Fitness Boot Camp

Under 18 years of Age.

Participant's Name *

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Last

Participant's Birthday (dd/mm/yy) *

Must be at least 14 years old to participate in the class.

Parent / Guardian Name *

First

Last

Parent will be staying and participating in class with child.

Cell Phone # *

Parent / Guardian Email *

Confirm Email

Were you referred by someone at Driftwood Martial Arts?

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Last

ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY

For Participants under the Age of Majority in the Province of Ontario in which the athletic activities are provided by DRIFTWOOD MARTIAL ARTS INC. WARNING: THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS. READ IT CAREFULLY! The parent/guardian must read and understand this waiver prior to the minor participating in athletic activities. The following waiver of all claims, release from all liability, assumption of all risks, and other terms of this agreement are entered into by me on behalf of the Minor Participant (the “Minor”) with and for the benefit of: their directors, officers, employees, volunteers, business operators, agents and site property owners of DRIFTWOOD MARTIAL ARTS INC. (or “DMAI”). DMAI is defined in accordance with the definition of Occupiers contained in the Occupiers Liability legislation in the Province of Ontario. Please initial each item below after reading and understanding each item:

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I am the Parent/Guardian of the Minor and am executing this waiver on behalf of the Minor in my capacity as Parent/Guardian and with the intent that this waiver be binding on me and the Minor for all legal purposes.

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I am aware that there are inherent and significant risks (“Risks”) associated with the participation of Athletic Activities. I am aware that those Risks include, but are not limited to, the potential for serious personal injury caused by any event or any condition of the facility or equipment where Athletic Activities are provided by DMAI, and health risks such as transient lightheadedness, fainting, abnormal blood pressure, chest discomfort, muscle cramps or soreness, and Nassau. I understand the Risks are relative the the Minor’s state of fitness and health (physical, mental and emotional), and to the awareness, care and skill with which the Minor conducts him or herself while participating in Athletic Activities.

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I freely accept and fully assume all responsibility for all Risks and possibilities of personal injury, death, property damage or loss resulting from my participation in Athletic Activities. I agree that although DMAI has take steps to reduce the Risks and increase safety of the Athletic Activities, it is not possible for DMAI to make the Athletic Activities completely safe. I accept these Risks and agree to the terms of the waiver, even if DMAI is found to be negligent or in breach of any duty of care or any obligation to me in my participation of Athletic Activities.

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I acknowledge on behalf of the Minor, the Minor’s obligation to immediately inform the nearest employee of DMAI if the Minor feels any pain, discomfort, fatigue or other symptoms that he or she may suffer during and immediately after his or her participation in Athletic Activities. I understand the Minor may stop participation at any time, and may be requested to stop by an employee of DMAI who observes any symptoms of distress or abnormal response.

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Athletic Activities include but are not limited to: contact and non-contact sports, fitness activities, personal training instruction and activities, use of facilities, and fitness programs and services provided to the Participant by DMAI.

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In addition to consideration given to DMAI for the Minor’s participation in Athletic Activities, I and my heirs, next of kin, executors, administrators and assigns, as well as the Minor and his or her heirs, next of kin, executors, administrator and assigns (collectively our “Legal Representatives”) agree: (A) To waive all claims that I or the Minor have or may have in the future against DMAI; to release and forever discharge DMAI from all liability for all personal injury, death, property damage, or loss resulting from the Minor’s participation in the Fitness Activities due to any cause, including but not limited to negligence (failure to use such car as a reasonably prudent and careful person would use under similar circumstances), breach of any duty imposed by law, breach of contract or mistake or error of judgement of DMAI; and (B) To be liable for and to hold harmless and indemnify DMAI from all actions, proceedings, claims, damages, costs demands including court costs and costs on a solicitor and own client basis, and liabilities of whatsoever nature or kind arising out of or in any way connected with the Minor’s participation in Athletic Activities. (C) I agree this waiver and all terms contained within are governed exclusively by the laws of Ontario, Canada in which the Athletics Activities are provided to me by DMAI. I hereby irrevocably submit to the exclusive jurisdiction of the courts of Ontario. Any litigation to enforce this waiver must be instituted in Ontario in which the Athletic Activities are provided by DMAI.

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I confirm that I have had sufficient time to read and understand each term in this waiver in its entirety, and have agreed to the terms freely and voluntarily. I understand that this waiver is binding on me as Parent/Guardian, the Minor and our Legal Representatives.

Fitness Boot Camp

Register Minor

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Driftwood Martial Arts

Administrative Hours