Waiver - Athletics Camps and Events
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
CONCORDIA UNIVERSITY OF EDMONTON
DEPARTMENT OF ATHLETICS & RECREATION  
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Participant Information 
Name (Last, First) *
Address (Street, City, Province and Postal Code) *
Phone Number  *
Email Address *
Emergency Contact (Name) *
Emergency Contact (Phone Number) *
Birth Date *
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TERMS AND CONDITIONS
This Release Agreement applies to the use of all facilities, premises and equipment and participation in all activities, programs, camps, services or events mentioned in Concordia University of Edmonton (“CUE”) publications, Department of Athletics and Recreation Website and Social Media platforms, or any/all related advertising, including all participation in for credit/non-credit activity classes, sport clubs, sporting events, practice sessions or social activities and all other related activities (all of which are hereinafter collectively referred to as the “Programs”).   
DISCLAIMER
The Board of Governors of CUE, its officers, directors, agents, contractors, employees, coaches, instructors, trainers, volunteers, students, members and representatives, (all hereafter collectively referred to as the “University” or the “Released Parties”), are not responsible for any injury, loss or damage of any kind sustained by any person while registered and/or participating in any and all Programs; including personal injuries, losses, expenses or damages which might be caused by the negligence of the University.
Initials (Disclaimer) *
ASSUMPTION OF RISK
In consideration of participation in any and all Programs, I acknowledge that I am aware of, and freely accept all risks, dangers and hazards associated with being a participant in the Programs, including the risk of severe or fatal injury to myself or others. These risks include, but are not limited to: 
a) all manner of injuries resulting in muscular and soft tissue damage including bruises, scrapes and cuts, that arise from executing strenuous and demanding physical techniques, contact with other participants and failure in proper use of equipment either by myself and/or other participants; 
b) all manner of injuries resulting in sprains, dislocations, concussions, broken bones, heart attack, stroke, spinal injury and/or tendonitis; 
c) all manner of head, facial, eye and/or dental injuries; 1 
d) all manner of medical problems resulting from heat exhaustion, dehydration, asthma, communicable diseases, skin rashes, cramps, chemical poisoning, and/or lack of fitness or conditioning as well as any medical problem or injury resulting from exposure to weather conditions, allergens, noxious gases, electrocution, or drowning; 
e) risks that are associated with increased fatigue due to participation; 
f) all manner of injures and/or death that could result from a physical confrontation whether caused by myself or someone else; 
g) all manner of injuries and/or death that may result from collision with other participants whether in water, on foot, on bikes, or within motor vehicles and/or buses; 
h) all manner of injuries and/or death that may result from any equipment deployed in the Programs including, without limitation, loss or injury arising from the use, misuse, malfunction or breakdown of any equipment; 
i) all manner of injuries and/or death that may result to myself or anyone from exposure to Covid-19, as set out in the below Covid-19 Acknowledgement; and 
j) Negligence on the part of the University, including the failure by the University to safeguard or protect me from the risks referred to above or any other risk arising from the Programs. 
I am aware that the physical exertion required to participate in the Programs and the forces exerted on the body can activate or aggravate pre-existing physical injuries, conditions, symptoms or congenital defects. I have no reason to believe that my physical condition may be incompatible with such activities. I also acknowledge that should I suffer personal injury while participating in the Programs that Worker’s Compensation coverage will not apply.
Initials (Assumption of Risk) *
COVID-19 ACKNOWLEDGEMENT
I acknowledge that an inherent risk of exposure to the disease Covid-19 (as defined by the World Health Organization and any strains, variants or mutations thereof) and SARS-CoV-2 (the virus that can cause Covid-19) (collectively, Covid-19), and any other communicable or infectious disease, exists in any public place where people are present. “Communicable disease” means any disease or illness caused by micro-organisms such as bacteria, viruses, parasites or fungi that can be spread, directly or indirectly, from one person to another. “Infectious disease” means any disease or illness caused by microorganisms such as bacteria, viruses, parasites or fungi that enter the body, multiply and can cause an infection. Covid-19 is an extremely contagious communicable disease that can lead to severe illness and death. No precautions can eliminate the risk of exposure to Covid-19, and the risk of exposure applies to everyone. According to the United States of America Centers for Disease Control and Prevention (“CDC”), older adults (people 65 years and older) and people of any age that have underlying medical conditions might be at higher risk for severe illness and death from Covid-19. I acknowledge that the risk of exposure to Covid-19 and any other communicable or infectious disease includes the risk that I will expose other that I later encounter, even if I am not displaying any symptoms of the illness myself. By participating in CUE Athletics activities, I agree to voluntarily assume any and all risks in any way related to exposure to Covid-19 and any other infectious or communicable disease, including illness, injury or death of myself or others, and including without limitation, all risks based on the sole, joint, active or passive negligence of any of the Released Parties. I acknowledge that my participation in CUE Department of Athletics and Recreation activities, programs, camps, services, or events is entirely voluntary.   
RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INTEMNITY
In consideration of the University allowing me to participate in the Programs, I agree:

1) TO WAIVE ALL RIGHTS FOR MYSELF, MY HEIRS, SUCCESSORS, EXECUTORS, ADMINISTRATORS AND ASSIGNS, AND RELEASE THE UNIVERSITY FROM ALL CLAIMS PRESENT AND FUTURE AGAINST THE UNIVERSITY, WITHOUT LIMITATION FROM ANY AND ALL PERSONAL INJURIES INCLUDING DEATH, LOSSES, EXPENSES AND DAMAGES SUFFERED BY ME AS A RESULT OF ANY ASPECT OF MY REGISTRATION OR PARTICIPATION IN THE PROGRAMS DUE TO ANY CAUSE WHATSOEVER, INCLUDING COVID-19 EXPOSURE, NEGLIGENCE,BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, AS WELL AS ANYDUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT (ALBERTA), ON THE PART OF THE UNIVERSITY; 

2) TO HOLD HARMLESS AND INDEMNIFY THE UNIVERSITY: 
           a) from any and all liability for any loss or damage to the personal property of, or personal injury to, any third party resulting from my participation in the Programs; 
           b) from any and all claims, demands, actions and costs which might arise out of my participating in the Programs, even though such claims, demands, actions and costs may have been caused by the negligence of the University.
Initials (Release of Liability) *
GOVERNING LAW
CUE is a university pursuant to the laws of Alberta. This release agreement shall be governed and interpreted in accordance with the laws of Alberta. 

The personal information requested on this form is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act, R.S.A. 2000, C F-25 for the purpose of implementing this waiver. Questions concerning the collection, use or disposal of this information should be directed to: judy.kruse@concordia.ab.ca.   
ACKNOWLEDGEMENT
 I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD THIS RELEASE AGREEMENT before signing it, that I have executed this Release Agreement voluntarily, and that this Release Agreement is to be binding upon myself, my heirs, executors, administrators and representatives.   
IN WITNESS WHEREOF the participant (or legal parent or guardian in the case where the participant has not yet reached the age of majority in Alberta) have affixed their signatures under hand and seal on this
DATE *
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Participant (or parent/legal guardian) Name (First and Last) *
Witness Name (First and Last) *
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