Common use of RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT Clause in Contracts

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT. In consideration of Nipissing University agreeing to allow participation in the Crown Xxxx Mentorship Program and permitting his or her use of its facilities, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows: To WAIVE ANY AND ALL CLAIMS that I have or may have in the future against Nipissing University, its Directors, officers, employees, agents, instructors, independent contractors, subcontractors and representatives (all of whom are herein referred to as the Releases) and to RELEASE THE RELEASES from any and all liability for any loss, damage, expense or injury including death that my child may suffer as a result of their participation in the Crown Xxxx Mentorship Program activities, due to any cause whatsoever, including NEGLIGENCE, BREACH OF CONTRACT, BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT ON THE PART OF THE RELEASEES AND FURTHER, INCLUDING FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD AND PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES REFERRED TO ABOVE. I agree to hold harmless and to indemnify the Releases from any and all liability for any property damage or personal injury to any third party resulting from my participation in the Crown Xxxx Mentorship Program activities. I agree that this agreement shall be binding upon my heirs, next of kin, executors, administrators and assigns in the event of my death. I agree that this agreement shall be governed and interpreted in accordance with the laws of the Province of Ontario and any litigation involving the parties to this agreement shall be brought in Ontario. In entering into this agreement I am not relying on any oral or written representation or statements made by the Releases with respect to the safety of the Crown Xxxx Mentorship Program other than as set forth in this agreement. PARTICIPANT NAME: (PLEASE PRINT) PARTICIPANT SIGNATURE: GUARDIAN NAME: (PLEASE PRINT) GUARDIAN SIGNATURE: CAS WORKER NAME: (PLEASE PRINT) CAS WORKER SIGNATURE:

Appears in 1 contract

Samples: www.nipissingu.ca

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RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT. In consideration for being permitted to participate in any way in transportation, hiking and related activities of Nipissing University agreeing to allow participation in the Crown Xxxx Mentorship Program and permitting his or her use of its facilities, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, Hiking Trip I hereby agree as follows: To WAIVE ANY AND ALL CLAIMS that I have or may have the Releasees shall in the future against Nipissing University, its Directors, officers, employees, agents, instructors, independent contractors, subcontractors and representatives (all of whom are herein referred to as the Releases) and to RELEASE THE RELEASES from any and all liability no manner be liable for any lossbodily injury, damagedisability, expense or injury including death that my child may suffer as a result of their participation in the Crown Xxxx Mentorship Program activitiesemotional distress, due to any cause whatsoever, including NEGLIGENCE, BREACH OF CONTRACT, BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT ON THE PART OF THE RELEASEES AND FURTHER, INCLUDING FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD AND PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES REFERRED TO ABOVE. I agree to hold harmless and to indemnify the Releases from any and all liability for any property damage and/or wrongful death, arising out of or personal injury in any way related to the Hiking Trip and I hereby, now and forever release the Releasees from and against any third party resulting causes of action, claims or demands of any nature that may result from or be connected in any way to my participation in the Crown Xxxx Mentorship Program activitiesHiking Trip (“Claims”). I further agree not to sue and agree to indemnify and hold harmless the Releasees from any Claims. It is also my express intent that that this agreement Release shall be binding upon bind my spouse, family members, heirs, next of kinguardians, executorslegal representatives, administrators and assigns in the event of my deathassigns. I agree that By signing this agreement shall be governed and interpreted in accordance with the laws of the Province of Ontario and any litigation involving the parties to this agreement shall be brought in Ontario. In entering into this agreement Release, I am not relying on any oral or written representation or statements made by the Releases with respect to the safety of the Crown Xxxx Mentorship Program Releasees, other than as what is set forth in this agreementRelease. PARTICIPANT NAMEThis Release shall be interpreted under and governed by the laws of The Commonwealth of Massachusetts. I agree that should any provision or aspect of this Release be found to be unenforceable, all remaining provisions of the Release will remain in full force and effect. I agree that should there be any dispute arising from or related to my participation in the Hiking Trip or this Release that would require the adjudication of a court of law, venue will lie in Suffolk County, Massachusetts, and the cause of action will be determined by the laws of The Commonwealth of Massachusetts. By signing below, I hereby confirm that I have read this Release in its entirety, understand it, and sign it voluntarily. Signature Date Print Full Name: FOR PARTICIPANTS OF MINORITY AGE (PLEASE PRINT) PARTICIPANT SIGNATURE: GUARDIAN NAME: (PLEASE PRINT) GUARDIAN SIGNATURE: CAS WORKER NAME: (PLEASE PRINT) CAS WORKER SIGNATURE:less than 18 years old): By signing below I certify that, as Parent, Guardian, Temporary Guardian with legal responsibility for this participant, I hereby confirm that I give her/him my permission to participate in the Hiking Trip and that I have read and accept on my child’s behalf and for myself, my spouse, my family members, heirs and assigns, this Release of Liability, Waiver of Claims, Assumption of Risk and Indemnity Agreement in its entirety, understand it, and the risks inherent in participation in the Hiking Trip and other risks that neither the Company nor I nor my child are aware of, and sign it voluntarily. Signature of Parent/Guardian Date

Appears in 1 contract

Samples: Release of Liability

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT. In consideration of Nipissing University agreeing to allow participation the Releasees accepting my registration for Participation in the Crown Xxxx Mentorship Program and __tournament name___and permitting his or her my use of its facilities, the facilities and for other good and valuable consideration, premises provided by the receipt and sufficiency of which is acknowledgedReleasees (hereinafter “the premises”), I hereby agree as follows: To WAIVE ANY AND ALL CLAIMS waive any and all claims that I have or may have in the future have against Nipissing Universitythe releasees, its Directors, officers, employees, agents, instructors, independent contractors, subcontractors and representatives (all of whom are herein referred to as the Releases) and to RELEASE THE RELEASES release the releasees from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my child next of kin may suffer suffer, as a result of their my participation in the Crown Xxxx Mentorship Program activitiessport of pickleball including, but not limited to, my use of the premises due to any cause whatsoever, including NEGLIGENCEnegligence, BREACH OF CONTRACTbreach of contract, BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT ON THE PART OF THE RELEASEES AND FURTHERor breach of any statutory or other duty of care, INCLUDING FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD AND PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES REFERRED TO ABOVEincluding any duty of care owed under any provincial occupiers’ liability legislation on the part of the releasees. I agree understand that negligence includes the failure on part of the releasees to take reasonable steps to safeguard or protect me from the risks, dangers and hazards referred to above. To hold harmless and to indemnify the Releases releasees from any and all liability for any damage to property damage of or personal injury to any third party party, resulting from my participation in use of or presence on the Crown Xxxx Mentorship Program activities. I agree that this agreement premises; This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators administrators, assigns and assigns representatives, in the event of my death. I agree that death or incapacity; This Release Agreement and any rights, duties and obligations as between the parties to this agreement Release Agreement shall be governed by and interpreted solely in accordance with the laws of the Province of Ontario and any _________________. Any litigation involving the parties to this agreement Release Agreement shall be brought in Ontariosolely within the Province of _________________ and shall be within the exclusive jurisdiction of the Courts of the Province of _________________. In entering into this agreement Release agreement, I am not relying on upon any oral or written representation representations or statements made by the Releases Releasees with respect to the safety of the Crown Xxxx Mentorship Program pickleball other than as what is set forth in this agreementAgreement. PARTICIPANT NAME: (PLEASE PRINT) PARTICIPANT SIGNATURE: GUARDIAN NAME: (PLEASE PRINT) GUARDIAN SIGNATURE: CAS WORKER NAME: (PLEASE PRINT) CAS WORKER SIGNATURE:I have read and understand this release agreement and I am aware that by agreeing I am waiving certain legal rights which I or my heirs, next of kin, executors, administrators, assigns and representatives may have against the releasees. Printed Name Signature Date

Appears in 1 contract

Samples: pickleballcanada.org

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT. In consideration of Nipissing University agreeing to allow participation the Releasees accepting my registration for Participation in the Crown Xxxx Mentorship Program Chilliwack Pickleball Club Mayday Mayhem tournament and permitting his or her my use of its facilities, the facilities and for other good and valuable consideration, premises provided by the receipt and sufficiency of which is acknowledgedReleasees (hereinafter “the premises”), I hereby agree as follows: To WAIVE ANY AND ALL CLAIMS waive any and all claims that I have or may have in the future have against Nipissing Universitythe releasees, its Directors, officers, employees, agents, instructors, independent contractors, subcontractors and representatives (all of whom are herein referred to as the Releases) and to RELEASE THE RELEASES release the releasees from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my child next of kin may suffer suffer, as a result of their my participation in the Crown Xxxx Mentorship Program activitiessport of pickleball including, but not limited to, my use of the premises due to any cause whatsoever, including NEGLIGENCEnegligence, BREACH OF CONTRACTbreach of contract, BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT ON THE PART OF THE RELEASEES AND FURTHERor breach of any statutory or other duty of care, INCLUDING FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD AND PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES REFERRED TO ABOVEincluding any duty of care owed under any provincial occupiers’ liability legislation on the part of the releasees. I agree understand that negligence includes the failure on part of the releasees to take reasonable steps to safeguard or protect me from the risks, dangers and hazards referred to above. • To hold harmless and to indemnify the Releases releasees from any and all liability for any damage to property damage of or personal injury to any third party party, resulting from my participation in use of or presence on the Crown Xxxx Mentorship Program activities. I agree that this agreement premises; • This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators administrators, assigns and assigns representatives, in the event of my death. I agree that death or incapacity; • This Release Agreement and any rights, duties and obligations as between the parties to this agreement Release Agreement shall be governed by and interpreted solely in accordance with the laws of the Province of Ontario and any British Columbia. • Any litigation involving the parties to this agreement Release Agreement shall be brought in Ontario. solely within the Province of British Columbia and shall be within the exclusive jurisdiction of the Courts of the Province of British Columbia In entering into this agreement Release agreement, I am not relying on upon any oral or written representation representations or statements made by the Releases Releasees with respect to the safety of the Crown Xxxx Mentorship Program pickleball other than as what is set forth in this agreementAgreement. PARTICIPANT NAME: (PLEASE PRINT) PARTICIPANT SIGNATURE: GUARDIAN NAME: (PLEASE PRINT) GUARDIAN SIGNATURE: CAS WORKER NAME: (PLEASE PRINT) CAS WORKER SIGNATURE:I have read and understand this release agreement and I am aware that by agreeing I am waiving certain legal rights which I or my heirs, next of kin, executors, administrators, assigns and representatives may have against the releasees. Children 18yrs and under must have their parents or legal guardians consent. By signing this waiver I acknowledge the Chilliwack Pickleball Club may take photographs and video of the event and post same on their website and/or Facebook page.

Appears in 1 contract

Samples: files.trackie.com

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT. In consideration of Nipissing University agreeing to allow participation in the Crown Xxxx Mentorship Program Releasees accepting my application for membership and permitting his or her my use of its facilities, the facilities and for other good and valuable consideration, premises provided by the receipt and sufficiency of which is acknowledgedReleasees, I hereby agree as follows: To WAIVE ANY AND ALL CLAIMS waive any and all claims that I have or may have in the future have against Nipissing Universitythe Releasees, its Directors, officers, employees, agents, instructors, independent contractors, subcontractors and representatives (all of whom are herein referred to as the Releases) and to RELEASE THE RELEASES release the Releasees from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my child next of kin may suffer suffer, as a result of their my participation in the Crown Xxxx Mentorship Program activitiessport of pickleball including, but not limited to, my use of the facilities and premises due to any cause whatsoever, including NEGLIGENCEnegligence, BREACH OF CONTRACTbreach of contract, BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT ON THE PART OF THE RELEASEES AND FURTHERor breach of any statutory or other duty of care, INCLUDING FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD AND PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES REFERRED TO ABOVEincluding any duty of care owed under provincial occupiers liability legislation on the part of the Releasees. I agree understand that negligence includes the failure on part of the Releasees to take reasonable steps to safeguard or protect me from the risks, dangers and hazards referred to above. To hold harmless and to indemnify the Releases Releasees from any and all liability for any damage to property damage of or personal injury to any third party party, resulting from my participation in use of or presence on the Crown Xxxx Mentorship Program activities. I agree that this agreement facilities and premises; This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators administrators, assigns and assigns representatives, in the event of my death. I agree that death or incapacity; This Release Agreement and any rights, duties and obligations as between the parties to this agreement Release Agreement shall be governed by and interpreted solely in accordance with the laws of the Province of Ontario and any no other jurisdiction; and Any litigation involving the parties to of this agreement Release Agreement shall be brought in solely within the Province of Ontario, and shall be within the exclusive jurisdiction of the Courts of the Province of Ontario. In entering into this agreement Release Agreement I am not relying on upon any oral or written representation or statements made by the Releases Releasees with respect to the safety of the Crown Xxxx Mentorship Program pickleball other than as what is set forth in this agreementRelease Agreement. PARTICIPANT NAMEI agree that it is my own responsibility to understand the dangers and to decide if playing in the facilities or premises is unsafe, understanding that if I believe play to be unsafe, that upon discussion with the club executive I will receive a refund for the remaining portion of membership or unused court fees. I HAVE READ AND UNDERSTAND THIS RELEASE AGREEMENT AND I AM AWARE THAT BY SIGNING THIS RELEASE AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. Signed this ______ day of ______________, 20___ Signature of Member: (PLEASE PRINT) PARTICIPANT SIGNATURE__________________________ Print Name: GUARDIAN NAME_________________________ Signed this ______ day of ______________, 20___ Signature of Witness: (PLEASE PRINT) GUARDIAN SIGNATURE__________________________ Print Name: CAS WORKER NAME: (PLEASE PRINT) CAS WORKER SIGNATURE:_________________________

Appears in 1 contract

Samples: Release Agreement

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT. In consideration of Nipissing the University agreeing allowing me access to allow the laboratories I agree: SUBJECT TO THE TERMS OF THIS AGREEMENT, TO ASSUME AND ACCEPT ALL RISKS of any nature whatsoever arising out of, associated with or related to my participation in the Crown Xxxx Mentorship Program activities of the laboratories and permitting his or her use of its facilities, with respect to any and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows: To WAIVE ANY AND ALL CLAIMS that I have or may have in the future against Nipissing University, its Directors, officers, employees, agents, instructors, independent contractors, subcontractors and representatives (all of whom are herein referred to as the Releases) and to related activities. TO RELEASE THE RELEASES UNIVERSITY from any and all liability of any nature whatsoever including, without limitation, breach of contract, or breach of any statutory duty or other duty of care and for any loss, damage, injury or expense of any nature whatsoever that I may suffer or injury including death incur, or that my child next of kin may suffer or incur as a result of their participation in the Crown Xxxx Mentorship Program activities, due to any cause whatsoever, including NEGLIGENCE, BREACH OF CONTRACT, BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT ON THE PART OF THE RELEASEES AND FURTHER, INCLUDING FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD AND PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES REFERRED TO ABOVE. I agree to hold harmless and to indemnify the Releases from any and all liability for any property damage or personal injury to any third party resulting from my participation in the Crown Xxxx Mentorship Program activitiesactivities of the laboratories; provided always however such release shall not apply to any loss, damage, injury or expense that I may suffer or incur as a result of the negligence or willful misconduct of the University. TO: be liable to the University for; and indemnify and hold harmless the University, its agents, advisors, volunteers, directors and employees from and against any and all liabilities, claims, suits or actions, costs, damages and expenses (and without limiting the generality of the foregoing, any losses, costs, damages and expenses of the University, including costs as between a solicitor and his own client) which may be brought or made against the University or which the University may pay or incur as a result of or in connection with: my participation in the Research Activities where any loss or damage of any nature is caused by my negligence or willful misconduct or any other cause except for the negligence or willful misconduct of the University; my participation in any activities at the laboratories where any loss or damage of any nature is caused by my negligence or willful misconduct or any other cause except for the negligence or willful misconduct of the University. This indemnity shall survive the expiry or earlier termination of this Agreement. Initials:_________________ PRIVACY STATEMENT: The information gathered on this form is collected under the authority of the McMaster University Act, 1976. Personal information is gathered, used and disclosed in accordance with the McMaster University privacy policy and applicable legislation, including the Freedom of Information and Protection of Privacy Act (Ontario) (“FIPPA”). The information gathered will be used for the purposes of administering University programs, for statistical purposes and for other related purposes. Personal information provided on this form will not be used for any related purpose without prior consent. Please further note that certain data may be stored on an off-site server and potentially in a jurisdiction outside Ontario. I Acknowledge that I have read, understood and agree with this Assumption of Risk & Indemnity Agreement; that this agreement shall be binding upon I appreciate and accept the Risks; that I am waiving certain legal rights which I or my heirs, next of kin, executors, administrators and assigns in legal representatives may have against the event University; that I have had the opportunity to seek independent legal advice and speak with a Union Representative (as applicable); and that I have executed this Agreement voluntarily. SIGNED THIS _________ day of my death______________________________, 20____, at _____________________________________, ________________________________. I agree that this agreement shall be governed and interpreted in accordance with the laws Signature of the Province Participating Employee/Student Printed Name of Ontario and any litigation involving the parties to this agreement shall be brought in Ontario. In entering into this agreement I am not relying on any oral Participating Employee/Student Signature of Parent or written representation Legal Guardian for Minor Printed Name of Parent or statements made by the Releases with respect to the safety Legal Guardian of the Crown Xxxx Mentorship Program other than as set forth in this agreement. PARTICIPANT NAME: (PLEASE PRINT) PARTICIPANT SIGNATURE: GUARDIAN NAME: (PLEASE PRINT) GUARDIAN SIGNATURE: CAS WORKER NAME: (PLEASE PRINT) CAS WORKER SIGNATURE:Minor Signature of Witness Printed Name of Witness

Appears in 1 contract

Samples: Participant Waiver Agreement

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT. In consideration of Nipissing University agreeing to allow participation in the Crown Xxxx Mentorship Program and permitting his or her use rental of its facilities, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledgedEquipment, I hereby agree as follows: To I AGREE TO WAIVE ANY AND ALL CLAIMS that I have or may have in the future have against Nipissing University, its Directors, officers, employees, agents, instructors, independent contractors, subcontractors the Releasees and representatives (all of whom are herein referred to as the Releases) and to TO RELEASE THE RELEASES RELEASEES from any and all liability for any loss, damage, expense or injury (including death death) that I may suffer, or that my child next of kin may suffer as a result suffer, resulting from or arising out of their participation in any aspect of my use of the Crown Xxxx Mentorship Program activitiesEquipment or my presence on the Premises, due to any cause whatsoeverDUE TO ANY CAUSE WHATSOEVER, including INCLUDING NEGLIGENCE, BREACH OF CONTRACT, CONTRACT OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT ON THE PART OF CARE, in respect of the design, manufacture, installation, maintenance, selection or adjustment of the Equipment, or in respect of the provision of or the failure to provide any warnings, directions or instructions as to the use of the Equipment or the risks, dangers and hazards of skiing, snowboarding and snowshoeing. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES AND FURTHER, INCLUDING FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD AND PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES REFERRED TO ABOVE. I agree to hold harmless and to indemnify the Releases from any and all liability for any damage to the property damage of or personal injury to any third party party, resulting from my participation in use of the Crown Xxxx Mentorship Program activities. I agree that this agreement Equipment; This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators administrators, assigns and assigns representatives, in the event of my death. I agree that death or incapacity; This Release Agreement and any rights, duties and obligations as between the parties to this agreement Release Agreement shall be governed by and interpreted solely in accordance with the laws of the Province of Ontario Saskatchewan and any no other jurisdiction; and Any litigation involving the parties to this agreement Release Agreement shall be brought in Ontario. In entering into this agreement I am not relying on any oral or written representation or statements made by solely within Saskatchewan and shall be within the Releases with respect to the safety exclusive jurisdiction of the Crown Xxxx Mentorship Program other than as set forth in Courts of Saskatchewan. I HAVE READ AND UNDERSTAND THIS RELEASE AGREEMENT AND I AM AWARE THAT BY SIGNING THIS RELEASE AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS THAT I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. I the undersigned, have read and understood the terms and conditions of this agreement. PARTICIPANT Date: Skier/Boarder Signature: Parent/Guardian (if applicable) Please complete the following in full. LAST NAME: (PLEASE PRINT) PARTICIPANT SIGNATURE: GUARDIAN FIRST NAME: (PLEASE PRINT) GUARDIAN SIGNATUREHOME ADDRESS: CAS WORKER NAMECITY: (PLEASE PRINT) CAS WORKER SIGNATURE:PROVINCE/STATE: POSTAL CODE: PHONE: EMAIL ADDRESS: Please read carefully and SIGN Please read carefully and initial **MUST COMPLETE THE FOLLOWING** The EQUIPMENT BRERAKAGE CHARGE OF $1.00 per day/per person IS INCLUDED IN RENTAL CHARGE and applies to equipment breakage only, not lost, stolen or misused equipment This charge of $1 confirms that the shop will absorb the cost of repairing any broken equipment; however, the renter shall replace lost, misplaced, stolen, or misused equipment at current rental value. The breakage charge does not cover base damage due to misuse. RENTAL AGREEMENT

Appears in 1 contract

Samples: Release of Liabitity, Waiver of Claims Assumption of Risks and Imdemnity Agreement

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RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT. In consideration of Nipissing the University agreeing allowing me access to allow participate in the Activities I agree: SUBJECT TO THE TERMS OF THIS AGREEMENT, TO ASSUME AND ACCEPT ALL RISKS of any nature whatsoever arising out of, associated with or related to my participation in the Crown Xxxx Mentorship Program Activities and permitting his or her use of its facilities, with respect to any and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows: To WAIVE ANY AND ALL CLAIMS that I have or may have in the future against Nipissing University, its Directors, officers, employees, agents, instructors, independent contractors, subcontractors and representatives (all of whom are herein referred to as the Releases) and to related activities. TO RELEASE THE RELEASES UNIVERSITY from any and all liability of any nature whatsoever including, without limitation, breach of contract, or breach of any statutory duty or other duty of care and for any loss, damage, injury or expense of any nature whatsoever that I may suffer or injury including death incur, or that my child next of kin may suffer or incur as a result of their participation in the Crown Xxxx Mentorship Program activities, due to any cause whatsoever, including NEGLIGENCE, BREACH OF CONTRACT, BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT ON THE PART OF THE RELEASEES AND FURTHER, INCLUDING FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD AND PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES REFERRED TO ABOVE. I agree to hold harmless and to indemnify the Releases from any and all liability for any property damage or personal injury to any third party resulting from my participation in the Crown Xxxx Mentorship Program activitiesActivities; provided always however such release shall not apply to any loss, damage, injury or expense that I may suffer or incur as a result of the negligence or willful misconduct of the University. TO: be liable to the University for; and indemnify and hold harmless the University, its agents, advisors, volunteers, directors and employees from and against any and all liabilities, claims, suits or actions, costs, damages and expenses (and without limiting the generality of the foregoing, any losses, costs, damages and expenses of the University, including costs as between a solicitor and his own client) which may be brought or made against the University or which the University may pay or incur as a result of or in connection with: my participation in the Activities where any loss or damage of any nature is caused by my negligence or willful misconduct or any other cause except for the negligence or willful misconduct of the University. This indemnity shall survive the expiry or earlier termination of this Agreement. Initials:_________________ PRIVACY STATEMENT: The information gathered on this form is collected under the authority of the McMaster University Act, 1976. Personal information is gathered, used and disclosed in accordance with the McMaster University privacy policy and applicable legislation, including the Freedom of Information and Protection of Privacy Act (Ontario) (“FIPPA”). The information gathered will be used for the purposes of administering University programs, for statistical purposes and for other related purposes. Personal information provided on this form will not be used for any related purpose without prior consent. Please further note that certain data may be stored on an off-site server and potentially in a jurisdiction outside Ontario. I acknowledge that I have read, understood and agree with this Participant Waiver Agreement; that this agreement shall be binding upon I appreciate and accept the Risks; that I am waiving certain legal rights which I or my heirs, next of kin, executors, administrators and assigns in legal representatives may have against the event University; and that I have executed this Agreement voluntarily. SIGNED THIS _________ day of my death______________________________, 20____, at _____________________________________, ________________________________. I agree that this agreement shall be governed and interpreted in accordance with the laws Signature of the Province Participating Employee/Student Printed Name of Ontario and any litigation involving the parties to this agreement shall be brought in Ontario. In entering into this agreement I am not relying on any oral Participating Employee/Student Signature of Parent or written representation Legal Guardian for Minor Printed Name of Parent or statements made by the Releases with respect to the safety Legal Guardian of the Crown Xxxx Mentorship Program other than as set forth in this agreement. PARTICIPANT NAME: (PLEASE PRINT) PARTICIPANT SIGNATURE: GUARDIAN NAME: (PLEASE PRINT) GUARDIAN SIGNATURE: CAS WORKER NAME: (PLEASE PRINT) CAS WORKER SIGNATURE:Minor Signature of Witness Printed Name of Witness

Appears in 1 contract

Samples: Participant Waiver Agreement

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT. In consideration of Nipissing University agreeing to allow participation the Releasees accepting my registration for Participation in the Crown Xxxx Mentorship Program Recreational Pickleball Play and permitting his or her my use of its facilities, the facilities and for other good and valuable consideration, premises provided by the receipt and sufficiency of which is acknowledgedReleasees (hereinafter “the premises”), I hereby agree as follows: To WAIVE ANY AND ALL CLAIMS waive any and all claims that I have or may have in the future have against Nipissing Universitythe releasees, its Directors, officers, employees, agents, instructors, independent contractors, subcontractors and representatives (all of whom are herein referred to as the Releases) and to RELEASE THE RELEASES release the releasees from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my child next of kin may suffer suffer, as a result of their my participation in the Crown Xxxx Mentorship Program activitiessport of pickleball including, but not limited to, my use of the premises due to any cause whatsoever, including NEGLIGENCEnegligence, BREACH OF CONTRACTbreach of contract, BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT ON THE PART OF THE RELEASEES AND FURTHERor breach of any statutory or other duty of care, INCLUDING FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD AND PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES REFERRED TO ABOVEincluding any duty of care owed under any provincial occupiers’ liability legislation on the part of the releasees. I agree understand that negligence includes the failure on part of the releasees to take reasonable steps to safeguard or protect me from the risks, dangers and hazards referred to above. To hold harmless and to indemnify the Releases releasees from any and all liability for any damage to property damage of or personal injury to any third party party, resulting from my participation in use of or presence on the Crown Xxxx Mentorship Program activities. I agree that this agreement premises; This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators administrators, assigns and assigns representatives, in the event of my death. I agree that death or incapacity; This Release Agreement and any rights, duties and obligations as between the parties to this agreement Release Agreement shall be governed by and interpreted solely in accordance with the laws of the Province of Ontario and any Ontario. Any litigation involving the parties to this agreement Release Agreement shall be brought solely within the Province of Ontario and shall be within the exclusive jurisdiction of the Courts of the Province Ontario. In consideration of being allowed to participate in OntarioKingston Pickleball Club (KPC) related events and activities, I the undersigned give permission for KPC to use or distribute, without limitation or obligation, any record of the events which may include my voice or image and authorization to contact me via email and other social media to keep informed on pickleball information, news, tournaments, sales, etc. I further agree to play under the guidelines and rules of the International Federation of Pickleball and adhere to policies and the code of conduct set out by the KPC Constitution. In entering into this agreement Release agreement, I am not relying on upon any oral or written representation representations or statements made by the Releases Releasees with respect to the safety of the Crown Xxxx Mentorship Program pickleball other than as what is set forth in this agreementAgreement. PARTICIPANT NAME: (PLEASE PRINT) PARTICIPANT SIGNATURE: GUARDIAN NAME: (PLEASE PRINT) GUARDIAN SIGNATURE: CAS WORKER NAME: (PLEASE PRINT) CAS WORKER SIGNATURE:I have read and understand this release agreement and I am aware that by agreeing I am waiving certain legal rights which I or my heirs, next of kin, executors, administrators, assigns and representatives may have against the releasees. Printed Name Signature Date

Appears in 1 contract

Samples: files.trackie.com

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT. In consideration of Nipissing University the Operators agreeing to allow my participation in the Crown Xxxx Mentorship Program paddling activities, and permitting his or her my use of its their equipment and facilities, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows: To 1. TO WAIVE ANY AND ALL CLAIMS that I have or may have in the future have against Nipissing University, its Directors, officers, employees, agents, instructors, independent contractors, subcontractors and representatives (all of whom are herein referred to as the Releases) and to THE OPERATOR AND TO RELEASE THE RELEASES OPERATOR from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my child next of kin may suffer as a result of their my participation in the Crown Xxxx Mentorship Program activitiespaddling activities DUE TO ANY CAUSE WHATSOEVER, due to any cause whatsoever, including INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS OCCUPIERS’ LIABILITY ACT ACT, R.S.B.C. 1996, c. 337, ON THE PART OF THE RELEASEES OPERATOR, AND FURTHER, FURTHER INCLUDING THE FAILURE ON THE PART OF THE RELEASEES OPERATOR TO SAFEGUARD AND OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE PADDLING ACTIVITIES REFERRED TO ABOVE; 2. I agree to hold harmless and to indemnify the Releases TO HOLD HARMLESS AND INDEMNIFY THE OPERATOR from any and all liability for any property damage or personal injury to any third party resulting from my participation in paddling activities; 3. To familiarize myself with all rules, regulations and protocol pertaining to the Crown Xxxx Mentorship Program activitiesuse of all Operator equipment and assets; 4. I agree that this agreement This Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators and assigns representatives, in the event of my deathdeath or incapacity; 5. I agree that this agreement This Agreement shall be governed by and interpreted in accordance with the laws of the Province of Ontario and any British Columbia, depending upon location of activity 6. Any litigation involving the parties to this agreement Agreement shall be brought in Ontario. In entering into this agreement I am not relying on any oral or written representation or statements made by within the Releases with respect to the safety Province of the Crown Xxxx Mentorship Program other than as set forth in this agreement. PARTICIPANT NAME: (PLEASE PRINT) PARTICIPANT SIGNATURE: GUARDIAN NAME: (PLEASE PRINT) GUARDIAN SIGNATURE: CAS WORKER NAME: (PLEASE PRINT) CAS WORKER SIGNATURE:British Columbia.

Appears in 1 contract

Samples: dragonboatbc.ca

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT. In consideration of Nipissing University agreeing to allow participation the Releasees accepting my registration for Participation in the Crown Xxxx Mentorship Program Chilliwack Pickleball Club Mayday Mayhem tournament and permitting his or her my use of its facilities, the facilities and for other good and valuable consideration, premises provided by the receipt and sufficiency of which is acknowledgedReleasees (hereinafter “the premises”), I hereby agree as follows: To WAIVE ANY AND ALL CLAIMS waive any and all claims that I have or may have in the future have against Nipissing Universitythe releasees, its Directors, officers, employees, agents, instructors, independent contractors, subcontractors and representatives (all of whom are herein referred to as the Releases) and to RELEASE THE RELEASES release the releasees from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my child next of kin may suffer suffer, as a result of their my participation in the Crown Xxxx Mentorship Program activitiessport of pickleball including, but not limited to, my use of the premises due to any cause whatsoever, including NEGLIGENCEnegligence, BREACH OF CONTRACTbreach of contract, BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT ON THE PART OF THE RELEASEES AND FURTHERor breach of any statutory or other duty of care, INCLUDING FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD AND PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF THE ACTIVITIES REFERRED TO ABOVEincluding any duty of care owed under any provincial occupiers’ liability legislation on the part of the releasees. I agree understand that negligence includes the failure on part of the releasees to take reasonable steps to safeguard or protect me from the risks, dangers and hazards referred to above. • To hold harmless and to indemnify the Releases releasees from any and all liability for any damage to property damage of or personal injury to any third party party, resulting from my participation in use of or presence on the Crown Xxxx Mentorship Program activities. I agree that this agreement premises; • This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators administrators, assigns and assigns representatives, in the event of my death. I agree that death or incapacity; • This Release Agreement and any rights, duties and obligations as between the parties to this agreement Release Agreement shall be governed by and interpreted solely in accordance with the laws of the Province of Ontario and any British Columbia. • Any litigation involving the parties to this agreement Release Agreement shall be brought in Ontario. solely within the Province of British Columbia and shall be within the exclusive jurisdiction of the Courts of the Province of British Columbia In entering into this agreement Release agreement, I am not relying on upon any oral or written representation representations or statements made by the Releases Releasees with respect to the safety of the Crown Xxxx Mentorship Program pickleball other than as what is set forth in this agreementAgreement. PARTICIPANT NAME: (PLEASE PRINT) PARTICIPANT SIGNATURE: GUARDIAN NAME: (PLEASE PRINT) GUARDIAN SIGNATURE: CAS WORKER NAME: (PLEASE PRINT) CAS WORKER SIGNATURE:I have read and understand this release agreement and I am aware that by agreeing I am waiving certain legal rights which I or my heirs, next of kin, executors, administrators, assigns and representatives may have against the releasees. By signing this waiver I acknowledge the Chilliwack Pickleball Club may take photographs and video of the event and post same on their website and/or Facebook page.

Appears in 1 contract

Samples: files.trackie.com

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