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CRESCENT BEACH SWIMMING CLUB
ACKNOWLEDGMENT OF RISK AND WAIVER MINOR(S)
MINORS(S) - UNDER 19

WARNING: READ CAREFULLY!
THIS AGREEMENT AFFECTS YOUR LEGAL RIGHTS

BY SIGNING THIS DOCUMENT, YOU WAIVE CERTAIN LEGAL RIGHTS, INCLUDING YOUR RIGHT TO SUE. YOU AGREE TO ASSUME RESPONSIBILITY FOR CERTAIN RISKS AND AGREE TO FULLY INDEMNIFY THE CRESCENT BEACH SWIMMING CLUB AGAINST LEGAL LIABILITY FOR INJURY, PROPERTY DAMAGE, ILLNESS AND DISEASE (INCLUDING COVID-19)

BY SIGNING THIS DOCUMENT, YOU ACKNOWLEDGE AND AGREE THAT TRANSMISSION OF A COMMUNICABLE DISEASE (INCLUDING COVID-19) IS AN INHERENT RISK ASSOCIATED WITH YOUR PARTICIPATION IN CRESCENT BEACH SWIMMING CLUB ACTIVITIES


I, the undersigned Parent/Guardian, understand that this Agreement is a binding legal agreement. Any clarification or questions or concerns must be raised before signing.

I understand that this Agreement is made for the benefit of the Crescent Beach Swimming Club ("CBSC") and its directors, officers, agents, representatives, employees, volunteers, members, participants, spectators, successors and assigns (collectively, the "Releasees").

I understand that CBSC will not permit my minor child or children (collectively, the "Member") to participate in any activities organized, offered, or sanctioned by CBSC (the "CBSC Activities") unless and until this Agreement is signed by the Member's Parent/Guardian. In consideration of permitting the Member to participate in CBSC Activities, I acknowledge and agree to the following terms:

1. ACKNOWLEDGMENT AND ASSUMPTION OF RISKS: I understand that there are many risks associated with the minor Member's participation in CBSC Activities (the "Risks"). I UNDERSTAND THAT COVID-19 IS A SIGNIFICANT HEALTH RISK AND CARRIES A HIGH RISK OF TRANSMISSION THROUGH PHYSICAL OR SHARED CONTACT. I acknowledge that the Risks include, but are not limited to, serious personal injury, death, property damage, illness and disease (e.g. communicable diseases including COVID-19 and influenza). I further acknowledge that I am in the best position to assess the impact that a communicable disease may have on the Member or on others with whom the Member may transmit such disease. Examples of the Risks include, but are not limited to personal injury, death, property damage or illness resulting from:

  • Health: food and beverages, drowning, overexertion, dehydration, fatigue, traumatic injury, infections, rashes, and transmission of communicable diseases (including COVID-19 and influenza), bacteria, parasites or other organisms or mutations thereof;
  • Conduct: the Member's conduct and conduct of other persons, including any physical altercation between persons;
  • Premises: defective, dangerous or unsafe condition of the facilities; falls; collisions with objects, walls, equipment or person; dangerous, unsafe, or irregular conditions in the pool or other bodies of water or on surfaces; extreme weather conditions; and travel to and from premises; and
  • Equipment: mechanical failure of the equipment; negligent design or manufacture of the equipment; the provision of or the failure by the Releasees to provide any warnings, directions, instructions or guidance as to the use of the equipment; failure to use or operate the equipment within the Member's ability.

2. WAIVER OF CLAIMS, RELEASE OF LIABILTY AND INDEMNITY: I, the undersigned Parent/Guardian, hereby agree as follows:

  • I waive any and all claims that I have or may have in the future against the Releasees in connection with the Member's participation in CBSC Activities;
  • I release and forever discharge the Releasees from any and all liability for all loss, damage, expense, injury, death, property damage, illness or disease (e.g. communicable diseases including COVID-19 and influenza) that the Member, I, my executors or administrators, or any other third party may suffer as a result of the Member's participation in CBSC Activities due to any cause whatsoever, whether arising from the negligence of the Releasees, breach of any statutory or other duty (including but not limited to the Occupiers Liability Act, R.S.B.C. 1996, c. 303), breach of contract, mistake or error of judgement of the Releasees, or otherwise; and
  • I agree to indemnify and hold harmless the Releasees from any and all damages, loss or expense (including legal costs) of any kind resulting from any and all claims, demands, causes of action of any kind whatsoever including those involving negligence on the part of the Releasees, arising out of or connected with the Member's preparation for or participation in, or both, or travel to or from any activities, events and programs of the Releasees, or otherwise.

3. COVID-19 PROTOCOL: While in or on any CBSC facilities (the "CBSC Facilities") and/or participating in CBSC Activities I, the undersigned Parent/Guardian, agree that the Member will:

  • allow symptom screening checks and let CBSC know if the Member has experienced any COVID-19 symptoms in the last 14 days;
  • stay home if feeling sick and remain home for 14 days if experiencing COVID-19 symptoms;
  • sanitize his/her hands with sanitizer upon entering and exiting CBSC Facilities;
  • sanitize the personal equipment that the Member uses during any CBSC Activity;
  • continue to follow physical distancing protocols of staying at least 2m away from others; and
  • not share any equipment during CBSC Activities,

all in accordance with the CBSC Return to Play 2020 Program and COVID-19 Policies and Guidelines. I, the undersigned Parent/Guardian acknowledge and agree that:

  • if the Member does not abide by the above protocol and or the CBSC Return to Play 2020 Program and COVID-19 Policies and Guidelines, the Member may be asked to leave the CBSC Facilities for up to 14 days to help protect himself/herself and others around the Member; and
  • continued abuse of the above protocol and or the CBSC Return to Play 2020 Program and COVID-19 Policies and Guidelines may result in suspension of the Member's CBSC membership.

4. RESPRESENTATIONS: I am not relying on any oral, visual or written representations or statements made by the Releasees with respect to the safety of CBSC Activities other than what is set forth in this Agreement.

5. JURISDICTION: I agree that this Agreement and all terms contained are governed by the laws of the Province of British Columbia. I hereby irrevocably submit to the exclusive jurisdiction of the courts of the Province of British Columbia. Any litigation in any way relating to CBSC Activities or to the matters addressed in this Agreement must be instituted in the Province of British Columbia.

6. SEVERABILITY: If any provision (or part of any provision) in this Agreement is unenforceable, such provision (or part of such provision) shall be severed and shall be inoperative, and the remainder of this Agreement shall remain in full force and effect.

I CONFIRM THAT I HAVE HAD SUFFICIENT TIME TO READ THIS AGREEMENT IN ITS ENTIRETY, INCLUDING ALL OF ITS TERMS, THAT I FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL LEGAL RIGHTS BY SIGNING IT AND HAVE AGREED TO THE TERMS FREELY AND VOLUNTARILY, I UNDERSTAND THAT THIS AGREEMENT IS BINDING ON ME, MY EXECUTORS AND ADMINISTRATORS.

I FREELY ACCEPT AND FULLY ASSUME RESPONSIBILITY FOR THE RISKS. THE MEMBER IS BEING REGISTERED AND PARTICIPATING IN CBSC ACTIVITIES VOLUNTARILY AND WILLINGLY.

June 10, 2023

First Participant's Name

First Name*

Middle Name

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

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

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

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

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

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

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

First Name*

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

First Name*

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

First Name*

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

Email*

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Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 19 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*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
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 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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