Informed Consent & Waiver of Claims
PLEASE READ CAREFULLY
ASSUMPTION OF RISK
I am aware that participating in the activity of Brock Cares Day of Service Saturday September 21, 2013 has many inherent risks, including but not limited to:
- theft, vandalism or loss of personal property;
- any manner of injury resulting from use, misuse, non-use and failure of any equipment;
Specific Event Risks:
- the possibility of being left without transportation if I choose not to show up at the bus at the specified time and location;
I freely accept and fully assume all such risks, dangers and hazards and the possibility of personal injury, death, property damage or loss, resulting therefrom.
RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
In consideration of The Board of Trustees of Brock University allowing my participation in the activity of Brock Cares Day of Service, I agree as follows:
1. TO WAIVE ANY AND ALL CLAIMS that I have or may have in the future against The Board of Trustees of Brock University, and its members, officers, employees, students, agents, volunteers and independent contractors (all of whom are hereinafter collectively referred to as "the Releasees");
2. TO RELEASE THE RELEASEES from any and all liability for any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer as a result of my participation in Brock Cares Day of Service due to any cause whatsoever INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS' LIABILITY ACT, RS 1990 c. 0-2 AS AMENDED ON THE PART OF THE RELEASEES.
3. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to the property of, or personal injury to, any third party, resulting from my participation in Brock Cares Day of Service; and
4. This agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns 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 Releasees other than what is set forth in this Agreement.
I HAVE READ AND UNDERSTOOD THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE, WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEES.