INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT - under 19 yrs old
Dieppe Gold Blades FSC
- To be executed by parents/guardians of Participants who are younger than 19 years old

WARNING! Please read carefully! By signing this document, you will assume certain risks and responsibilities
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Participant's name *
Parent or legal guardian's name *
Participant's date of birth *
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Email *
Phone number *
Disclaimer
1. This is a binding legal agreement. Clarify any questions or concerns before signing. Prior to participating, an individual who is younger than the age of majority and who wants to participate in the sport of figure skating and the activities, programs, classes and services provided by, and/or in the events sponsored or organized by Skate Canada, Skate Canada New Brunswick, all regions of Skate Canada New Brunswick and the Dieppe Gold Blades FSC which may include but is not limited to: competitions, practices, training, personal or strength training, dry land training, training using machines or weights, nutritional and dietary programs, orientational or instructional sessions or lessons, and aerobic and anaerobic conditioning programs (collectively the “Activities”) must have their legal parent/guardian (“the Parties”) acknowledge and agree to the terms outlined in this agreement.

2. The undersigned acknowledges and agrees that they are a parent/guardian of the Participant and have full legal responsibility for the decisions of the Participant.

3. Skate Canada, Skate Canada New Brunswick, all regions of Skate Canada New Brunswick and the Dieppe Gold Blades FSC and their respective Directors, Officers, committee members, members, employees, coaches, volunteers, officials, participants, agents, sponsors, owners/operators of the facilities in which the Activities take place, and representatives (collectively the “Organization”) are not responsible for any injury, property damage, death, expense, loss of income, damage or loss of any kind suffered by the Participant during, or as a result of, the Activities.

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Description and Acknowledgement of Risks
4. The Parties understand and acknowledge that:
a) The Activities have foreseeable and unforeseeable inherent risks, hazards and dangers that no
amount of care, caution or expertise can eliminate, including without limitation, the potential
for serious bodily injury, permanent disability, paralysis and loss of life
b) The Organization may offer or promote online programming (such as webinars, remote
conferences, workshops, and online training) which have different foreseeable and
unforeseeable risks than in-person programming
c) The Organization has a difficult task to ensure safety and it is not infallible. The Organization may
be unaware of the Participant’s fitness or abilities, may give incomplete warnings or instructions,
may misjudge conditions, and the equipment being used might malfunction
d) (COVID-19) The COVID-19 disease has been declared a worldwide pandemic by the World
Health Organization and COVID-19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19; however, the Organization cannot guarantee that the Participant will not become infected with COVID-19. Further, participating in the Activities could increase the Participant’s risk of contracting COVID-19

5. The Participant is participating voluntarily in the Activities. In consideration of that participation, the Parties hereby acknowledge that they are aware of the risks, dangers and hazards and may be exposed to such risks, dangers and hazards. The Parties understand that the Organization may fail to safeguard or protect the Participant from the risks, dangers and hazards of the Activities, some of which are listed below. The risks, dangers and hazards include, but are not limited to:
a) Health:executing strenuous and demanding physical techniques; physical exertion; overexertion; stretching; dehydration; fatigue; cardiovascular workouts; rapid movements and stops; lack of fitness or conditioning; traumatic injury; sprains and fractures, spinal cord injuries, bacterial infections; rashes; and the transmission of communicable diseases, including viruses of
all kinds, COVID-19, bacteria, parasites or other organisms or any mutation thereof
b) Premises: defective, dangerous or unsafe condition of the facilities; falls; collisions with objects, walls, equipment or persons; dangerous, unsafe, or irregular conditions on surfaces; and travel
to and from the premises
c) Use of equipment: mechanical failure of the equipment; negligent design or manufacture of the equipment; the provision of or the failure by the Organization to provide any warnings, directions, instructions or guidance as to the use of the equipment; failure to wear safety or protective equipment; and failure to use or operate equipment within the Participant’s own ability
d) Contact: contact with the ice surface, boards, glass, other equipment, vehicles, or other persons; and other contact that may lead to serious bodily injury, including but not limited to concussions and/or other brain injury or serious spinal injury
e) Advice: negligent advice regarding the Activities
f) Ability: failing to act safely or within the Participant’s own ability or within designated areas
g) Sport: the sport of figure skating and its inherent risks, including but not limited to: Singles,
Pairs, Dance, Synchronized, and/or Sledge Skating.
h) Cyber: privacy breaches; hacking; and technology malfunction or damage
i) Conduct: the Participant’s conduct and conduct of other persons including any physical
altercation between participants
j) Travel: travel to and from the Activities
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Terms and jurisdiction
6. In consideration of the Organization allowing the Participant to participate in the Activities, the Parties agree:
a) That when the Participant practices or trains in their own space, the Parties are responsible for the Participant’s surroundings and the location and equipment that is selected for the Participant
b) That the Participant’s mental and physical condition is appropriate to participate in the Activities and the Parties assume all risks related to the Participant’s mental and physical condition
c) To comply with the rules and regulations for participation in the Activities
d) To comply with the rules of the facility or equipment
e) That if the Participant observes an unusual significant hazard or risk, the Participant will remove
themselves from participation and bring their observations to a representative of the
Organization immediately
f) The risks associated with the Activities are increased when the Participant is impaired and the
Participant will not participate if impaired in any way;
g) That it is their sole responsibility to assess whether any Activities are too difficult for the
Participant. By the Participant commencing an Activity, they acknowledge and accept the
suitability and conditions of the Activity
h) That they are responsible for the choice of the Participant’s safety or protective equipment and
the secure fitting of that equipment
i) (COVID-19) That COVID-19 is contagious in nature and the Participant may be exposed to, or
infected by, COVID-19 and such exposure may result in personal injury, illness, permanent disability, or death

7. In consideration of the Organization allowing the Participant to participate, the Parties agree:
a) That the Parties are not relying on any oral or written statements made by the Organization or
their agents, whether in brochure or advertisement or in individual conversations, to agree to
participate in the Activities
b) That the Organization is not responsible or liable for any damage to the Participant’s vehicle,
property, or equipment that may occur as a result of the Activities
c) That this Agreement is intended to be as broad and inclusive as is permitted by law of the Province of New Brunswick and if any portion thereof is held invalid, the balance shall, notwithstanding, continue in full legal force and effect

8. The Parties agree that in the event that they file a lawsuit against the Organization, they agree to do so solely in the Province of New Brunswick and they further agree that the substantive law of the Province of New Brunswick will apply without regard to conflict of law rules.
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Acknowledgement
The Parties acknowledge that they have read this agreement and understand it, that they have executed this agreement voluntarily, and that this Agreement is to be binding upon themselves, their heirs, their spouses, guardians, next of kin, executors, administrators and legal or personal representatives.
By signing my name, I confirm that I am the parent or legal guardian of the participant mentioned above and that I have read and understood this agreement. I also understand that by typing my name, it acts of signature for compliance with this agreement. *
Date of form submission *
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