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Xtreme Fun Camp Waiver form


Spirit of the Dragon Xtreme Fun Camp Waiver Form
Parent or Guardian
COVID SCREEN

Do you have any of the following symptoms: fever, new or existing dry cough, difficulty breathing, fatigue and loss of taste or smell?

Have you travelled outside of Canada in the past 14 days?

Do you have a fever of 38C (100.4F) or higher?

Are you experiencing a new or worsened cough, shortness of breath, or sore throat?

Are you experiencing muscle aches, joint pain, or heightened fatigue (related to flu-like symptoms)?

Are you experiencing new loss of your sense of smell or taste?

CONTACT WITH POTENTIAL INFECTION

Does anyone living in your household have any of the aforementioned symptoms? (including: fever, cough, shortness of breath, sore throat, flu-related aches & pains, flu-related fatigue, or new loss of smell/taste?)

 

Have you been in close contact (within 2 metres) or prolonged contact with anyone with a confirmed or probable case of COVID-19 in the past 14 days?

If you answered YES to either of the above questions, please do not enter Spirit of the Dragon - explain your situation below to be discussed with an instructor..

Feel free to email to discuss your answers or concerns with one of our instructors.

You can contact us at spiritofthedragon@sasktel.net

Daily Self Check
RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

In consideration of being allowed to participate in the Xtreme Fun Day Camp, to be further referred to as Fun and Fitness Session, provided by Spirit of the Dragon Martial Arts School Ltd., I, the undersigned, do hereby acknowledge and agree:

1) I certify that I am physically fit to engage in structured and unstructured Fun and Fitness Session.

2) If at any time I believe the Fun and Fitness Session is unsafe, I will discontinue my participation in the Fun and Fitness Session.

3) I recognize there is inherent risk with the activities included in Fun and Fitness Session, and the term “inherent risk” means those dangers or conditions, known or unknown, which are characteristic of, intrinsic to, or an integral part of the activity and which are not eliminated even if Spirit of the Dragon Martial Arts School Ltd and its affiliates, members, managers, officers, employees, contractors and agents (the “Released Parties”) act with due care in a reasonable prudent manner, including, but not limited to, the failure by the Released Parties to warn me of an inherent risk, or that I or another participant in the activity may act in a negligent or intentional manner and contribute to the injury or death of the Participant.

4) I fully understand that the participation in Fun and Fitness Session involve risks and dangers of serious bodily injury, including, but not limited to, permanent disability, paralysis and death, and damage to my property.

5) I fully accept and assume all such risks, and all responsibility of losses, costs, and damages I may incur arising out of or relating to my participation in the Fun and Fitness Session.

6) I hereby give permission that in the event of any accident, illness or injury that necessary medical treatment be given to me.

7) I hereby release, waive, discharge, and covenant not to sue the Released Parties, to the fullest extent permitted by Saskatchewan law, from any and all causes of actions, claims, damages for personal injury, including, but not limited to, permanent disability, paralysis and death, and property damage arising out of my participating in the Fun and Fitness Session, whether caused by the negligence of the Released Parties or otherwise.

8) I further agree to indemnify and hold harmless the Released Parties, to the fullest extent permitted by Saskatchewan law, from any loss, causes of actions, claims, damages and costs, arising out of or relating to my participation in the Fun and Fitness Session, whether caused by the negligence of the Released Parties or otherwise.

9) I acknowledge that the Released Parties may photographs and/or video recordings relating to my participation in the Fun and Fitness Session. I understand that these photographs and/or video recordings, are the property of Spirit of the Dragon Martial Arts School Ltd and maybe used by Spirit of the Dragon Martial Arts School Ltd and its affiliates at their discretion without additional notice, authorization or compensation for publication in marketing and advertising materials of Spirit of the Dragon Martial Arts School Ltd. and its affiliates, including, but not limited to, on Spirit of the Dragon’s website.

10) I have read this agreement and fully understand its terms and have signed it freely. I agree that this agreement shall be construed in accordance with the laws of the Province of Saskatchewan. I further agree this agreement is intended to be as broad and inclusive as permitted by the laws of the Province of Saskatchewan, and if any portion of this agreement is held to be invalid, the balance of the agreement

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