Parent/Guardian Release Form – Intermediate Skills Challenge

ALL RISK RELEASE OF LIABILITY, WAIVER OF CLAIS, INDEMNITY, AND ASSUMPTION OF RISKS (hereinafter the "Release Agreement")

BY SIGNING THIS RELEASE AGREEMENT, YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION. READ CAREFULLY

Participant's Name*

First Last

Participant's Date of Birth*

Emergency Contact Name*

First Last

Emergency Contact Phone Number*

Parent/Guardian Name*

First Last

Parent/Guardian Email*

Do you have any dietary restrictions?

Please list any allergies or dietary restrictions we should be aware of

Are there any medical conditions that we should be aware of?

Yes
No

Please provide the name & allergy of the person(s) with the medical condition/allergy

Please indicate if you have any accommodation or accessibility requests, including but not limited to:

ASL (American Sign Language) / English Interpreters
Assistive listening system
Accessible parking
Braille materials

Please indicate if you have any other accommodations or accessibility requests, including but not limited to:

I require an accommodation not listed above

TO: SKILLS CANADA - NOVA SCOTIA and its officers, directors, agents, employees, former employees, staff, representatives, contractors, subsidiaries, successors and assigns, and all related and affiliated corporations, and their officers, directors, agents, employees, successors (all of whom are hereinafter collectively referred to as the "Releasee").

OVERVIEW & PRIVACY STATEMENT*

The Skills Canada Nova Scotia (“SCNS”) Skilled Futures program (the “Program”) is an exceptional educational opportunity, but it does involve certain risks, dangers, hazards and liabilities for all participants. These include personal injury, death, illness, property damage, expense and other loss. All persons taking part in the Program are required to accept any liability or risk of injury, loss, damage or expense sustained as a result of any person’s participation in the Program as his or her own.

Each participant in the Program (and their parent/guardian if applicable) is required to sign this form, which releases SCNS, and persons associated with it, from any claims which might arise from participation in the Program.

SCNS and its partners respect your privacy. We protect your personal information and adhere to all legislative requirements with respect to protecting privacy. We do not rent, sell, or trade our mailing lists. The information you provide will be used to deliver programming and to keep you informed and up-to-date on the activities of SCNS.

I have carefully read and fully understand and agree to the terms of this Agreement on behalf of my child.

DESCRIPTION AND ASSUMPTION OF RISKS*

I understand and acknowledge that the Program involves the risks inherent in participation in certain activities, and participation in the Program, including travel to and from, will involve risks, dangers, hazards and liabilities, including but not limited to personal injury, being exposed to or contracting Covid-19 or other infectious diseases, death, illness, property loss or damage, expense and other loss due to all manner of causes including but not limited to, use of equipment and/or materials related to the trade and food related illness.

I freely accept and assume all risks, dangers, hazards and liabilities, including but not limited to personal injury, death, illness, property loss or damage, expense and other loss which may occur during or as a result of participation by the Student in the Program.

RELEASE OF LIABILITY, WAIVER OF CLAIMS, AND INDEMNITY*

In return for the approval of SCNS for the Student’s participation in the Program, I hereby agree to give up any and all claims that I, or the Student, have or may in the future have against SCNS, its employees, directors, officers and representatives, as a result of participation in the Program, and to release SCNS, its employees, directors, officers and representatives from any and all liability for any loss, damage, injury or expense that I, or the Student, may suffer during or as a result of participation in the Program.
I further agree to hold harmless and indemnify SCNS, its employees, directors, officers and representatives from any and all liability for any loss, damage, injury or expense that I, or the Student, or my next of kin, or anyone else may suffer as a result of participation in the Program.

I have carefully read and fully understand and agree to the terms of this Agreement, on behalf of my child.

5. GENERAL*

• This Release 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.

• This Release Agreement shall be governed by the laws of Nova Scotia and any litigation involving the parties to this Release Agreement shall be brought solely within the jurisdiction of Nova Scotia and shall be within the exclusive jurisdiction of the Courts of the Province of Nova Scotia.

• I expressly agree that this Agreement is intended to be as broad and inclusive as is permitted by applicable laws, and that if any portion of this Agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

• I am not relying on any oral or written representations or statements made by the Releasee other than what is set forth in this Release Agreement.

• I have had an opportunity to review this Release Agreement with advisors of my choosing including legal counsel.

• This Agreement may be executed, made and delivered electronically.

I have carefully read and fully understand and agree to the terms of this Agreement.

DISCLOSURE OF INFORMATION (Optional)*

I understand and agree that information pertaining to participation in a SCNS program, including but not limited to names, occupation, and status as a student or apprentice, may be shared with or released to the media for coverage of the event. I also agree that photographs and videos taken during the Program may be used and reproduced by SCNS and its partners in media, promotional materials, and bulletins.

I agree that photographs and videos taken of my child during the event may be used and reproduced by Skills Canada – Nova Scotia and its partners in media, promotional materials, and bulletins.
I decline to have photographs and videos of my child used and reproduced by Skills Canada – Nova Scotia and its partners in media, promotional materials and bulletins.

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

IF I AM SIGNING ON BEHALF OF A CHILD, I UNDERSTAND THIS RELEASE AGREEMENT IN ITS ENTIRETY APPLIES TO BOTH ME AND THE CHILD. I am the Child’s parent and/or legal guardian. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Release Agreement.

Participant's Signature*

Date*

Parent/Guardian Signature*

Date*

Participant Name (written below)

Parent/Guardian Name (written below)

Parent/Guardian Release Form – Intermediate Skills Challenge

ALL RISK RELEASE OF LIABILITY, WAIVER OF CLAIS, INDEMNITY, AND ASSUMPTION OF RISKS (hereinafter the "Release Agreement")

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

Contact:

Mailing Address:

Office:

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