Recreational Activity Waver Form

From the City of London Ontario

The ________________ provides many varied opportunities for citizens to enjoy the important benefits of recreational participation in a variety of activities and facilities. We want you to experience these benefits safely and comfortably while recognizing that participation in any physical activity entails risks.

I, the undersigned, do hereby acknowledge that:

I intend to participate in physical activity in NAME OF LOCATION/FACILITY which may include but not be limited to use of the weight room, aerobics studio, fitness classes, swimming pool, gymnasium and meeting room and I am doing so of my own free will and judgement;

I realize that participation in physical activity brings the possibility of injury and I accept this risk regardless of the nature of the injury and the physical activity in which I will participate;

I agree that participation in any physical activity and use of any equipment is at my own discretion or judgement, based on my own experience and competence level;

I have read the above and agree that by participating I am personally assuming responsibility for any injury to myself or my property as a consequence of these activities or resulting from any other reason including negligence and hereby release and hold harmless the NAME OF OWNER OF FACILITY, their officers, agents, employees and volunteers.

Appropriate Use of Documents: Documents may be downloaded or printed (single copy only). You are free to edit the documents you download and use them for your own projects, but you should show your appreciation by providing credit to the originator of the document. You must not sell the document or make a profit from reproducing it. You must not copy, extract, summarize or distribute downloaded documents outside of your own organization in a manner which competes with or substitutes for the distribution of the database by LIN.