Comox Valley Hockey League

Comox Valley Hockey League Release, Waiver and Indemnity Agreement:
**This Release Form is a waiver of liability for all claims. It is a contract with legal consequences that, among other things,
will waive your right to sue. PLEASE READ CAREFULLY before signing:

I have freely requested to be allowed to participate in sports and social events, including but not limited to any Comox Valley
Hockey League tournaments, practices, competition, and/or recreational sporting events hosted by, or in association with, the
Comox Valley Regional District (hereinafter referred to as the CVRD), Comox Valley Sports & Social Club (hereinafter referred to
as the CVSSC) and 19 Wing Recreation PSP (hereinafter referred to as 19-Wing). I understand that there are inherent risks
involved in participating in sports, tournaments, and/or events with the CVRD, CVSSC and 19-Wing. I undertake all of the risks,
dangers, and hazards associated with participation in sports and social events with the CVRD, CVSSC and 19-Wing, which
includes but are not limited to, the risk of damage, contraction of illness including COVID-19, or severe bodily injuries including
death, medical treatment, and/or loss or damage to property.

I voluntarily assume full responsibility of personal injury, illness, death, or property damage to myself and others associated
with participation with the CVRD, CVSSC and 19-Wing. In exchange for, and in consideration of the privilege of participation in
the sports and social events, I hereby acknowledge and agree as follows:

1. I (hereinafter referred to as the Participant) agree to RELEASE the CVRD, CVSSC and 19-Wing, its directors, officers,
affiliates, trustees, employees, agents, volunteers and any other representatives (the “Releasees”) from any and all
liabilities, demands, claims, actions, suits, damages, and any other losses, costs, or expenses arising directly or
indirectly, for any cause whatsoever, including negligence, breach of contract, breach of statutory duty of care, and
personal injury, including but not limited to, physical, psychological damage, illness, death or from property damage
which may be resulting from or arising out of participation with the CVRD, CVSSC and 19-Wing, including but not
limited to, participating in sporting games, practices, competition, and travel to and from events hosted by the CVRD,
CVSSC and 19-Wing.

2. The Participant agrees to INDEMNIFY AND HOLD HARMLESS the Releasees from any and all demands, claims, actions,
suits, damages, losses, liabilities, cost and expenses, including the cost of defending any such claims, suits, demands,
or actions, arising directly or indirectly from any cause whatsoever, against any of them by the Participant, or by any
person injured or who suffered damage to person or property as a result of the Participant’s actions, or arising out of
the Participant’s participation with the CVRD, CVSSC and 19-Wing, whether or not foreseeable, caused intentionally,
negligently or wilfully, or contributed to by the negligent acts or omissions of the Releasees.

3. The Participant will conduct him/herself in an appropriate manner and will fully comply with all rules, regulations,
orders, directives and policies provided by the Releasees to the Participant in connection with any matter relating to
their participation with the CVRD, CVSSC and 19-Wing. The Participant acknowledges and agrees that the CVRD,
CVSSC and 19-Wing has sole discretion to determine if the Participant has satisfactorily complied with the rules,
regulations, orders, directives and policies of the CVRD, CVSSC and 19-Wing, and if a Participant’s actions are deemed
detrimental to the CVRD, CVSSC and 19-Wing or any other participant, the CVRD, CVSSC and 19-Wing may impose
sanctions on the Participant including but not limited to expulsion from the CVRD, CVSSC and 19-Wing, cancellation of
membership, fines, and/or any costs incurred as a result of the Participant’s detrimental actions.

4. The Participant acknowledges that he/she has the requisite skills, qualifications, physical ability and training necessary
to properly and safely use the equipment, facilities, and to participate in the CVRD, CVSSC and 19-Wing sport or
event. The Participant agrees that if he or she has any questions as to what skills, qualifications, or training is
necessary to properly use the equipment, facility, or participate in the sport or event, then he/she will direct such
questions to the appropriate CVRD, CVSSC and 19-Wing representative on site.

5. The Participant acknowledges that this Voluntary Waiver of Right will be effective and binding upon the Participant’s
heirs, next of kin, executors, administrators and representatives, in the event of the Participant’s death, illness or
incapacity.

6. The Participant acknowledges and consents to the use of their name and image in broadcast, telecast, social media or
other media account of the event or sport for the promotional purposes of the CVRD, CVSSC and 19-Wing.

7. The Participant acknowledges and agrees that they are at least eighteen years of age, fully competent, and entering
into this Agreement voluntarily. The Participant STATES that he/she has carefully read the foregoing Voluntary Waiver
of Right and understands the contents thereof and signs the same of their own free act. The Participant agrees that
by signing below, they are waiving any legal rights they may have against the Releasees.
First Name
Last Name
Email Address
Date
I have read the Voluntary Waiver of Right above and fully understand and agree to its terms.
I understand that participating in a sport or activity has the risk of potential exposure to COVID-19 and accept those risks.
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