658 Erb Street West
P.O. Box 33002
Waterloo, Ontario
N2T 0A2
S
W
& R
L
TUDENT
AIVER
ELEASE OF
IABILITY
This is a Release of Liability, Waiver of All Possible Claims and Assumption of Risks, made by me, the
undersigned Releasor, on my own behalf, or on behalf of my child (if Releaser is under 18 years of age),
to Tutoring Beyond Borders for participating in tutoring sessions (either in-person or online) offered by
this organization. I hereby agree as follows:
To waive any and all claims that I have or may, in the future, have against Tutoring Beyond
•
Borders, its directors, officers, members, tutors, and representatives (all of whom are
hereinafter collectively referred to as the Releasees)
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 this tutoring
program, due to any cause whatsoever, including negligence
All decisions made by me are my own, and the Releasees will not be responsible for any
•
consequences arising from these decisions
To hold harmless and indemnify the Releasees from any and all liability for any consequences
•
that may result from my reliance on information given through the tutoring service (any
reliance I place on such information is therefore at my own risk)
This agreement shall be binding upon my heirs, next of kin, executors, administrators, assigns,
•
and representatives.
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 freely accept and fully assume all risks, dangers, and hazards and the possibility of personal
•
injury, death, property damage or loss, resulting from my participation in this tutoring program.
•
I agree to abide by the tutoring program policies listed on the website of Tutoring Beyond
Borders. I understand that program policies are subject to change at Tutoring Beyond Borders'
discretion, and I understand that if I do not abide by these policies, this may result in the
disqualification and removal of my participation in the tutoring program.
I HAVE READ AND UNDERSTAND THIS WAIVER AND RELEASE, AND I AM AWARE THAT BY SIGNING THE
SAME I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS,
ADMINISTRATORS, AND ASSIGNS MAY HAVE AGAINST THE RELEASEES.
I, THE UNDERSIGNED, HEREBY ACKNOWLEDGE THAT I HAVE BEEN ADVISED TO SEEK INDEPENDENT LEGAL
ADVICE RELATIVE TO THE REVIEW AND EXECUTION OF THE WAIVER AND RELEASE OF LIABILITIES.
NOTWITHSTANDING THIS ADVICE, I HEREBY WAIVE THAT RIGHT TO SUCH INDEPENDENT LEGAL ADVICE
AND THE WAIVER AND RELEASE WITHOUT SEEKING SUCH ADVICE.
SIGNED THIS __________ DAY OF ____________________________, 20___________
_____________________________________
_____________________________________
Student’s (Releasor’s) Name (Print)
Student’s (Releasor’s) Signature
_____________________________________
_____________________________________
Parent/Legal Guardian Name (Print)
Parent/Legal Guardian Signature
(If Student is a Minor)
(If Student is a Minor)