Skating Waiver 2020/21 Covid-19 Question Title * 1. Name of Skater OK Question Title * 2. Have you read the COVID-19 Safety Policy? Yes No OK Question Title * 3. 1. ACKNOWLEDGMENT OF INHERENT RISKI understand that participation in skating, figure skating, and any other sporting activities listed in theenclosed appendix (hereinafter the “Sports Activity”) is voluntary, and involves inherent risk duringparticipation, including the risk of possible accidents, physical injury, or exposure to the COVID-19 virusor other infections or infectious diseases as a result of attending training, club events or competitiveevents. I freely accept and fully assume all such risks, dangers and hazards, including but not limited topersonal injury, disease transmission, death, property damage or loss, resulting from my participation. Ihave carefully considered the risks involved, and I have full confidence that reasonable precautions willbe taken to ensure the safety and well-being of myself (or my son/daughter/ward). Agree Disagree OK Question Title * 4. 2. WAIVERI do for myself (or my child), and our respective heirs, executors, administrators, successors and assigns,hereby waive, release, and forever discharge Skate Canada and/or [Skate Canada BC/YK Section], [allRegions of Skate Canada BC/YK Section], POCO Skating Club, their officers, partners, agents, employees,servants, representatives, volunteers, coaches, officials, successors and assigns (the “Representatives”)of and from any actions, causes of action, complaints, demands and claims or any recourse whatsoever(“Claims”) that I have or may have in the future in any way connected with my (or my child’s)participation in the Sports Activity contemplated herein, whether in law or in equity, in respect ofpersonal injury, illness or disease transmission, loss of life, or property damage of any kind or nature, and I do hereby discharge the Representatives from any such liability. This includes negligence, breachof contract or breach of any statutory or other duty of care. Agree Disagree OK Question Title * 5. 3. INDEMNIFICATIONI further agree to fully indemnify and defend Skate Canada and/or [Skate Canada BC/YK Section], [allRegions of Skate Canada BC/YK Section], POCO Skating Club and any of their Representatives from andagainst any and all Claims brought against Skate Canada and/or [Skate Canada BC/YK Section], [allRegions of Skate Canada BC/YK Section], POCO Skating Club and any of their Representatives, includingall related costs and expenses, and against any loss, costs, damages, or expenses which Skate Canadaand/or [Skate Canada BC/YK Section], [all Regions of Skate Canada BC/YK Section], POCO Skating Cluband any of their Representatives may sustain, suffer, incur, or be liable for resulting from, arising from,or in any way related to my (or my son/daughter/ward’s) participation in the Sports Activity. I also agreeand undertake not to make any claim or take any proceedings against the Representatives set outabove, or any other person or corporation which might claim contribution or indemnity under theprovisions of any statute or otherwise from the Representatives set out above. Agree Disagree OK Question Title * 6. 4. SEVERABILITYThe provisions of this Assumption of Risk and Waiver shall be deemed severable and if any provision orportion thereof is held invalid, illegal or unenforceable for any reason, the remainder shall not therebybe invalidated, but shall remain in full force and effect. Agree Disagree OK Question Title * 7. Acknowledgement: I am aware of the nature and effect of this Assumption of Risk and Waiver and I fullyunderstand all of the terms and conditions above. I understand that I have given up substantial rights bysigning this Assumption of Risk and Waiver and I am signing it freely and voluntarily withoutinducement. Agree Disagree OK Question Title * 8. Parent/Guardian: I certify that I am the parent or legal guardian of the participant named below andthat I am entitled to his or her custody and control. I understand the aforesaid inherent risks that couldarise from these activities, I grant permission for my son/daughter/ward to participate in the SportsActivity and other activities incidental thereto and I execute this Assumption of Risk and Waiver onbehalf of myself and my son/daughter/ward. Agree Disagree OK Question Title * 9. Participant's Signature (regardless of Age) Texting/type in counts as legal signature and date of birth OK Question Title * 10. Parents Signature (typed in name electronically and legally sufices as signature) and date of signature OK DONE