top of page

2691397 Ontario Incorporated Waiver and Release of Liability Form

I,

Name of student. If under 18 years of age, name of parent.

Name of student. If under 18 years of age, name of parent.

agree to observe all CLUB RULES established to maintain order and to protect students, instructors, volunteers and guests from injury as outlined in the Aiki Canada - Student Guide. I further agree to respect and abide by the discipline of the instructor(s), policies and by-laws outlined by Aiki Canada – Student Guide.

Applicant:

In consideration of my acceptance as a student (applicant), I hereby release 2691397 Ontario Incorporated (known as “Aiki Canada”), The Oshawa Central Council of Neighbourhood Association and The Brookside Park Neighbourhood Association, and forever discharge its directors, officers, instructors, members, volunteers and authorized guests from any and all actions, causes of actions, claims and demands for damages, loss or injury or death, how so ever arising, which I may now have, or which may here after being sustained by me in consequence of my membership in 2691397 Ontario Incorporated (Aiki Canada). 

 

I also agree that 2691397 Ontario Incorporated (Aiki Canada), Norm Harrison and any other person connected with the said 2691397 Ontario Incorporated (Aiki Canada), shall not be responsible for any loss or theft of my personal possessions while a member or potential member of Aiki Canada.

I am at least eighteen (18) years of age and have Carefully Read, Understood, and Agree that I will abide by all rules outlined in the Aiki Canada Student Handbook (2691397 Ontario Incorporated) and the Aiki Canada COVID-19 Safety Plan and Procedures. I voluntarily assume any and all risks associated with exposure to COVID-19, which risks include but are not limited to risks of personal injury, illness, and death, as a participant of Aiki Canada while using the Fernhall Community Centre (Brookside Park Neighbourhood Association).

Parent/Guardian or Applicant (student) if over 18: 

I hereby consent to the above and consideration of the acceptance of the agreement, I hereby agree to indemnify and save harmless, 2691397 Ontario Incorporated (Aiki Canada), The Oshawa Central Council of Neighbourhood Association and The Brookside Park Neighbourhood Association, its directors, officers, instructors, students, volunteers and authorized guests, of and from any and all liabilities of any kind whatsoever, of any nature, arising out of any form in any way connected with any kinds of claims or demands made on behalf of the applicant, parent or guardian.

bottom of page