Parental Release And Waiver Of Liability - Hamilton-Wentworth District School Board
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1
2PARENTAL CONSENT FORM
PARENTAL RELEASE AND WAIVER OF LIABILITY
As per Board Policy
Pursuant to Board Policy, this Form must be completed by all parents or legal guardians of minor children less than 18
years of age.
I,
in signing this document, confirm the following:
{name of parent or legal guardian}
•
I am the parent or legal guardian of the minor child identified below (the “Participant”);
•
It is my decision to allow the Participant to participate in the
{name of activity}
being provided by the Hamilton-Wentworth District School Board from
{date}
to
(the “Activity”);
{date}
•
As a parent or legal guardian, I am freely assuming all risks (including physical and legal risks), dangers and hazards
on behalf of the Participant associated with participation in the Activity.
I acknowledge and agree that in exchange for the and as a condition to the Participant’s participation in the Activity, I
accept all liability for any loss of or damage to property caused by or contributed to by the Participant.
I further acknowledge that:
•
I am aware that the Participant’s participation in the activity may be hazardous and could result in damage or
injury;
•
The Participant is in satisfactory physical and mental condition to safely participate in the Activity;
•
The Participant has appropriate health and medical insurance in the event of injury;
•
I am giving up the legal right to sue for any damages that may arise as a result of the Participant’s participation in
the Activity except in the case of gross negligence by the Hamilton-Wentworth District School Board;
•
The Participant does not suffer from any mental or physical condition that could have the effect of putting the
Participant, or any other participant or the Hamilton-Wentworth District School Board at risk by virtue of the
Participant’s participation in the Activity.
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