Consent, Assumption of Risks & Indemnity Form
Release of Liability, Waiver of Claims and Assumption of Risks and Indemnity Agreement
Contract Holder Stonebridge Community Association
Please Read Carefully Before Signing
By signing this document you will be assuming injury and certain legal risks. You must acknowledge having read, understood and agree to the conditions contained in this Agreement.
Physical Fitness Programs are designed predominantly for healthy individuals. If you have been inactive, have health or medical concerns, or if you answered YES to any questions on a PAR-Q form, you are advised to consult with your physician prior to becoming involved. Participation in sport, general fitness and physical activity programs involves a risk of normal injuries. An individual’s participation will be deemed to indicate acceptance of such risks. Therefore, the Contract Holder Stonebridge Community Association accepts no responsibility for such normal activity related risks. The Contract Holder representatives do not have medical training. If you answered YES to any questions on a PAR-Q form, talk to your doctor.
- I agree to abide by the rules and regulations of the Contract Holder identified and agree to use the facility and equipment in a manner consistent with its intended use and application.
- I understand and agree that my participation in any physical fitness program is not a requirement of the Contract Holder is strictly voluntary. I further agree that in the event of personal injury or property loss, as a result of my participation in a physical fitness program, I hereby release, waive and discharge the Contract Holder and the City of Ottawa from all liability to me, my heirs, executors and administrators. I accept full responsibility for my actions and obligations and I will not hold the Contract Holder and the City of Ottawa, its employees, volunteers, contractors, agents and instructors liable.
- I am aware of the nature and effect of the Release of Liability, Waiver of Claims and Assumption of Risks and Indemnity Agreement that I am signing. I am executing this release and waiver of liability agreement freely and without any compulsion on the part of the Contract Holder, I acknowledge to having read this entire agreement prior to having signed it.
By signing this document, I/my child understand, my child will be assuming injury and certain legal risks. You-and your child must acknowledge having read, understood and agreed to the conditions contained in this Agreement
My child(ren) (All Named in Step 2 of this form) a minor pursuant to the Age of Majority and Accountability Act, has my permission to participate in the physical fitness program.