TO: The Region of Durham and any individual, corporation, association, institution, or organization that is associated with the Durham Region Point in Time Count as an organizer, promoter, sponsor or advertiser and the respective agents, officials, officers and employees of all of the aforesaid; (hereafter all collectively referred to as the “Event Partners”)
ASSUMPTION OF RISKS
By proving my signature below, I warrant that I am fit to safely participate in any and all activities I am involved in during the course of Durham Region Point in Time Count 2024 (hereafter referred to as the “Event”). I am aware that my participation and involvement in the Event may expose me to some unexpected and high-level risks, dangers or hazards, including risk of personal injury, property damage and loss resulting therefrom. Such risks, dangers and hazards, given the nature of the Event, may be outside of the scope of an expected or reasonable level of risk that a volunteer may be subject to in the course of participating in an event. By signing below, I freely and fully agree to assume any and all of these risks, dangers, and hazards, even if caused by the negligence of the Event Partners, including the failure of the Event Partners to protect and safeguard me from the risks, dangers and hazards and the possibility of any personal injury, death, property damage and loss resulting therefrom.
Voluntary Assumption of Risk and Waiver of Liability
In consideration of the Event Partners permitting me to participate in the Event, by signing below I hereby release, waive and forever discharge the Event Partners of and from any and all claims, demands, damages, costs, expenses, actions and causes of action, whether in law or equity, in respect of injury, death, loss or damage to my person or property that I may suffer, or that any other person, entity or representative may suffer resulting therefrom, however caused, arising directly or indirectly by reason of my participation in the Event, whether prior to, during or subsequent to the Event, and notwithstanding that same may have been contributed to or caused by the negligence of any of the Event Partners.
I agree to hold and save harmless and to indemnify the Event Partners from and against any and all liability incurred by any or all of them arising as a result of, or in any way connected with, my participation in the Event.
This assumption of risks, release, waiver and indemnity shall be governed by and interpreted solely in accordance with the laws of Ontario and any litigation in respect thereof shall be brought solely within the exclusive jurisdiction of the Courts of Ontario.
FURTHER VOLUNTEER ACKNOWLEDGMENTS
- I acknowledge that as a volunteer, I am not covered under any Workers’ Compensation Plan, nor will I be paid or reimbursed for any expenses related to the Durham Region Point in Time Count.
- I agree to carry out my assigned volunteer tasks in a reasonable and safe manner.
- I will complete the required on-line training prior to the night of the Event.
- The personal information on this form will only be collected and shared under the authority of the Freedom of Information and Protection of Privacy Act (FIPPA). This information may be shared with other volunteers and personnel of the Event Partners only insofar as it is necessary to plan and implement the Durham Region Point in Time Count. If you have any questions regarding the collection of information, please contact Ashley Smith with the Region of Durham, AshleyL.Smith@durham.ca
- The information provided on this form is true to the best of my knowledge.
BY SIGNING THIS FORM, I ACKNOWLEDGE THAT I HAVE READ UNDERSTOOD AND AGREED TO THE ABOVE FORM AND AM SIGNING THIS FORM VOLUNTARILY AFTER HAVING HAD AN OPPORTUNITY TO ASK QUESTIONS, HAVE THESE QUESTIONS ANSWERED AND SEEK INDEPENDENT ADVICE.
