RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTIONS OF RISKS

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					                                 St. Francis Xavier University
      RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTIONS OF RISKS AND
                            INDEMNITY AGREEMENT
RE:

______________________________________ (Name of Program)

______________________________________ (Dates of Program)

______________________________________ (Name of Participant)

______________________________________ (Date of Birth of Participant)

______________________________________ (Name of Parent/Guardian of Participant if participant is
                                        is under 19 years of age)

NOTICE TO PARTICIPANT

BY SIGNING THIS DOCUMENT YOU WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE
RIGHT TO SUE ST. FRANCIS XAVIER UNIVERISTY AND ITS OFFICERS, EMPLOYEES,
STUDENTS, AGENTS, VOLUNTEERS, INDEPENDENT CONTRACTORS AND PROGRAM
ORGANIZERS (HEREAFTER COLLECTIVELY REFERRED TO AS THE RELEASEES). PLEASE
READ IT CAREFULLY AND ONLY SIGN AFTER YOU ARE SATISFIED YOU SIGN FREELY
AND VOLUNTARILY, AFTER BEING FULLY INFORMED OF ALL RELEVANT ASPECTS OF
THE PROGRAM.

I, __________________________________________________ WISH TO PARTICIPATE IN
             (NAME OF PARTICIPANT)
THE PROGRAM ABOVE MENTIONED. I RECOGNIZE THAT PARTICIPATION IN SUCH
PROGRAM INVOLVES ASSUMPTIONS OF RISKS, DANGERS, HAZARDS AND LIABILITIES TO
MYSELF AND OTHER PARTICIPANTS. THESE RISKS INCLUDE, BUT ARE NOT LIMITED TO,
PERSONAL INJURY, DEATH, PROPERTY DAMAGE, EXPENSE AND OTHER SUCH LOSS,
DELAY AND INCONVENIENCE, INCLUDING COURSE CANCELLATION OR CURTAILMENT. I
AGREE TO ACCEPT THESE AND OTHER RISKS AS A PRECONDITION TO MY
PARTICIPATION IN THIS PROGRAM. I FREELY AND VOLUNTARILY SIGN THIS RELEASE OF
LIABILITY, WAIVER OF CLAIMS AND ASSUMPTION OF RISKS. FURTHERMORE, I AGREE
TO INDEMNIFY OTHER PARTIES FROM SUCH LIABILITIES, UPON THE TERMS AS ARE
DESCRIBED BELOW.

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTIONS OF RISKS
AND INDEMNITY AGREEMENT

I, __________________________________________________ HAVE APPLIED FOR AND
               (NAME OF PARTICIPANT)
INTEND TO PARTICIPATE IN THE ABOVE NOTED PROGRAM, EITHER SPONSERED OR
SUPPORTED BY ST. F.X.

As a condition of my application, I acknowledge that neither St. F. X. nor any Program Organizer
provides any representations, guarantees or assurances to me with respect to the quality or delivery of the
Program above described. I understand and agree that, during the Program in which I will participate,
various risks and dangers may arise, including but not limited to: delays failures due to laws, regulations,
acts, demands, orders or other activity or omission by any government or government agency, or civil



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                                  St. Francis Xavier University
    RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTIONS OF RISKS AND
                          INDEMNITY AGREEMENT

commotion, acts of God, strikes, lockouts, work stoppages, insolvency, changes in
ownership/management of suppliers of goods or services, fire, flood, weather, war, rebellion, terrorism,
insurrection, the hazard of travelling in unsafe or unstable areas, or under unsafe conditions, or any other
cause whatsoever.

I am aware that participation in the Program, and/or the use of transportation, housing and/or dining
services, and other goods and services as may be provided in connection with my participation in the
Program, carry a risk of personal injury, illness, death and/or property damage or loss. I expressly and
voluntarily assume all risk of such injury, illness, death, property damage and/or loss that may result from
my participation in the Program and use of the goods and/or services provided by such Program.

I acknowledge that there may be failures or delays in connection with flights, transportation or Program
services which form part of the Program. I acknowledge that I will not hold St. F.X. or the Program
Organizers liable for any such matters.

As consideration for being permitted to participate in the Program, I hereby release and forever discharge
St. F.X. and the Program Organizers (herein “the Released Parties”), their employees, agents, heirs,
executors, administrators, successors and assigns, from liability for any injury, illness, death, damage
and/or loss arising out of any activity related to my participating in the Program, including any losses
caused by the negligence or breach of contract of the Released Parties. Provided however that I do not
release the Released Parties from liability for willful or intentional acts.

I agree not to sue or make any claim, including additional defendant or third party liability, against St.
F.X. and/or the Program Organizers for injury, illness, death, damage and/or loss sustained, by me or
another, as a result of my participation in the Program and/or use of the goods and services provided by
such Program.

I acknowledge that during the Program there will be inherent risks of travel which may require
amendment or adaptation of the Program to address changing circumstances as they develop. I
acknowledge that I may have the opportunity to participate in various activities such as sports, athletic
activities, contests, cultural events, social events, excursions and side trips. I acknowledge that I shall not
hold the Released Parties liable for any injury, damage, loss, expense, accident, delay, inconvenience or
irregularity arising out of, or relating to, my participation in such activities.

I further acknowledge that the Released Parties shall not be liable to me, or my heirs, executors,
administrators or assigns, for any injury, damage, loss, expense, accident, delay, inconvenience or
irregularity that may be caused, or contributed to, by any defect of failure of equipment, service or
product owned, operated, used or provided by the suppler(s) of the goods and services described in the
Program.

I specifically acknowledge that the Released Parties do not make any representations, warranties or
assurances as to the suitability, reliability, reputation or quality of the goods and services which are
intended to be supplied as part of the program.

I acknowledge that any descriptions as to the quality of the destinations, and/or the goods and services
described in the Program, are the representations of third party suppliers only, and are not a
representation, warranty or guarantee provided by the Released Parties. Notwithstanding any promotional
literature or oral representations that may be provided me to the contrary, I specifically acknowledge that


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                                   St. Francis Xavier University
    RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTIONS OF RISKS AND
                          INDEMNITY AGREEMENT

any descriptions as to the quality and content of goods and services to be provided to Program
Participants are the mere repetition of the descriptions provided by third party suppliers and as such,
acknowledge that no action in contract, negligence or otherwise shall arise against the Released Parties.
Nothing in this document restricts my rights to seek remedy against such suppliers of goods and/or
services, subject to the terms of this Agreement.

I agree to abide by all applicable rules and regulations of the Program, and all instructions received while
participating in the Program. Without restricting the generality of the foregoing. I agree not to engage in
the unauthorized or illegal possession, use or consumption of alcohol or drugs. I understand that non-
compliance may result in expulsion from the Program and forfeiture of Program fees. I agree that, if I
violate any applicable rule, regulation, directive, instruction or law at any time during the program, I may
be sent home immediately at my own expense. I agree to reimburse the appropriate Party for any and all
costs associated with sending me home. I agree to indemnify and hold harmless the Released Parties from
all claims or losses resulting from my failure to abide by such matters. I further agree that the Released
Parties may send me home at any time during the Program if they determine that my continued
participation in the Program may adversely affect the health, safety, welfare or enjoyment of myself or
any other person.

Should any of the provisions of this agreement, or portions thereof, be found to be invalid by any Court of
competent jurisdiction, the remainder of this document shall nevertheless remain in full force and effect.
This Agreement shall be constructed under the laws of the Province of Nova Scotia.

I acknowledge that I have been provided a copy of this document on the __________ day of
______________________ 199__, and that I have had an opportunity to review it with advisors of my
choosing. I have carefully read this Agreement and fully understand its contents. I have read and
understood this Agreement prior to signing it, and I am aware that by signing this Agreement, I am
waiving certain legal rights which I, or my heirs, executors, administrations or assigns may have against
the Released Parties. I sign it of my own free will.

SIGNED this ______________ day of ______________________,20__


Signature of Program Participant                                        WITNESS


                                                                          Address


                                                                          Phone No.

I confirm the above noted Program Participant, prior to signing this Agreement, has been provided an
Orientation Program to explain the Program and the contents of this document.



Signature of Program Participant                              Signature of Program Provider



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                  St. Francis Xavier University
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTIONS OF RISKS AND
                      INDEMNITY AGREEMENT




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