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DECLARATION OF COMPLIANCE – COVID-19

For Participation At: 

Muskoka Extreme Corporation

 

DECLARATION OF COMPLIANCE – COVID-19

WARNING!

ALL PARTICIPANTS PARTICIPATING IN MUSKOKA EXTREME ACTIVITIES MUST COMPLY WITH THIS DECLARATION

Water Ski & Wakeboard Canada and Muskoka Extreme (collectively the “Organization”) require the disclosure of exposure or illness is in order to safeguard the health and safety of all participants and limit the further outbreak of COVID-19. This Declaration of Compliance will be kept safely and personal information will not be disclosed unless as required by law or with your consent. 

A Participant (or the Participant’s parent/guardian, if the Participant is younger than 18 years old) who is unable to agree to the terms outlined in this document is not permitted to enter the Organization’s facilities or participate in the Organization’s activities, programs, or services. 

I, the undersigned being the Participant and the Participant’s parent/guardian (if the Participant is younger than 18 years old), hereby acknowledge and agree to the terms outlined in this document:

1) The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19 and requires all Participants (and their parent/guardian, when applicable) to adhere to the compliance standards described in this document.

2) The Participant has not tested positive for COVID-19 OR if the Participant was tested positive with COVID-19, the Participant was cleared as noncontagious by provincial or local public health authorities more than 14 days prior to the date this Declaration of Compliance was signed.

3) The Participant has not been exposed to a person with a confirmed or suspected case of COVID-19 OR if the Participant was exposed to a person with a confirmed or suspected case of COVID-19, the date of exposure was more than 14 days prior to the date this Declaration of Compliance was signed.

4) The Participant is attending or participating voluntarily and understands the risks associated with COVID-19. The Participant (or the Participant’s parent/guardian, on behalf of the Participant (when applicable)) agrees to assume those risks, including but not limited to exposure and being infected.

5) The Participant has not, nor has anyone in the Participant’s household, experienced cold or flu-like symptoms in the last 14 days (including but not limited to fever, cough, sore throat, shortness of breach, respiratory illness, difficulty breathing). 

6) If the Participant experiences, or if anyone in the Participant’s household experiences, any cold or flu-like symptoms after submitting this Declaration of Compliance, the Participant will immediately isolate and not attend any of the Organization’s facilities, activities, programs or services until at least 14 days have passed since those symptoms were last experienced.  

7) The Participant has not, nor has any member of the Participant’s household, travelled to or had a lay-over in any country outside Canada, or in any province outside of Ontario in the past 14 days. If the Participant travels, or if anyone in the Participant’s household travels, outside the Province of Ontario after submitting this Declaration of Compliance, the Participant will not attend any of the Organization’s facilities, activities, programs or services until at least 14 days have passed since the date of return.  

8) The Participant is following recommended guidelines, including but not limited to, wearing a mask, practicing physical distancing, trying to maintain separation of six feet from others, frequent hand-washing, and otherwise limiting exposure to COVID-19.

9) The Participant will follow the safety, physical distancing and hygiene protocols of the Organization.

10) This document will remain in effect until the Organization, per the direction of the provincial government and provincial health officials, determines that the acknowledgements in this Declaration of Compliance are no longer required. 

11) The Organization may remove the Participant from the facility or from participation in the activities, programs or services of the Organization at any time and for any reason if the Organization believes, in its sole discretion, that the Participant is no longer in compliance with any of the compliance standards described in this document.

We have read and agree to be bound to the terms outlined in the document.


First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
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*
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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.


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