Release and Waiver of Liability and Indemnity Agreement

In consideration of being permitted to participate in Coaching offered by the Polphia Group and its representatives, the undersigned participant named below agrees:

 

  1. There are social and emotional risks in participating in the above mentioned activity.  I fully understand and acknowledge that there may be risks not known to us or are not reasonably foreseeable to us at this time.
  2. I accept and assume such risks and responsibilities for the losses and/or damages following such psychological or physical injury, disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of the Release(s) named below.
  3. The UNDERSIGNED further expressly agrees that the foregoing release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted by the law of the Province or State in which the organization is conducting events and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
  4. If, despite signing this release, the undersigned participant makes a claim against any of the Releases, the undersigned participant will reimburse the Release(s) for any money which they have paid to the participant, or on his/her behalf, and hold them harmless.

 

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE ORGANIZATION NAMED BELOW TO THE GREATEST EXTENT ALLOWED BY LAW.

Please Enter Your Name As Signature: *
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