WAIVER AND RELEASE OF LIABILITY for Orientation Rock Climbing Event

							                        WAIVER AND RELEASE OF LIABILITY for
                            Orientation Rock Climbing Event


By signing this form you are assuming risks involved in your participation
            in this event and are giving up certain legal rights



In consideration of being allowed to participate in any way in the TORONTO
CLIMBING ACADEMY and CARLETON UNIVERSITY athletic/sports program,
related events and activities, the undersigned acknowledges, appreciates and agrees that:
    1. The risk of injury from the activities involved in this program is significant,
        including the potential for permanent paralysis and death, and while particular
        rules, equipment and personal discipline may reduce this risk, the risk of serious
        injury does exist; These risks include, but are not limited to:
          •   Muscular injuries and soft tissue injuries, broken bones, bruises, scrapes, cuts, sprains,
              dislocation, head, facial eye and/or dental injuries which might result from participation in ;
          •   Injuries resulting from falling or being knocked down or steep steps where a fall may cause
              injury or death;
          •   Injuries resulting from rough terrain, failure to see an obstacle, failure to negotiate a turn, etc.;
          •   Injuries resulting from walking on a hill, slipping and/or falling;
          •   Injuries resulting from malfunctioning of equipment or misuse of equipment whether owned,
              designed or operated by myself or the staff of Toronto Climbing Academy or Carleton
              University;
          •   Changes in weather or temperatures which may result in hypothermia, frostbite, windburn,
              sunburn, colds or flu;
          •   Death, injuries or illness resulting from failure to follow directions from those in charge of the
              program and all related activities;
          •   Other risks associated with being a spectator of or being present at a crowded, outdoor or
              indoor.
and,
       2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and
          unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE
          RELEASEES or others, and assume full responsibility for my participation; and,
       3. I willingly agree to comply with the stated and customary terms and conditions
          for participation. If, however, I observe any unusual significant hazard during my
          presence or participation, I will remove myself from participation and bring such
          to the attention of the nearest official immediately; and,




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    4. I, for myself and on behalf of my heirs, assigns, personal representatives, and next
       of kin, HERE BY RELEASE AND HOLDHARMLESS TORONTO
       CLIMBING ACADEMY and CARLETON UNIVERSITY their officers,
       officials, agents, and/or employees, other participants, sponsoring agencies,
       sponsors, advertisers, (“Releases”), WITH RESPECT TO ANY AND ALL
       INJURY, DISABILITY, DEATH, or loss or damage to person or property,
       WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR
       OTHERWISE.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK
AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I
HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT
FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

X                                                                       __________________
PARTICIPANT’S NAME (please print) & SIGNATURE                           DATE SIGNED

X                                                               ________________________
PARTICIPANT’S ADDRESS (including Postal Code)                         TEL:

________________________________________________________________________
Witness Name                                          Witness Signature

___________________________
Witness Phone Number

                        FOR PARTICIPANTS OF MINOR AGE
                         (Under Age 18 at Time of Registration)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do
consent and agree to his/her release as provided above of all Releasees, and to indemnify
the Releasees from any and all liabilities incident to my minor child’s involvement or
participant in these programs as provided above.

X
PARENT/GUARDIAN SIGNATURE