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Static copy of 2009 Waiver - 18 and under

VIEWS: 15 PAGES: 1

									                                                             GOAT STYLE BIKE JAM

                                                    PARENTAL / GUARDIAN RELEASE &
                                                        INDEMNITY AGREEMENT

                                 THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS AND LIABILITIES.
                                         PLEASE READ CAREFULLY BEFORE SIGNING.

PARTICIPANT NAME ________________________________________ DATE OF BIRTH ______________________________________

ADDRESS: STREET __________________________________________________ CITY________________________________________

PROV. / STATE ________________________________________________ POSTAL CODE / ZIP ________________________________

I, the undersigned, am a parent or legal guardian of the above-named participant (the “Participant”) and I HEREBY GRANT MY PERMISSION for
the Participant to use the facilities located at the Creston & District Community Complex, 312 – 19th Avenue North, Creston, B.C. (the "Facilities'') for
participation in an event called “Goat Style Bike Jam” (or similar name) operated by Glad Tidings Pentecostal Church (the "Operator”) and I
UNDERSTAND that the use of the Facilities involves a risk of harm.

I AM AWARE that participation in mountain biking or BMX riding at the Facilities involves many inherent risks, dangers and hazards including, but
not limited to, mechanical failure of equipment, variations and steepness of terrain, impact or collisions with other bikers, spectators, facility
employees, ramps, walls or any other equipment used in the Facilities and the negligence of others. I AM AWARE of the increased risk caused by
the failure to bike safely or within one’s own ability or within designated areas and in accordance with the Facilities' rules and I AM AWARE that the
above risks, dangers and hazards exist throughout and beyond the Facilities and that they may be unmarked.

IN CONSIDERATION of the Participant being permitted by the Operator to use the Facilities, I agree to the following:

     1.   I WAIVE ANY AND ALL CLAIMS that the Participant or I, as parent or legal guardian of the Participant, have now or may have in the
          future against the Operator, its partners, directors, officers, employees, agents, independent contractors, representatives or other persons
          authorized by the Operator, including, without limitation, Goatstyle Mountain Bike Society (the “Society”) and the Regional District of
          Central Kootenay (the “Regional District”), and their respective partners, directors, officers, employees, agents, contractors,
          representatives or other persons authorized by the Society or the Regional District (collectively, the "RELEASEES") for any loss, damage
          or injury to the Participant, including death, or any loss of, or damage to, the Participant’s property arising out of or in connection with his
          or her use of the Facilities due to any cause whatsoever INCLUDING NEGLIGENCE.

     2.   I RELEASE the Releasees, on my own behalf and on behalf of the Participant, from any and all liability for any loss, damage or injury to
          the Participant, including death, or any loss of, or damage to, the Participant’s property arising out of or in connection with his or her use of
          the Facilities due to any cause whatsoever INCLUDING NEGLIGENCE.

     3.   I AGREE TO HOLD HARMLESS AND INDEMNIFY the Releasees from any and all liability for any personal injury to the Participant or a
          third party, including death, or any loss of, or damage to, the Participant’s property or the property of a third party (including any claims,
          made or instituted by me, the Participant or the Participant’s estate) arising out of or in connection with the Participant’s use of the
          Facilities due to any cause whatsoever INCLUDING NEGLIGENCE.

     4.   I ACKNOWLEDGE that I am responsible for ensuring that the Participant will comply with the stated and customary terms and conditions
          for use of the Facilities, including, without limitation, the requirement to wear a helmet when biking. If I have concerns about the
          Participant’s readiness for his or her use of the Facilities I will remove the Participant from the Facilities.

I HAVE READ AND UNDERSTOOD THIS DOCUMENT PRIOR TO SIGNING IT AND I UNDERSTAND THAT BY SIGNING IT, I AM
AFFECTING THE LEGAL RIGHTS OF MYSELF, THE PARTICIPANT AND OUR RESPECTIVE HEIRS, NEXT OF KIN,
EXECUTORS, ADMINISTRATORS AND ASSIGNS, AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
INTENDING TO BE LEGALLY BOUND I have signed this Release and Indemnity Agreement this _____ day of ___________, 20____.


SIGNATURE OF PARENT OR LEGAL GUARDIAN OF PARTICIPANT: ____________________________________________________

NAME (please print): _______________________________________________________________________________________________

SIGNATURE OF WITNESS: _________________________________________________________________________________________

NAME (please print): _______________________________________________________________________________________________



                                                                                                                                           Lib2:150894.1

								
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