R6, 2021-01-31

NOTE: Swell Education Ltd. does not accept paper waivers, please submit electronically.

Swell Education Ltd. (“the Company”)

CONSENT OF PARENT, GUARDIAN OR RESPONSIBLE ADULT AND ACKNOWLEDGEMENT OF RISK AND RESPONSIBILITY FORM FOR CHILDREN UNDER THE AGE OF 19

WARNING: PLEASE READ CAREFULLY BEFORE SIGNING!

DEFINITION – This Agreement shall apply to all activities, events or services provided, arranged, organized, sponsored or authorized by the Company, including but not limited to: surfing, stand-up paddleboarding, sea kayaking, canoeing, camping, backpacking, swimming, fishing, hiking, instructional courses and sessions, clinics, programs, transportation or travel to and from locations used for the activities, and loading and unloading of vehicles (hereinafter collectively referred to as ‘the Activities”)






I,

 (Parent, Guardian or Responsible Adult), on behalf of the Minor Participant acknowledge:

  • I am aware that the Minor Participant (“Minor”) is participating in an activity solely at the discretion of the undersigned (myself) and the Minor.
  • I UNDERSTAND THAT PARTICIPATION IN THE ACTIVITIES CAN BE HAZARDOUS AND MAY INVOLVE THE RISK OF PHYSICAL INJURY OR DEATH. I acknowledge that participation in the Activities entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks cannot be eliminated without jeopardizing the essential qualities of the Activities.
  • The risks include but are not limited to: slips and falls, entrapment with trees or logs, drowning, encounters with wild and domestic animals, getting lost or separated, weather which may cause injury due to extreme heat/cold or lightning, wild animals, insect bites, hazardous plant life, and transport by public or private vehicles.I understand that participation in the Activities may result in: muscle and joint sprains and strains; cuts and bruises; broken wrists, arms, ankles and legs; internal injuries; concussions; and other serious injuries including paralysis or death.
  • I am not aware of the Minor having any existing health, mental or physical condition(s) that may increase his/her risk in using the Activities.
  • The Minor has been informed that he/she is to abide by the rules including directions and instructions from Company staff.
  • If the Minor fails to abide by the rules, he/she may lose access privileges.
  • In permitting the Minor to participate in any of the Activities, I am not relying on any oral, written or visual representations or statements made by the Company, its officers, employees, guides/instructors, agents of representatives or any other inducement.

Based upon my understanding, acknowledgement and consents as described herein, I give the Minor Participant permission to participate in the activities.

COVID-19 has been declared a global pandemic. I understand that COVID-19 is extremely contagious. The Company has put in place preventative measures to reduce the spread of COVID-19 consistent with provincial guidelines; however, the Company cannot guarantee that I will not become infected with COVID-19. I am currently not experiencing COVID-19 symptoms, nor have I had COVID-19 symptoms in the last 14 days. I represent and warrant to the Releasees that I have not been advised by the Government of Canada or the BC Centre for Disease Control or my doctor to self-isolate due to possible exposure to COVID-19. I am fully aware of the risks and dangers with respect to COVID-19 inherent in my participation in the Activities.

Click to Sign
Signature of Adult Responsible

By checking here, you acknowledge you have read and understand the above terms, and are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.



Click to Sign
Minor Signature

By checking here, you acknowledge you have read and understand the above terms, and are consenting to the use of your electronic signature in lieu of an original signature on paper.You have the right to request that you sign a paper copy instead.By checking here, you are waiving that right.After consent, you may, upon written request to us, obtain a paper copy of an electronic record.No fee will be charged for such copy and no special hardware or software is required to view it.Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature.There is no penalty for withdrawing your consent.You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.