ASSUMPTION OF RISK, RELEASE, AND INDEMNITY AGREEMENT

FOR THE TOWNSHIP OF WELLESLEY (Municipality).

WHEREAS I wish to participate in drop-in programs located at the Bill Gies Recreation Centre, at the Township of Wellesley Recreation Complex, Wellesley Ontario (the "Activities").

IN CONSIDERATION of my participation in the Activities: 

1. ASSUMPTION OF RISK: I acknowledge that such Activities may involve risks of injury or death in connection with exposure to harmful substances, physical activities among other things. I acknowledge and voluntarily assume all risks of injury and/or death associated with the Activities, inherent and otherwise, and whether or not described above, including those which may result from the negligent acts or omissions of other participants, the Township of Wellesley (Municipality), or any of their respective councillors, directors, officers, departments, employees, volunteers, contractors, and/or agents. 

2. RELEASE: I, my heirs, executors, estate trustees with or without a will, administrators, successors and assigns do hereby release and forever discharge the Township of Wellesley (Municipality) and all of their respective councillors, directors, officers, departments, employees, volunteers, contractors, and agents from any claims, demands, and/or causes of action, whether in law or equity, in respect of death, injury, loss or damage to my person or property, arising out of my participation in or attendance at the Activities. 

3. INDEMNITY: I hereby undertake to indemnify and hold harmless the Township of Wellesley (Municipality) and all of their respective councillors, directors, officers, departments, employees, volunteers, contractors, and agents from and against any and all liability, loss, damage or cost incurred by any or all of them arising out of, resulting from, or contributed to by my negligence in connection with the Activities or the negligence of the Township of Wellesley (Municipality). 

4. SEVERABILITY: Each provision of this Agreement shall be severable. If any provision of it is illegal or invalid, the illegality or invalidity shall not affect the validity of the remainder of this Agreement.

5. INDEPENDENT LEGAL ADVICE: I acknowledge that I am encouraged to obtain independent legal advice prior to the execution of this Agreement and that I have either obtained same or chosen to waive such independent legal advice. I also acknowledge that I am signing my rights away to sue the Township of Wellesley (Municipality) for anything and everything which may result from my participation in the Activity. 

6. ACKNOWLEDGEMENT: I have carefully read this Agreement and fully understand its contents. I acknowledge that I am 18 years old and of capacity to sign this agreement. 

*Parent/Guardian signature is required if participant is under 18 years of age (to be completed by parent/guardian)