Volunteer Sign-Up
Sign in to Google to save your progress. Learn more
Email *
Please read carefully
THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS.  PLEASE READ IT CAREFULLY

As a Participant in the programming, events and activities run by the Caledon Bike Hub and Brampton Bike Hub including but not limited to: Pop-up BikeWrx events, Skill rides, Obstacle courses, bike lending, and pedalwise mentorship, from June 1, 2021 until June 1st 2022, including I agree, acknowledge and understand that while health and safety of the Participants and staff are always the first priority for PCHS (Punjabi Community Health Services), Bike Brampton, Canada Bikes, The Regional Municipality of Peel, and The Corporation of the City of Brampton (‘the Organizers’), activities such as these Events are not totally without risk.

ASSUMPTION OF RISK
I agree, acknowledge and understand that participation in Brampton Bike Hub’s Pedalwise and BikeWrx events (‘the Events’) may bring the possibility of injury; I agree to assume the risk of injury or harm as a Participant in the Events and agree that my participation is at my own discretion or judgement based on my experience, training and competency level;

WAIVER, RELEASE OF LIABILITY AND INDEMNITY
I agree to release the Organizers, their directors, officers, appointed and elected officials, employees, agents, servants, contractors, sanctioning bodies and all persons for whom they are responsible at law from all liability, whether direct or indirect, and waive all claims, demands, damages, costs, expenses, actions or causes of actions arising out of or in consequence of any death, injury, loss or damage to my person or property or that of my child or ward, however caused, while participating in the Events; including but not limited to, breach of the Occupier’s Liability Act;

MEDICAL TREATMENT
I consent (if unable to provide it or deny it myself) as the Participant or for my child or ward in the event of injury or illness while participating to receive first aid and/or any further medical attention that potentially may be determined or deemed necessary by, and at the discretion of the Organizers, emergency medical services or licensed medical professionals, and agree to pay for all expenses incurred by the Organizers in the provision of such medical care;

PHOTOGRAPHIC RELEASE
I agree to grant permission for images of the Participant or my child or ward captured during the Events through video, photo and digital camera, to be used solely for the purposes of the Organizers’ promotional material and publications, and do hereby waive any rights of compensation or ownership;

I am 18+ years old, or I am the parent or legal guardian of the partcipant. I have read and understand the WAIVER AND RELEASE OF LIABILITY AGREEMENT by indicating yes.  I am executing this waiver and release of liability agreement freely and without any compulsion on the part of the Organizers.


I have read, understood, and agree to the above conditions, waiver, and release. *
Please select your age *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy