Parade Waiver and Release of Liability Form

Thank you for participating in this year's Lighted Santa Claus Parade. We look forward to kickstarting the holiday season with you!

Please take a moment to fill out the form below, including initialling and signing. Please ensure that this form is filled out by all participating float members, not just the float organizer.

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT BETWEEN THE CORPORATION OF THE CITY OF PORT COLBORNE AND ITS AGENTS, EMPLOYEES AND REPRESENTATIVES (HEREINAFTER REFERRED TO AS THE “CITY”)

AND ... please print your first and last name in the field below.

BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS ACTIVITY, including by way of example and not limitation: any risks that may arise from negligence or carelessness on the part of the persons or entities being released, on the part of other participants in this activity or on the part of other persons present but not involved in this activity; from dangerous, defective or broken equipment or property owned, maintained, or controlled by the persons or entities being released; any injury or physical harm, however, caused, including death, that may occur by participating in this activity, including harm caused by terrain, trees and foliage, weather conditions, the City’s facilities, roads and trails, equipment, inadequate training or instruction, other participants, other persons whether also involved in the activity or not, and/or the Participant’s own conduct.

I hereby understand that the City does not provide any insurance coverage or medical benefits to myself whatsoever.

I authorize the City to use, reproduce, publish or sell any and all photographs or video taken of myself (whether I am recognizable or not, whether alone or with others) during my participation in this activity, for any purpose and through any medium including, but not limited to promotion, advertising, public relations, and use in any brochure or commercial communication.

I irrevocably relinquish in favour of the City, any ownership interest or right I may have with respect to photographs or video taken by myself or by others, including the right to reproduction and the copyright of such photographs or video.

I certify that I am physically fit and of sound mind, I am not under the influence of drugs or alcohol and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems that preclude my safe participation in this activity.

In consideration of being allowed to participate in any way in the Christmas parade, whether for consideration or not, of floats or similar equipment and/or related activities, I, the undersigned and on behalf of my heirs, assigns, personal representatives and next of kin, acknowledge, understand, and agree as follows:

  1. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the City, their directors, officers, employees, agents and representatives (all of whom are hereinafter collectively referred to as "the Releasees");
  2. TO RELEASE THE RELEASEES from any and all liability for any injury, disability, death or loss, damage or expense to person or property, that I may suffer or that my next of kin may suffer as a result of my participation in this activity due to any cause whatsoever, including but not limited to the specific harms listed in the first paragraph of this release, and INCLUDING NEGLIGENCE ON THE PART OF THE RELEASEES of any type, including for injuries caused by defective equipment or inadequate instruction and training;
  3. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of, or personal injury to, any third party, resulting from my participation in this activity; and
  4. That this Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators and assigns, in the event of my death.

I CERTIFY THAT I HAVE READ AND UNDERSTAND THIS AGREEMENT, AND AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEES.

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Sign above

If the participant is under 18 years of age:

I certify that as parent/guardian of the child, that myself and the Participant agree to be bound by the terms of this Release.

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Sign above