Total Techniek Academy Activity Waiver Form

THIS ACTIVITY WAIVER FORM (this "Waiver") dated this _______ day of ____________________, __________.

IN CONSIDERATION of being permitted to participate in the Total Techniek Academy Soccer Sessions (the "Activity") and other good and valuable consideration, the receipt of which is hereby acknowledged, I ___________________________ (the "Parent"), legal guardian of ___________________________ (the "Participant") agree to the following terms and conditions of Total Techniek Academy of 805 – 1708 Ontario Street, Vancouver, British Columbia (the "Activity Provider"):

DETAILS OF ACTIVITY

  1. For all programs scheduled from January 1, 2025 to December 31, 2025, the Participant will be participating in the following activity: Soccer Training Sessions (the "Activity") provided by the Activity Provider.

CONSIDERATION

  1. The Parent releases and forever discharges the Activity Provider, its owners, directors, officers, employees, agents, assigns, legal representatives, and successors from all manner of actions, causes of action, debts, accounts, bonds, contracts, claims, and demands for or by reason of any injury to person or property, including injury resulting in the death of the Participant, which has been sustained as a consequence of the Participant's participation in the Activity, and not withstanding that such damages, loss, or injury may have been caused solely or partly by the negligence of the Activity Provider.
  2. The Parent acknowledges that the Participant is not permitted to participate in the Activity unless the Parent signs this Waiver.

CONCURRENT RELEASE

  1. The Parent acknowledges that this Waiver is given with the express intention of effecting the extinguishment of certain obligations owed to the Parent by the Activity Provider, and with the intention of binding the Parent's spouse, heirs, executors, administrators, legal representatives, and assigns.

FITNESS TO PARTICIPATE

  1. The Parent acknowledges to the Activity Provider that the Participant does not have any physical limitations, medical ailments, or physical or mental disabilities that would limit or prevent the Participant from participating in the Activity. If required, the Parent will obtain a medical examination and clearance for the Participant.

FULL AND FINAL SETTLEMENT

  1. The Parent acknowledges and agrees with the Activity Provider that: (1) the Activity Provider has given the Parent sufficient time to carefully read this Waiver, (2) the Parent has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this Initials: ______________________________ Activity Waiver Form Page 2 of 2 Waiver, (3) the Parent fully understands the risks and claims that the Parent is waiving in order for the Participant to participate in the Activity, (4) the Parent is freely and voluntarily executing this Waiver, and (5) the Parent is forever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the Participant may sustain while participating in or preparing for the Activity.

GOVERNING LAW

  1. This Waiver will be governed by and construed in accordance with the laws of the Province of British Columbia.

MEDIA RELEASE

  1. The Parent acknowledges and agrees that the Activity Provider, its representatives, employees, and agents may take photographs, video recordings, or other forms of media ("Media") of the Participant during the course of the Activity. The Parent grants the Activity Provider the right to use, reproduce, publish, distribute, and display such Media for promotional, educational, and informational purposes, including but not limited to use on websites, social media platforms, print materials, and other media formats, without further notice, consent, or compensation.
  2. The Parent waives any right to inspect or approve the use of the Media and releases and discharges the Activity Provider from any claims or liability arising out of or in connection with the use of such Media.

EMERGENCY CONTACTS

  1. Name: _____________________, Phone: _________________
  2. Name: _____________________, Phone: _________________

IN WITNESS WHEREOF the Parent has duly affixed their signature on this ________ day of ___________________, ____________.

_____________________
Name of Parent
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