Type d’adhésion
Renonciations
Lakehead Facility Waiver
ASSUMPTION OF RISKS
I am aware that participation in Lakehead Athletics Programs involves various risks, dangers and hazards, including but not limited to: The risk of serious injury or death, abrasions, bruises, and cuts to skin and/or flesh, and injuries, including fractures and dislocations, to bones, muscles, ligaments, tendons, joints, nerves, eyes, ears, teeth and internal organs, as well as
concussions and/or paralysis caused by injury to the spinal cord or brain resulting from, including but not limited to: stress on
the body due to running, jumping, sudden starting or stopping; slips, falls, wrenching motions, and collisions in consequence of error or equipment failure. Equipment includes, without limitation, field and track, portable nets and goal posts, divider net, cardio machines, free weights, and other fitness equipment; reckless behavior of myself and/or others associated with the facility; and negligence on the part of the Releasees.
This includes failure by the Releasees to take reasonable steps to safeguard or protect my child from injury or from the risks, dangers and hazards of participation in Lakehead Athletics Programs. Many of the Lakehead Athletics Programs are unsupervised. I understand that it is my responsibility to learn about and understand the risks, dangers and hazards or participating in Lakehead Athletics Programs and that I may contact a Lakehead University Athletics Manager or Coordinator if I require more information on this.
I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS INCLUDING THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM.
RELEASE OF LIABILITY AND WAIVER OF CLAIMS
In consideration of the Releasees permitting my participation in Lakehead Athletics Programs, I hereby agree as follows:
- TOWAIVEANYANDALLCLAIMSthatIhaveormayinthefuturehaveagainsttheReleaseesarisingoutofanyaspectofmyparticipation in Lakehead Athletics Programs and TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury including death that I may suffer or that my next of kin my suffer during my participation in Lakehead Athletics Programs, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, AS WELL AS ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT, ON THE PART OF THE RELEASEES, AND ALSO INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISTKS, DANGERS AND HAZARDS REFERRED TO ABOVE;
- TOHOLDHARMLESSANDINDEMNIFYTHERELEASEESfromanyandallliabilityforanydamagetopropertyoforpersonalinjurytoany third party, resulting from my participation in Lakehead Athletics Programs;
- ThisReleaseAgreementshallbeeffectiveandbindinguponmyheirs,nextofkin,executors,administrators,assignsandrepresentatives, in the event of my death or incapacity;
- ThisReleaseAgreementandanyrights,dutiesandobligationsasbetweenthepartiestothisReleaseAgreementshallbegovernedbyand interpreted solely in accordance with the laws of the Province of Ontario and no other jurisdiction; and
- AnylitigationinvolvingthepartiestothisReleaseAgreementshallbebroughtsolelywithintheProvinceofOntarioandshallbewithinthe exclusive jurisdiction of the Courts of the Province of Ontario.
In entering into this Release Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of Lakehead Athletics Programs, other than what is set forth in this Release Agreement.
I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS RELEASE AGREEMENT PRIOR TO SIGNING IT, 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. I EXECUTE THIS AGREEMENT VOLUNTARILY.
Signed this _________ day of __________________________________, 20_____ Signature of Participant Signature of Witness Print Name Print Name
Lakehead Track & Field Waiver
I agree that I am a member of Lakehead Track & Field/Cross-Country U14/U16/U18/U20 program, and I know that participating in and volunteering for organized group practices, social events, and competitions with this club are potentially hazardous activities, which could cause injury or death. I will not participate in any club organized events, group training runs or social events, unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform all activities associated with the club and am in good health, and I am properly trained. I agree to abide by all rules established by the club, including the right of any official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with being a member of this club and participating in club activities which may include: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me.
Having read this waiver and knowing these facts and inconsideration of your accepting my membership, I, for myself and anyone entitled to act on my behalf, waive and release the Lakehead Running Club (Track & Field/Cross-Country), it’s coaches and directors, all club sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation with the club, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.
I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record for any legitimate promotional purposes for the club.
Name (Please Print):_________________________________________________________ Signature:______________________________________________ Date:__________________________________________________
Parent’s Name (Please Print):__________________________________________
Parent’s Signature if under 18 years:_______________________________________________ Date:______________________________________________________