Risk, Waiver, Release & Indemnity Statement

NOTICE TO PARENT/GUARDIAN

It is a condition to the Child’s participation in the Activity that you, the undersigned Parent/Guardian of the Child, must carefully read and understand this document and check below to acknowledge that you have read and understand it and that you understand that the Child’s participation in the activity will expose the Child to risks of harm and that you accept full responsibility for exposing the Child to such risks.

PARENT/GUARDIAN RESPONSIBILITY FOR CHILD

I, the stated Parent/Guardian of the Child, understand and accept that, in respect of the Child’s participation in the Activity, it is my responsibility (1) to ensure that I consider and understand the risks, dangers, hazards and consequences of injury inherent in the Activity, (2) to determine, taking into consideration those risks and the Child’s behavioural characteristics, physical health and abilities, whether the Child should be allowed to participate in the Activity, (3) to ensure that the Child is appropriately covered by medical insurance for any harm occurring in the Activity.

I, am the parent and/or legal guardian of the child and for the child I hereby consent to him or her participating in the activity, and, for myself and the child, in return for the NVCAC allowing the child to participate in the activity:

1) I now waive all legal rights to sue and any and all claims which I or the Child or our respective successors and assigns may have against the NVCAC in connection with any loss, injury, damage or expense that I or the Child may suffer, incur or may suffer, incur or experience in connection with the Child’s participation in the Activity; and

2) I hereby release the NVCAC from any and all liability for any complaints, demands, claims, actions, suits, judgments and orders for any and all losses, injuries, damage or expenses I or the Child may suffer, incur or experience in connection with the Child’s participation in the Activity; and

3) For myself, I agree to indemnify the NVCAC for and hold it harmless from any and all losses, injuries, damages and expenses of any kind that the NVCAC may suffer, incur or experience and for any and all complaints, demands, claims, actions, suits, judgments and orders for any and all losses, injuries, damages or expenses of any kind anyone else may suffer, incur or experience in connection with the Child’s participation in the Activity.