Queen's University Student-Athlete Assumption of Risk, Release of Liability, Waiver of Claims and Indemnity Agreement

Every individual who intends to participate as an athlete or member of a Queen's University Interuniversity Club or Team is required to complete the following:

Assumption of Risk, Release of Liability, Waiver of Claims and Indemnity Agreement.

All athletes are required to bring this waiver to their first practice or try-out. The athlete must sign, date and have this waiver form witnessed by a person over 18 years of age. Parental signature is required if the athlete is under the age of 18 years.

WARNING: By signing this document, you will waive certain legal rights, including the right to sue. Please read carefully!

I, the undersigned, am 18 years of age or older and wish to participate as an athlete or member of an Interuniversity Club or Team as defined by Queen's Athletics and Recreation as a constituent department of Queen's University. I acknowledge that the activity I have consented to participate in, ____________________________, will involve moderate to heavy exercise and that it is my responsibility to determine that I am physically fit to participate as an athlete or member of this Interuniversity Club or Team. I further acknowledge that I have been advised by Queen's University to consult with my family physician prior to my participation in any physical activities as an athlete or member of an Interuniversity Club or Team..

I am aware that participating in the activities of an Interuniversity Club or Team has many inherent risks, and in consideration of Queen's University permitting me to participate as an athlete or member of an Interuniversity Club or Team, I hereby freely accept and fully assume all such risks, dangers, and hazards and the possibility of personal injury, death, property damage or loss, resulting therefrom. I further agree:

1. to waive any and all claims that I have or may have in the future against Queen's University and its members, officers, employees, students,  agents, volunteers and independent contractors (all of whom are hereinafter collectively referred to as "the Releasees");
2. to release the Releases from any and all liability for any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer as a result of my participation in the activity associated with an Interuniversity Club or Team due to any cause whatsoever INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS' LIABILITY ACT, RSO 1990 AS AMENDED ON THE PART OF THE RELEASEES;
3. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to the property of, or personal injury to, any third party, resulting from my participation in the sport of _____________________; and that this agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives in the event of my death or incapacity.

In entering into this Agreement, I am not relying upon any oral or written representations or statements made by the Releasees other than what is set forth in this Agreement.

I HAVE READ AND DISCUSSED THIS WAIVER WITH A COACH AND UNDERSTAND FULLY THIS AGREEMENT. I WISH TO CONTINUE TO BECOME A VARSITY ATHLETE IN THE SPORT OF ___________________.

I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I, OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEES.

PRE-TRYOUT WAIVER

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Athlete’s Name

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Athlete’s Address

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Parental or Guardian Signature for athletes under 18 years of age

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Date

PRE SEASON / SEASON WAIVER