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Waterloo Region Nature Outing:
Waiver & Assumption of Risk

Hullett Marsh

Tuesday, May 12, 2026

In signing this declaration, I affirm that I am willingly participating in this Outing with Waterloo Region Nature (WRN), and I accept as my personal risk the consequences of such participation.

1. Assumption of Risk: I understand and acknowledge that this outing may entail physically demanding activities and risks to my personal safety and property. These can include, but are not limited to, minor injuries such as scratches, bruises, and sprains to catastrophic injuries including paralysis and death. The hazards I may encounter include severe or inclement weather (including high winds, lightning, or extreme cold); becoming separated from other participants or leaders for considerable periods; potentially dangerous plants and animals; and exposure to infectious agents and disease, among others. Risks may arise due to the negligence or misjudgment of the Outing leader(s) or other participants, including my own actions, or from accidental or other causes. By participating in the Outing, I understand, accept, and assume 1) the risks, dangers and hazards involved, and 2) responsibility for any losses, costs and damages to my person or property arising out of such risks, dangers and hazards.

2. Code of Conduct: I agree to follow any safety instructions expressed by the Outing leader, and to abide by the WRN Code of Conduct. I will not participate in this Outing if I am under the influence of, nor will I while on the Outing consume, drugs or alcohol. In the event of an accident or medical problem suffered by me, I consent to the Outings Leader or WRN seeking out appropriate medical care. I consent to WRN publishing photos taken at this outing that I may appear in. I will inform the Outing Leader if I wish to opt out of this clause. I agree to abide by the wishes of other participants who do not want their photo taken.

3. Waiver: I hereby agree to release, save harmless, and indemnify WRN, its officers, directors, agents, and members, from and against all claims, actions, costs, and expenses in respect of any injury, loss, or damages to me or my property arising as a result of my participation in this trip, notwithstanding that the same may have been contributed to or occasioned by the negligence of WRN, its officers, directors, agents, and members. I declare this waiver and assumption of risk is binding on me, my heirs, executors, administrators, and assigns. I have read this waiver and assumption of risk and I fully understand all aspects of it.

First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
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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