I, the undersigned, being the parent or legal guardian of the child named below (my “Child”) hereby authorize my Child to participate in and receive music instruction provided by Backbeat Inc. (the “Program”).
I, on behalf of myself, my Child and all other parents and guardians of my Child (if any), acknowledge that participation in the Program carries with it the potential of death or injury (including serious injury) to my Child, and loss or damage to any property in the possession or control of my Child.
The risks include, but are not limited to, those caused by weather, temperature, the condition of the facilities, the condition of equipment, vehicular traffic, parked vehicles, and the actions of persons, including but not limited to, Backbeat Inc. and its directors, officers, employees, volunteers, contractors and agents, and other participants in the Program.
I hereby acknowledge and assume, on behalf of myself, my Child and all other parents and guardians of my Child, all of the risks associated with my Child participating in the Program, including any risks arising from the negligence or carelessness on the part of Backbeat Inc. and its directors, officers, employees, volunteers, contractors and agents.
I certify that my Child is physically fit to participate in the Program and that neither I nor my Child nor any other parents or guardians of my Child has been advised otherwise by a qualified medical professional.
I acknowledge that this Accident Waiver and Release of Liability form will be used and relied upon by Backbeat Inc. and its directors, officers, employees, volunteers, contractors and agents in permitting my Child to participate in the Program and that it will govern my and my Child’s (and all other parents and guardians of my Child’s) actions and responsibilities with respect to my Child’s participation in the Program.
In consideration of Backbeat Inc. permitting my Child to participate in the Program, I, on behalf of myself and my Child, and all other parents or guardians of my Child, hereby:
(A) waive, release and forever discharge Backbeat Inc. and its directors, officers, employees, volunteers, contractors and agents from any and all claims, actions, suits, debts, costs, demands and damages whatsoever, whether existing now or in the future, in respect of or in any way connected or related to my Child’s participation in the Program, including in respect of any death, disability, personal injury, property damage or property theft that may be suffered by my Child; and
(B) indemnify and hold harmless Backbeat Inc. and its directors, officers, employees, volunteers, contractors and agents from any and all actions, losses, damages, claims or costs, including costs on a solicitor and his own client basis, that may arise directly or indirectly against Backbeat Inc. or its directors, officers, employees, volunteers, contractors or agents in favour of a third party as a result of or in any way connected or related to my Child’s actions and participation in the Program.
In the event of any injury, accident or illness being suffered by my Child while participating in the Program, I hereby consent to my Child receiving any medical treatment which may be deemed advisable, as may be determined in the sole discretion of Backbeat Inc. or its directors, officers, employees, volunteers, contractors or agents.
I hereby certify that I have read and understood the contents of this Accident Waiver and Release of Liability form.