Online Waiver - Prostride Hockey Training

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

WARNING: PLEASE READ CAREFULLY! By signing this document you indicate that you understand the risks associated with this activity, that you are aware that by participating in the activity you are being exposed to the risks identified below, and that you accept important legal obligations and waive certain legal rights, including the right to sue.

Name of Participant :

Birth Date:

ADDRESS OF PARTICIPANT:

Email (required)

TELEPHONE NO:

EMERGENCY CONTACT:

TELEPHONE NO:

LOCATION: 3743 98 Street NW Edmonton, Ab, T6E 5N2 for Hockey/Skating Instruction or Lessons (Referred to as the “Lesson" throughout this document)

DISCLAIMER CLAUSE: The OWNERS of Pro Stride Hockey., their officers, directors, employees, volunteers, members and representatives (hereafter referred to as “The Corporation” are not responsible for any injury, loss or damage to personal property, detention, imprisonment, illness, death or dismemberment arising out of any cause/nature whatsoever, sustained by any person while participating in this Lesson.The Corporation accepts no responsibility and assumes no liability with respect to any involvement of the Participant in this Lesson.

ASSUMPTION OF RISKS AND RESPONSIBILITIES:
I acknowledge that the Lesson involves inherent risks, dangers, hazards and liabilities to the participant. I fully understand and agree to assume the following risks and responsibilities that may result in personal injury, death, loss of or damage to personal property/belongings, legal expenses and other losses arise from, but are not limited to:

1) Injury, mutilation, maiming or death for any activity associated with the Lesson(s);

2) Injury, mutilation, maiming or death for activities associated with travel to and from the Lesson(s);

3) It is my responsibility to learn as much as possible about the risks of the Lesson, to weigh those risks against the advantages, and to decide whether or not to participate.

4) The Corporation is expressly relieved of any obligation of any loss of any kind whether through personal injury or any other

means of loss known to mankind.

Initials:

MEDICAL/HEALTH INSURANCE
I AM SOLELY RESPONSIBLE to select and purchase adequate medical health insurance including out of province medical coverage. In the event of a medical/health problem, the Corporation accepts no responsibility for any costs associated with a medical/health problem nor will it pay for any
medical/health expenses, which may be incurred by me or my child.
2. I AM SOLELY RESPONSIBLE to select and purchase adequate health insurance whether or not required. The insurance should provide coverage against theft, personal accident, injury, dismemberment or death. The Corporation accepts no responsibility for any costs associated with these types of problems nor will it pay for any expenses that may be incurred by me relating to these areas. I freely accept and assume all responsibility to provide myself with medical/health insurance coverage for myself and any
person under my control.

Initials:

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
In consideration of The Corporation allowing me or my family member to participate in the Lesson, I agree, for both myself and my family member, as follows:
1. TO RELEASE THE CORPORATION from any and all liability any and all liability from any loss, damage, injury or expense that I may suffer as a result of my participation in the Lesson, and in the Location referenced above;
2. TO HOLD HARMLESS AND INDEMNIFY THE CORPORATION and its respective directors, officers, agents, contractors, employees, volunteers, representatives from any and all claims, demands, actions and costs which might arise out of my participation in this Lesson and all related activities:
• for any damage to the property of, or personal injury to, any third party, resulting from my personal time and non-academic travels during this Lesson;
• for any injury, illness or death that I may sustain, which are related to or caused by any reason of any kind during my involvement with this Lesson.
This agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, and representatives in the event of my death or incapacity. In entering into this Agreement, I am not relying upon any oral or written representations or statements made by the Corporation other than what is set forth in this agreement.
ACKNOWLEDGEMENT:
I ACKNOWLEDGE that I have read and understood this agreement; that I appreciate and accept the risks associated with this Lesson; that I am waiving legal rights which I or my heirs, next of kin, executors, administrators and legal representatives may have against the Corporation and that I have executed this agreement voluntarily.

SIGNED Date :

SIGNATURE OF PARTICIPANT