Snow Skate Park

Participant name(Nécessaire)
Participant address(Nécessaire)
MM slash JJ slash AAAA
Participant's email address(Nécessaire)
Emergency contact(Nécessaire)
Parent/Guardian name (if under 18)
Emergency contact address(Nécessaire)
The following authorization, release and indemnity form is a legally binding agreement. Please read it carefully before signing.(Nécessaire)
In consideration for Festival du Voyageur Inc. (FDV) and Skateboarding Development Manitoba Inc. (SDM) and their respective directors, officers, employees, agents and volunteers permitting the Participant referred to above (the “Participant”) to enter upon the premises of FDV to participate in the program and activities offered at FDV by SDM, I agree to the following on my own behalf and on behalf of the Participant and on behalf of our heirs, executors, successors, representatives and assigns. 1. I warrant that I am the person legally entitled to make decisions with respect to the care and the affairs of the Participant. I warrant that I am entitled to enter into this agreement on my own behalf and on behalf of the Participant and on behalf of any other parent or guardian of the Participant. 2. I understand that this agreement applies to facilities operated by FDV and programs offered by SDM. I understand that this agreement applies whether the Participant is an observer, a bystander or an active participant. 3. I understand that the activities offered at and in connection with FDV and SDM can result in injury, death or personal property damage to participants and to others. 4. I grant permission to the Participant to attend at the premises of FDV, to use the facilities and equipment and to participate in the programs and activities offered by SDM. 5. In granting permission to the Participant to enter upon the premises of FDV and to participate in the programs and activities offered, I accept the condition of the ramps, and equipment and other facilities and property, and I accept that the condition could change to become more hazardous. 6. I understand that various degrees of experience and skill are required for the use of the different obstacles and equipment, and that the decision to use the different facilities and equipment will be in the sole discretion of the Participant. I agree that it is my sole responsibility to supervise the Participant’s exercise of this discretion. 7. I understand that the Participant must obey and show respect for the rules and regulations of FDV and/or SDM, and I undertake sole responsibility to advise the Participant of the necessity to do so. 8. On behalf of myself, the participant, any other parent or guardian of the Participant and our heirs, executors, successors, representatives and assigns, I release FDV and/or SDM from any liability, claim, action, suit or demand whatsoever which may arise in connection with or during the participant’s attendance at the premises of FDV, his/her use of facilities and equipment and his/her participation in the programs and activities offered by SDM. Without limiting the generality of the foregoing, this release shall apply to any liability, claim, action, suit or damage caused by the negligence of FDV and/or SDM, the condition of the equipment or the premises or the actions of third parties. 9. I agree on my own behalf, on behalf of any other parent or guardian of the Participant and on behalf of the Participant to indemnify FDV and/or SDM and hold them harmless against any liability, claim, action, suit or demand whatsoever which may arise in connection with or during the Participant’s attendance at the premises of FDV, his/her use of facilities and equipment and his/her participation in the program and activities offered by SDM. Without limiting the generality of the foregoing, this indemnity shall apply to any liability, claim, action, suit or demand for personal injury, death or property damage, including injuries, death or damage caused by the negligence of FDV and/or SDM, the condition of the equipment or the premises or the actions of third parties. This indemnity shall include indemnification for any judgment, and for all costs incurred by FDV and/or SDM in connection with litigation. 10. I agree on my own behalf, on behalf of any other parent or guardian of the Participant and on behalf of the Participant that we will not take legal action against FDV and/or SDM or against any third party who may claim contribution or indemnity from FDV and/or SDM with respect to any liability, claim, action, suit or demand whatsoever which may arise in connection with or during the participant’s attendance at the premises of FDV, his/her use facilities and equipment and his/her participation in the program and activities offered by SDM. Without limiting the generality of the foregoing, this agreement not to take legal action shall apply to any claim, action, suit or demand for personal injury, death or property damage including injuries, death or damage caused by the negligence of FDV and/or SDM, the condition of the equipment or premises or the actions of third parties. 11. I acknowledge that FDV and/or SDM may, at their own discretion, revoke the Participant’s privileges to attend at the premises of FDV, to use facilities and equipment and to participate in the programs and activities offered by SDM. I/ We acknowledge that if the subject of the release has to be sent home for discipline violations, or possession non-prescription drugs, it will be at my/our expense. 12. In the event that it appears to FDV and/or SDM that the Participant requires medical or dental attention, testing or treatment (referred to as “Treatment”) of any kind while using the facilities and equipment or participating in the programs and activities offered by FDV and/or SDM I authorize FDV and/or SDM to provide or to arrange for the provision of such Treatment and to consent to such Treatment on behalf of the Participant and myself as FDV and/or SDM in their discretion considers advisable. I agree to be responsible for any cost of such Treatment and I appoint FDV and/or SDM as my agent in arranging for such Treatment. The release and indemnity provisions above apply to the provision of Treatment. 13. Due to the physical demand and nature of the activity of skateboarding, FDV and SDM have REQUIRED the use of additional protective gear, and you have decided to risk participating WITHOUT the use of additional protective gear. I understand that the use of a helmet is always mandatory. I also understand that the use of knee pads and elbow pads is also required, but by signing below, I may choose to decline the use of these additional pads. I agree on my own behalf, and on the behalf of the Participant to indemnify FDV and/or SDM and hold it harmless against any liability, claim, action, suit or demand whatsoever which may arise in connection with or during the Participants attendance at the premises of FDV, use of facilities and equipment, and participation in the programs and activities offered by SDM in Voyageur Park. 14. I authorize the use of photos or video of my son/daughter by FDV and/or SDM for publicity and marketing purposes. 15. I warrant that the information given on this form is correct and complete. 16. I have read this document. I understand it and I agree to the terms set out above.
Participant's signature(Nécessaire)
Parent/Guardian Signature (if under 18)