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Acknowledgment of Risk & Release of Liability

FOR SPORTS CLUB ACTIVITIES

(UNDER 18 PARENT/GUARDIAN CONSENT)

For participants under age 18 at the time of registration in the Province or Territory in which the SPORTS CLUB (Activities) is provided by Really Living Seventh-day Adventist Church under the umbrella of the Ontario Conference of the Seventh-day Adventist Church (collectively the Church). 


WARNING: THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS, READ IT CAREFULLY. 

A parent/guardian with legal responsibility for the participant MUST read and understand this waiver before the minor may participate in the Activities. The following waiver of all claims, release from all liability, assumption of all risks and other terms of this agreement are entered into by me (the parent/guardian with legal responsibility of the “Participant”) with and for the benefit of: the Church, their directors, officers, employees, volunteers, coaches, officials, business operators, agents, and site property owners. “Activities” includes but is not limited to sports, fitness, functions, instruction, use of the facilities, participation in programs, and services provided to the Participant by the Church. 


In consideration for my minor child’s participation:

I am aware that there are inherent and significant risks (“Risks”) associated with participation in the Activities. I am aware that those Risks include but are not limited to the potential for serious personal injury caused by any event or any condition of the facility or equipment and health risks. I understand the risks may be relative to my minor child’s own state of fitness and health (physical, mental and emotional), and to the awareness, care and skill with which he/she conduct himself/herself while participating in the Activities. 

I freely accept and fully assume all responsibility for all Risks and possibilities of personal injury, death, property damage or loss resulting from my child’s participation in Activities. I agree that although the Church has taken steps to reduce the Risks and increase safety of the Activities, it is not possible for the Church to make the Activities completely safe. I accept these Risks and agree to the terms of this waiver even if the Church is found to be negligent or in breach of any duty or care or any obligation to my child’s participation in Activities.

In addition to consideration given to the Church for my child’s participation in Activities, I and my heirs, next of kin, executors, administrators and assigns (collectively my “Legal Representatives”), agree:

➔ to waive all claims that I have or may have in the future against the Church;

➔ to release and forever discharge the Church from all liability for all personal injury, death, property damage or loss resulting from my child’s participation in Activities due to any cause, including but not limited to negligence (failure to use such care as a reasonably prudent and careful person would use under similar circumstances), breach of any duty imposed by law, breach of contract or mistake or error of judgement of the Church; and

➔ to be liable for and to hold harmless and indemnify the Church from all actions, proceedings, claims, damages, costs, demands including court costs and costs on a solicitor and client basis, and liabilities of whatsoever nature or kind arising out of or in any way connected with my child’s participation in Activities.

I agree that this waiver and all terms contained within are governed by the laws of the Province or territory in Canada in which the Activities are provided to me by the Church. I hereby irrevocably submit to the exclusive jurisdiction of the courts of that Province or Territory. Any litigation to enforce this waiver must be instituted in the Province or Territory in which the Activities are provided by the Church.

I confirm that I have had sufficient time to read and understand each term in this waiver in its entirety and have agreed to the terms freely and voluntarily. I understand that this waiver is binding on myself and my Legal Representatives. 

This is to certify that I, as parent/guardian with legal responsibility for this Participant, do consent and agree to his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Church from any and all liabilities incident to my minor child’s involvement or participation in the Activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. 

December 9, 2022


First Participant's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
Check to receive Really Living information, news, and events by e-mail.
Emergency Contact Info

Emergency Contact Name *

Relationship

Emergency Contact Phone *
Medical Information

Allergies, medications, or medical issues *

Physician's Name *

Physician's Phone Number *
Permission to administer medication in an emergency?*
No
Yes
Photo and Video Release
I hereby grant permission to Really Living Centre on behalf of myself and on behalf of my child(ren/ward(s) to use photographs and/or video of me and/or my minor child taken during participation in activities for such purposes as publications, promotions, online, and in other communications related to the mission of Really Living Centre and Really Living Seventh-day Adventist Church.*
Yes
No
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*

Relationship*

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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