WAIVER FORM

In signing this document, I am waiving the right to bring a court action to seek compensation or obtain any remedy for any personal injuries, damage to property, or accident of any kind that may occur when participating in Unity Respite Services (URS) activities. 

I authorize URS to provide or arrange for first aid, emergency medical treatment, or to contact emergency services on my behalf in the event of injury or perceived medical emergency. I agree to pay all costs associated with such care, including ambulance or hospital fees. To the fullest extent permitted by law, I agree to hold harmless and indemnify URS, its employees, volunteers, and agents from any and all claims, liabilities, losses, or damages (including expenses) arising from my attendance, participation, or the provision of first aid and CPR during URS activities. 

I authorize URS to provide transportation to and from designated meeting locations for URS events. I acknowledge and accept that travel involves inherent risks, and I release URS from liability for injuries or losses arising from transportation. 

I affirm that I am physically and medically able to participate in URS events, including but not limited to water-based or physically demanding activities, and that I have disclosed any relevant medical conditions or limitations to URS.  

If I choose to pay by cheque, I agree to reimburse URS for any non-sufficient funds (NSF) bank fees incurred due to a returned cheque.

I acknowledge that this waiver will be used by URS regarding the activities in which I may participate, and that it will govern my actions and responsibilities. I acknowledge that this waiver will remain in effect for the duration of my participation in any URS activities, now and in the future. I have had the opportunity to review this waiver, understand its contents, and agree that it is binding upon me and, where applicable, my heirs, executors, administrators, and legal representatives. If I am signing on behalf of a minor or a person under my care, I confirm that I have the legal authority to do so.

Participant / Guardian Information