Student Life: INFORMED CONSENT FORM – MINOR This waiver is in effect from August 23, 2024 to August 23, 2025. WARNING: BY SIGNING THIS DOCUMENT, YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. PLEASE READ CAREFULLY!PARTICIPANTName First Middle Initial Last Address Street Address Address Line 2 City Province Postal Code PhoneEmail PARENT/LEGAL GUARDIANName First Last PhonePREAMBLE Use of the College of the Rockies Gymnasium and Weight Room also known as Room KC200 (hereinafter referred to as the “Centre”) is not without potential risks, dangers, hazards, and liabilities to all participants. These include, but are not limited to, personal injury, death, property damage, delay or inconvenience, expense and other loss. All persons using the Centre are required to accept these and all other risks as a condition of their access. College of the Rockies, its employees, servants, agents, successors, administrators, assigns, and contractors, (hereinafter referred to as “the College”) will not accept any liability for injury, loss, damage or expense suffered by any Participant as a result of their use of the Centre. The information set forth in this agreement is intended to enable the Participant to better understand and accept the various risks involved. Participants will be required to sign this Release of Liability, Waiver of Claims, Assumption of Risk and Indemnity Agreement, which will release the College from any future claims which might arise as a result of their use of the Centre. STANDARDS OF CONDUCT I acknowledge that there are standards to govern my conduct while present on a campus of the College. These standards are described in College of the Rockies Policy: 2.4.4 Student Conduct, of which it is my responsibility to familiarize myself with. I understand and accept responsibility for my conduct when at the CentreSTATEMENT OF PHYSICAL AND MENTAL FITNESS I am in good physical and mental health and I am able to use the Centre and make informed, objective decisions. I agree to the statement of Physical and Mental FitnessUNDERSTANDING AND ACKNOWLEDGEMENT OF RISKS I understand and acknowledge that my use of the Centre will involve risks to me, both anticipated and unanticipated, that could result in injury, disease, illness and death to me and others at the Centre, and as well as damage to or loss of property. Potential risks may include but are not limited to: cuts, bruises, sprains, strains, fractures, concussion, internal injuries, disease, illness, head injuries, paraplegia, quadriplegia, and even death which may arise from accidents or incidents associated with my use of the Centre. I further acknowledge that: physical exertion and cardiovascular output may cause dizziness, shortness of breath, chest discomfort, muscle cramps, sprains, strains, contusions and/or fractures, and impact with equipment, apparatuses, and/or other Centre users may cause all manner of injury resulting from tripping, falling, and/or unexpected release of equipment (my own or by others). I understand and acknowledge the risks noted aboveACCEPTANCE OF PERSONAL RESPONSIBILITY I agree to comply with the stated and customary terms and conditions for use of the Centre. If, however, I observe any unusual significant hazard during my use, I will remove myself from participation and bring such to the attention of the nearest official immediately. The College cannot and will not assume liability in respect of any risks, dangers, hazards, and liabilities associated with my use of the Centre. The College accepts no responsibility and assumes no liability with respect to any advice received by me considering my use of the Centre. If, during my use of the Centre, I do not fully understand or do not have complete confidence in my abilities regarding my use of the Centre, it is solely my responsibility to ask questions of a Centre official and request further explanation or clarification as required. I agree it is my sole responsibility to refuse to proceed with my use of the Centre if I am uncomfortable or feel unsafe. I understand and accept the personal responsibilities listed abovePERSONAL PROPERTY I understand that I am solely responsible for the care and security of any personal items that I take or bring to the Centre. I agree that I will not hold the College responsible for any loss, theft or damage to my personal items. Insurance coverage for personal items is optional and solely my responsibility. I understand and accept the responsibilities for personal property listed aboveACCEPTANCE AND ASSUMPTION OF RISK I am aware that use of the Centre involves risks, dangers, hazards and potential liabilities including, but not limited to those referred to in this agreement as well as those not specifically described herein, whether anticipated or unanticipated. I freely accept and fully assume all such risks, dangers and hazards and the possibility of personal injury, death, property damage, or loss, resulting there from. I am covered by appropriate personal accident and personal liability insurance coverage, or can and will personally pay for all costs and liabilities that I may incur by virtue of my use of the Centre. I accept and assume all risks both listed and not specifically described In consideration of the College allowing my use of the Centre, I agree as follows: To waive, release, and forever discharge the College from any and all manner of action, causes of action, suits, demands, debts, contracts, claims, damages, interest, costs, and expenses, that I have, or may in the future have against the College as a result of any loss, injury, disease, illness, death, and damage that I may suffer, by reason of or arising out of or, in any way connected with or resulting from the my use of the Centre, due to ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, by the College. To indemnify the College and hold the College harmless from all costs and expenses, including legal fees, incurred by the College or on the College’s behalf, in defending or in connection with any claim, action or proceeding which may be brought against the College for any reason resulting from my use of the Centre. To agree, promise, and covenant not to sue, or assert any claim against the College for any reason whatsoever arising from or in any way connected with my use of the Centre or from any claim brought against me by other participants or third parties. That this agreement shall be effective and binding upon my heirs, executors, administrators, assigns and representatives. That this agreement and any rights, duties and obligations as between the parties to this agreement shall be governed by and interpreted solely in accordance with the laws of the Province of British Columbia; and Any litigation involving parties to this agreement shall be brought solely within the Province of British Columbia and shall be within the exclusive jurisdiction of the courts of the Province of British Columbia. I understand and hereby release the College from all liability, waive all claims against the College and agree to indemnify the College as listed aboveACKNOWLEDGMENT AND ACCEPTANCE OF THE EFFECT OF THIS AGREEMENT I have read and understand this agreement and agree that by signing this document I have given up certain legal rights which I or my heirs, executors, administrators, assigns and representatives may have against the College. In entering into this agreement I am not relying upon any oral or written representations or statements made by the College with respect to the safety or value of my use of the Centre. I understand that I have the right to seek legal advice before executing this agreement. I agree to these terms and conditionsSIGNATURE OF A PARENT/LEGAL GUARDIAN (Mandatory if the Participant is under 19 years of age. I am the minor participant’s parent and/or legal guardian and understand the nature of the activities and the minor’s experience and capabilities and believe the minor is qualified, in good health and in proper physical condition to participate in the activities. I hereby consent and agree to the participant’s assumption of risks, waiver of claims and releases, and agree to hold harmless and indemnify THE COLLEGE from any and all liability resulting from the minor’s participation in the above-identified activities.Parent/Guardian SignatureNameThis field is for validation purposes and should be left unchanged.