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 Conditions for participation in self-guided or guided activities




Your full cooperation is necessary to help us verify all of the following security aspects before your participation is confirmed. Please answer the questions before signing at the bottom of this page to confirm your acceptance of all these conditions of participation.

  • You must agree to follow the rules of the sites and the uses of the trails and water ways, including:
  • Gatineau Park: https://ncc-ccn.gc.ca/places/safety-in-gatineau-park#rules-guidelines.
  • Water ways (Ottawa River, etc.):https://www.redcross.ca/training-and-certification/swimming-and-water-safety-tips-and-resources/swimming-boating-and-water-safety-tips/water-safety-in-on-and-around-rivers
  • You must have a daily pass to access the site and trails that is valid for the activity in question if required. 
  • You must have a cell phone or other functional means of communication in your possession while participating in the activity.
  • You must wear shoes and clothing that are appropriate for the activity and weather conditions. It is recommended to have a warm-up clothes and/or a change of clothes with you.
  • You must wear the mandatory protective equipment if required. Ex. bicycle helmet, personal flotation device (PFD).
  • You must know how to use the rental equipment properly, agree to take good care of it and pay for repairs or replacement in case of breakage or loss. It is the responsibility of the attendant to ensure that the equipment fits the participants. You must notify a Relais employee by calling (819) 595-9001, in case of loss, breakage or failure of the equipment during the activity.
  • You must conserve energy and allow enough time to be back at the Relais a minimum of 5 minutes before the end of the time slot.
  • You must leave one of the following ID cards with us until the rental equipment is returned: Driver's License, Credit Card, or any other card that confirms your contact information. Access Gatineau + Card holders who have taken advantage of the free rental must also leave their Access Gatineau + Card with us.



First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Full address: *

Phone: *

Emergency Contact: *

Phone of Emergency Contact: *

Relationship: *
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Full address: *

Phone: *

Emergency Contact: *

Phone of Emergency Contact: *

Relationship: *
Third Participant's Name

First Name*

Middle Name

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

Full address: *

Phone: *

Emergency Contact: *

Phone of Emergency Contact: *

Relationship: *
Fourth Participant's Name

First Name*

Middle Name

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

Full address: *

Phone: *

Emergency Contact: *

Phone of Emergency Contact: *

Relationship: *
Fifth Participant's Name

First Name*

Middle Name

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

Full address: *

Phone: *

Emergency Contact: *

Phone of Emergency Contact: *

Relationship: *
Sixth Participant's Name

First Name*

Middle Name

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

Full address: *

Phone: *

Emergency Contact: *

Phone of Emergency Contact: *

Relationship: *
Seventh Participant's Name

First Name*

Middle Name

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

Full address: *

Phone: *

Emergency Contact: *

Phone of Emergency Contact: *

Relationship: *
Eighth Participant's Name

First Name*

Middle Name

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

Full address: *

Phone: *

Emergency Contact: *

Phone of Emergency Contact: *

Relationship: *
Ninth Participant's Name

First Name*

Middle Name

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

Full address: *

Phone: *

Emergency Contact: *

Phone of Emergency Contact: *

Relationship: *
Tenth Participant's Name

First Name*

Middle Name

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

Full address: *

Phone: *

Emergency Contact: *

Phone of Emergency Contact: *

Relationship: *
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
RISKS INHERENT TO THE ACTIVITY
You should only use trails and routes that are appropriate for your physical abilities, level of technical skill and duration of the activity. *
I acknowledge that I have been informed of the risks inherent to the activities listed below that are part of the Relais plein air program.

The risks of the activity in which I will participate are, in particular, but not limited to:

• Injuries due to falls or other movements (sprains, strains, fractures, etc.).

• Blunt or sharp injuries (branches, equipment, etc.).

• Cold or hypothermia.

• Injuries resulting from accidental or unintentional contact between individuals, or with an animal.

• Contact with water or drowning (during aquatic activities or near a waterway). 

• Burns or disorders due to heat

• Encounter with wild animals: https://ncc-ccn.gc.ca/places/safety-in-gatineau-park#wild-animals



HEALTH STATUS

If you have allergies, please specify:

If you are pregnant, how many weeks:

If you take any medications, please specify the name(s):

If you have any disabilities and/or physical, cognitive, emotional and/or behavioral health problems that could directly or indirectly limit or impair your ability to participate in the activity in which you will be participating? E.g., Respiratory problems, heart problems, diabetes*, chronic fatigue*, fear of water/heights/animals, vision problems*, deafness*, limitation of movement*, limited mobility*, speech or language impairment*, difficulty with orientation in time or space*, autism spectrum disorder*, intellectual disability*, etc., please specify:

The limitations of people who do not have the physical or cognitive abilities to participate in activities independently can be compensated for by the accompaniment of a loved one and/or a competent companion. People with disabilities or other accessibility challenges will be referred to our Inclusive Outdoor Experiences Coordinator, who will suggest participation solutions adapted to their needs. To discuss the possibility of adapting the activity, please contact
marie-pier.bouladier@relaispleinair.ca.





DRUGS AND ALCOHOL
I agree not to use, possess or be under the influence of any drug, illegal substance or medication (prescription or not) that is not mentioned in point 3 of this form. I also confirm that I am not under the influence of alcohol, that I am under the blood alcohol limit of 80 mg per 100 ml of blood, commonly known as "point zero eight" and that I will remain so for the duration of the activity. I am aware that any breach of these rules on my part may result in my expulsion without notice and without the possibility of a refund.
AUTHORIZATION TO ACT IN CASE OF EMERGENCY
I authorize Relais plein air to provide any necessary first aid and to contact emergency services if necessary.
DISCHARGE OF MATERIAL RESPONSIBILITY
I hereby waive any and all claims, as well as any and all suits for damages for any and all damage to property and material belonging to me. (normal wear and tear, loss, breakage, theft, vandalism.)
PHOTOS AND VIDEOS
I agree to be photographed or videotaped and agree to have these images published as part of promotional messages on the Relais Plein Air web, Facebook and Instagram pages, as well as on posters and other Relais Plein Air promotional materials.*
Non
Oui
CONFIRMATION OF INFORMATION AND ACCEPTANCE OF RISKS
I certify that the information on this form is accurate to the best of my knowledge. I certify that I have not deliberately omitted any information about my health status whether relevant or not. I am aware that the information contained in this form is confidential and is intended to better plan and supervise the safety of the activities in which I will participate and that it will allow the Relais plein air to draw up a profile of its clientele. I am aware that the activities offered by the Relais plein air take place in semi-natural or natural environments that may be rugged and, consequently, are further away from medical services. This could result in long delays in the event of an emergency requiring evacuation, and consequently, a possible aggravation of my condition or injury. Having been informed of these risks and having had the opportunity to discuss them with a person in charge of the activity, I acknowledge that I have been informed of the risks inherent to the activities and that I am able to undertake the activity or stay in FULL KNOWLEDGE OF THE FACTS AND ACCEPTING THE RISKS that may be involved in this stay or activity. I also agree to play an active role in managing these risks by adopting a preventive attitude towards myself and others around me. I understand that I may leave this activity for any reason.
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 Information

Full address: *

Phone: *

Emergency Contact: *

Phone of Emergency Contact: *

Relationship: *
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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