SUD CANADA RELEASE FORM

 

I, the undersigned, as for myself or for my child, as parent or natural guardian, as the case may be, do hereby release SUD CANADA, DEBORAH WING, EINARI POLUS and EERO POLUS, from any and all liability for claims, damages, causes of action, costs, losses or fees, or medical expenses incident to any bodily injury or property loss incurred by me or my child, as the case may be, on or at SUD CANADAís INDOOR SKATEPARK, located in St. Catharines, Ontario or adjacent thereto.

 

By signing this document, I understand that by using the said skateboard park, I alone am responsible for determining whether or not I or my child, as the case may be, am/is capable of using said facility, and therefore absolve SUD CANADA, DEBORAH WING, EINARI POLUS and EERO POLUS, from any and all risk or injury or loss from requirement of deciding if I or my child, as the case may be, am/is capable to use said facility.

 

I UNDERSTAND THAT I OR MY CHILD, AS THE CASE MAY BE, WILL RIDE OR OTHERWISE USE SAID FACILITY AT MY OR HIS/HER OWN RISK.

 

I understand that I have carefully read the foregoing release and know the contents thereof and sign of my own free act. I fully appreciate and understand the nature of the sport of skateboarding and inline skating, and the inherent loss or damage incurred thereby. I hereby further acknowledge that personal safety is the responsibility of each individual participant.

 

In witness whereof this release has been signed and delivered this______day______,________

 

 

 

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††††† ††††† ††††††††††††††††††PARTICIPANTíS SIGNATURE†††††† ††††††††††††††PARENT/GUARDIAN SIGNATURE

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† †††† †††††††††††††††††††††††(IF PARTICIPANT IS UNDER AGE 18)

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CHILDís INFORMATION:

 

LAST NAME_____________________________FIRST NAME___________________

 

ADDRESS______________________________________________________________

 

CITY____________________________________POSTAL CODE_________________

 

PHONE__________________________________