Note: All references herein to the “Community Centre” include the Community Centre, the City of Vancouver and its Board of Parks and
Recreation, any society or association involved in the operation of and/or provision of programs or services at the Community Centre and
all of their respective officials, directors, officers, employees, volunteers and agents. Anyone under 19 years of age - infant, child or youth -
is defined as 'Child' in legal terms.
NOTICE TO PARENT/GUARDIAN
It is a condition to the Child's participation in the Activity that you, the undersigned Parent/Guardian of the Child, must carefully read and
understand this document and sign it to acknowledge that you have read and understand it and that you understand that the Child's
participation in the activity will expose the Child to risks of harm and that you accept full responsibility for exposing the Child to such risks.
PARENT/GUARDIAN RESPONSIBILITY FOR CHILD
I, the undersigned Parent/Guardian of the Child, understand and accept that, respect the Child's participation in the Activity, it is my
responsibility (1) to ensure that I consider and understand the risks, dangers, hazards and consequences of injury inherent in the Activity,
(2) to determine, taking into consideration those risks and the Child's behavioural characteristics, physical health and abilities, whether the
Child should be allowed to participate in the Activity, (3) to ensure that the Child is appropriately covered by medical insurance for any
harm occurring in the Activity, and (4) to provide emergency medical information regarding the Child as required in this document.
AWARE OF RISKS
I AM AWARE OF AND NOW FREELY ACCEPT AND ASSUME RESPONSIBILITY FOR ALL RISKS TO THE CHILD IN CONNECTION WITH PARTICIPATION IN THE ACTIVITY, INCLUDING AS FOLLOWS:
(1) the Child's participation in the Activity, even if the Child possesses behavioural characteristics, physical health and abilities appropriate for the Activity, poses risks of harm to the Child;
(2) the nature of the Activity is such that the Community Centre cannot identify all risks associated with the Activity and cannot guarantee that Community Centre staff participating in the Activity will not make errors therein or that other children participating in the activities will not cause injuries therein others that staff can or might be able to prevent.
I, THE UNDERSIGNED PARENT/GUARDIAN, AM THE PARENT AND/OR LEGAL GUARDIAN OF THE CHILD AND I HEREBY CONSENT TO PARTICIPATE IN IN THE ACTIVITY, AND, IN RETURN FOR THE COMMUNITY CENTRE ALLOWING THE CHILD TO PARTICIPATE IN
THE ACTIVITY:
1) I NOW WAIVE ALL LEGAL RIGHTS TO SUE AND ANY AND ALL CLAIMS which I or my successors and assigns may have against
the Community Centre in connection with any loss, injury, damage or expense that I may suffer, incur or experience in connection with
the Child's participation in the Activity; and
2) I HEREBY RELEASE the Community Centre from any and all liability for any complaints, demands, claims, actions, suits, judgements and orders for, or with respect to, any and all losses, injuries, damage or expenses i may suffer, incur, or experience in connection with the Child`s participation in the Activity; and
3) I AGREE TO INDEMNIFY the Community Centre for, and hold it harmless from, any and all losses, injuries, damages and expenses of judgments and order against it with respect to any and all losses, injuries, damages or expenses of any kind anyone else may suffer, incur or experience to the extent they or any of them may arise from, or in connection with my conduct or the Child`s conduct in, or with respect to their participation in the Activity.
EMERGENCY INFORMATION AND MEDICAL CONSENT
I hereby authorize the Community Centre, in the event of an apprehended emergency, to administer first aid to the Child and transport or arrange emergency transportation of the Child to a medical facility for medical treatment.
PICK-UP PERMISSION
I understand that it is my responsibility to pick-up or to make suitable arrangements for the pick-up of the Child, immediately
on completion of the Activity, and to communicate clearly and effectively to Community Centre Staff, prior to commencement of the
Activity, any special instructions regarding the pick-up of the Child on completion of the Activity.
In signing this document and permitting the Child to participate in the Activity, I do not rely upon any oral or written statements,
promises or other communications made by the Community Centre other than that set out in this document. This document will be
exclusively governed by and interpreted in accordance with the laws of British Columbia and no court outside British Columbia will
have any jurisdiction over this Consent, the Activity, or any of the matters arising from them.
I HAVE READ AND I UNDERSTAND THIS DOCUMENT
PARENT/LEGAL GUARDIAN
PARTICIPANT CHILD/YOUTH
