RELEASE OF LIABILITY, WAIVER
OF CLAIMS, AND ASSUMPTION OF RISKS
BY SIGNING THIS DOCUMENT, YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION
PLEASE READ CAREFULLY!
I, _______________ represent myself, my child(ren), and/or partner (collectively the “Family”) who wishes to attend or engage in a program, event, or activity (“Program”) with the Corporation of the Town of Huntsville (the “Town”).
As lawful consideration for being permitted by the Town to be on the premises and engage in the Program, my Family and I agree to follow all rules and regulations set out by the Town.
I HEREBY AGREE TO ACCEPT AND ASSUME ALL RISKS OF PERSONAL INJURY, ILLNESS, DISABILITY, OR DEATH, ARISING FROM MY AND/OR MY FAMILY BEING ON THE PREMISES OR ENGAGING IN THE PROGRAM, WHETHER CAUSED BY THE NEGLIGENCE OF THE TOWN OR OTHERWISE.
By agreeing below, I acknowledge that I represent myself and my family and I have read and understood all of the terms of this agreement and am voluntarily waiving substantial legal rights (on my behalf and on behalf of my heirs, executors, administrators, and next-of-kin), including the right to sue the Town.
The personal information contained on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) & the Personal Health Information Protection Act. The information is collected to confirm Customer details as stated on this sheet and is pursuant to Section 27 of the Municipal Freedom of Information and Protection of Privacy Act & Section 10 of the Personal Health Information Protection Act.
Questions about this collection can be directed to the Clerk’s Department, Town Hall, 37 Main Street East, Huntsville, ON, P1H 1A1
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