agree to hold harmless and indemnify the releasees from any and all liability for any loss damage, injury or expense to any third party resulting from participation in this activity. This agreement shall be governed by the laws of British Columbia and is affective and binding on my heirs, next of kin, executors, etc. in the event of my death or incapacity. 

8. I consent to Zero Ceiling’s staff, volunteers, agents, and partners taking my photograph or filming me, and that all photographs and film remain the property of Zero Ceiling and may be published or displayed.

I HAVE READ, UNDERSTAND AND ACCEPT THE ABOVE CONDITIONS

Date signed: May 13, 2025

First Participant's Name

First Name*

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

Organization Name: *

Date of Activity: *

Preferred pronouns

The following questions ask for some personal information about you. We ask these questions so we can understand who is taking part in the Adventure Sessions program. We will use this data to inform our program development and report on program participation to our funders.

You do not have to provide this information. If you don't feel comfortable answering these questions, please skip them.

With which of these ethnic groups do you identify? Choose all that apply:
Asian (Chinese, Japanese, Korean, Vietnamese, Cambodian, Malaysian, Laotian, Filipino, etc.)
Black
Indigenous (First Nations, Metis, Inuit, Status, Non-Status)
Latin American
South Asian (East Indian, Pakistani, Sri Lankan, etc.)
West Asian (Iranian, Afghani, Arab)
White
Prefer not to say
Other
Are you currently, or were you at one time, in government care, e.g. foster care?
Do you have refugee or protected person status in Canada?
First Participant's Signature*
Second Participant's Name

First Name*

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

Organization Name: *

Date of Activity: *

Preferred pronouns

The following questions ask for some personal information about you. We ask these questions so we can understand who is taking part in the Adventure Sessions program. We will use this data to inform our program development and report on program participation to our funders.

You do not have to provide this information. If you don't feel comfortable answering these questions, please skip them.

With which of these ethnic groups do you identify? Choose all that apply:
Asian (Chinese, Japanese, Korean, Vietnamese, Cambodian, Malaysian, Laotian, Filipino, etc.)
Black
Indigenous (First Nations, Metis, Inuit, Status, Non-Status)
Latin American
South Asian (East Indian, Pakistani, Sri Lankan, etc.)
West Asian (Iranian, Afghani, Arab)
White
Prefer not to say
Other
Are you currently, or were you at one time, in government care, e.g. foster care?
Do you have refugee or protected person status in Canada?
Third Participant's Name

First Name*

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

Organization Name: *

Date of Activity: *

Preferred pronouns

The following questions ask for some personal information about you. We ask these questions so we can understand who is taking part in the Adventure Sessions program. We will use this data to inform our program development and report on program participation to our funders.

You do not have to provide this information. If you don't feel comfortable answering these questions, please skip them.

With which of these ethnic groups do you identify? Choose all that apply:
Asian (Chinese, Japanese, Korean, Vietnamese, Cambodian, Malaysian, Laotian, Filipino, etc.)
Black
Indigenous (First Nations, Metis, Inuit, Status, Non-Status)
Latin American
South Asian (East Indian, Pakistani, Sri Lankan, etc.)
West Asian (Iranian, Afghani, Arab)
White
Prefer not to say
Other
Are you currently, or were you at one time, in government care, e.g. foster care?
Do you have refugee or protected person status in Canada?
Fourth Participant's Name

First Name*

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

Organization Name: *

Date of Activity: *

Preferred pronouns

The following questions ask for some personal information about you. We ask these questions so we can understand who is taking part in the Adventure Sessions program. We will use this data to inform our program development and report on program participation to our funders.

You do not have to provide this information. If you don't feel comfortable answering these questions, please skip them.

With which of these ethnic groups do you identify? Choose all that apply:
Asian (Chinese, Japanese, Korean, Vietnamese, Cambodian, Malaysian, Laotian, Filipino, etc.)
Black
Indigenous (First Nations, Metis, Inuit, Status, Non-Status)
Latin American
South Asian (East Indian, Pakistani, Sri Lankan, etc.)
West Asian (Iranian, Afghani, Arab)
White
Prefer not to say
Other
Are you currently, or were you at one time, in government care, e.g. foster care?
Do you have refugee or protected person status in Canada?
Fifth Participant's Name

First Name*

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

Organization Name: *

Date of Activity: *

Preferred pronouns

The following questions ask for some personal information about you. We ask these questions so we can understand who is taking part in the Adventure Sessions program. We will use this data to inform our program development and report on program participation to our funders.

You do not have to provide this information. If you don't feel comfortable answering these questions, please skip them.

With which of these ethnic groups do you identify? Choose all that apply:
Asian (Chinese, Japanese, Korean, Vietnamese, Cambodian, Malaysian, Laotian, Filipino, etc.)
Black
Indigenous (First Nations, Metis, Inuit, Status, Non-Status)
Latin American
South Asian (East Indian, Pakistani, Sri Lankan, etc.)
West Asian (Iranian, Afghani, Arab)
White
Prefer not to say
Other
Are you currently, or were you at one time, in government care, e.g. foster care?
Do you have refugee or protected person status in Canada?
Sixth Participant's Name

First Name*

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

Organization Name: *

Date of Activity: *

Preferred pronouns

The following questions ask for some personal information about you. We ask these questions so we can understand who is taking part in the Adventure Sessions program. We will use this data to inform our program development and report on program participation to our funders.

You do not have to provide this information. If you don't feel comfortable answering these questions, please skip them.

With which of these ethnic groups do you identify? Choose all that apply:
Asian (Chinese, Japanese, Korean, Vietnamese, Cambodian, Malaysian, Laotian, Filipino, etc.)
Black
Indigenous (First Nations, Metis, Inuit, Status, Non-Status)
Latin American
South Asian (East Indian, Pakistani, Sri Lankan, etc.)
West Asian (Iranian, Afghani, Arab)
White
Prefer not to say
Other
Are you currently, or were you at one time, in government care, e.g. foster care?
Do you have refugee or protected person status in Canada?
Seventh Participant's Name

First Name*

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

Organization Name: *

Date of Activity: *

Preferred pronouns

The following questions ask for some personal information about you. We ask these questions so we can understand who is taking part in the Adventure Sessions program. We will use this data to inform our program development and report on program participation to our funders.

You do not have to provide this information. If you don't feel comfortable answering these questions, please skip them.

With which of these ethnic groups do you identify? Choose all that apply:
Asian (Chinese, Japanese, Korean, Vietnamese, Cambodian, Malaysian, Laotian, Filipino, etc.)
Black
Indigenous (First Nations, Metis, Inuit, Status, Non-Status)
Latin American
South Asian (East Indian, Pakistani, Sri Lankan, etc.)
West Asian (Iranian, Afghani, Arab)
White
Prefer not to say
Other
Are you currently, or were you at one time, in government care, e.g. foster care?
Do you have refugee or protected person status in Canada?
Eighth Participant's Name

First Name*

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

Organization Name: *

Date of Activity: *

Preferred pronouns

The following questions ask for some personal information about you. We ask these questions so we can understand who is taking part in the Adventure Sessions program. We will use this data to inform our program development and report on program participation to our funders.

You do not have to provide this information. If you don't feel comfortable answering these questions, please skip them.

With which of these ethnic groups do you identify? Choose all that apply:
Asian (Chinese, Japanese, Korean, Vietnamese, Cambodian, Malaysian, Laotian, Filipino, etc.)
Black
Indigenous (First Nations, Metis, Inuit, Status, Non-Status)
Latin American
South Asian (East Indian, Pakistani, Sri Lankan, etc.)
West Asian (Iranian, Afghani, Arab)
White
Prefer not to say
Other
Are you currently, or were you at one time, in government care, e.g. foster care?
Do you have refugee or protected person status in Canada?
Ninth Participant's Name

First Name*

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

Organization Name: *

Date of Activity: *

Preferred pronouns

The following questions ask for some personal information about you. We ask these questions so we can understand who is taking part in the Adventure Sessions program. We will use this data to inform our program development and report on program participation to our funders.

You do not have to provide this information. If you don't feel comfortable answering these questions, please skip them.

With which of these ethnic groups do you identify? Choose all that apply:
Asian (Chinese, Japanese, Korean, Vietnamese, Cambodian, Malaysian, Laotian, Filipino, etc.)
Black
Indigenous (First Nations, Metis, Inuit, Status, Non-Status)
Latin American
South Asian (East Indian, Pakistani, Sri Lankan, etc.)
West Asian (Iranian, Afghani, Arab)
White
Prefer not to say
Other
Are you currently, or were you at one time, in government care, e.g. foster care?
Do you have refugee or protected person status in Canada?
Tenth Participant's Name

First Name*

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

Organization Name: *

Date of Activity: *

Preferred pronouns

The following questions ask for some personal information about you. We ask these questions so we can understand who is taking part in the Adventure Sessions program. We will use this data to inform our program development and report on program participation to our funders.

You do not have to provide this information. If you don't feel comfortable answering these questions, please skip them.

With which of these ethnic groups do you identify? Choose all that apply:
Asian (Chinese, Japanese, Korean, Vietnamese, Cambodian, Malaysian, Laotian, Filipino, etc.)
Black
Indigenous (First Nations, Metis, Inuit, Status, Non-Status)
Latin American
South Asian (East Indian, Pakistani, Sri Lankan, etc.)
West Asian (Iranian, Afghani, Arab)
White
Prefer not to say
Other
Are you currently, or were you at one time, in government care, e.g. foster care?
Do you have refugee or protected person status in Canada?
Parent or Guardian's Email Address

Email
Check this box to receive updates on Zero Ceiling's housing, employment, and outdoor programs for youth
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Youth Agency Staff
Declare here if you are a staff member:
I am a staff member
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 16 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 Date of Birth*
Parent or Guardian's Information

Organization Name: *

Date of Activity: *

Preferred pronouns

The following questions ask for some personal information about you. We ask these questions so we can understand who is taking part in the Adventure Sessions program. We will use this data to inform our program development and report on program participation to our funders.

You do not have to provide this information. If you don't feel comfortable answering these questions, please skip them.

With which of these ethnic groups do you identify? Choose all that apply:
Asian (Chinese, Japanese, Korean, Vietnamese, Cambodian, Malaysian, Laotian, Filipino, etc.)
Black
Indigenous (First Nations, Metis, Inuit, Status, Non-Status)
Latin American
South Asian (East Indian, Pakistani, Sri Lankan, etc.)
West Asian (Iranian, Afghani, Arab)
White
Prefer not to say
Other
Are you currently, or were you at one time, in government care, e.g. foster care?
Do you have refugee or protected person status in Canada?
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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