Participation Information
Participant's email *
Please list any allergies and if you have an Epi Pen *
Parent Information/ Emergency Contact
Parent/ Guardian Consent *
McMaster University
Parent/Guardian Consent and Waiver
This Parent/Guardian Consent and Waiver MUST be signed/initialed by a parent or legal guardian for the participant minor as named below who is participating in the Venture Virtual Academy Program (the “Program”) within the Faculty of Engineering at McMaster University.
This McMaster University Participant Risk, Acknowledgment and Waiver (the “Agreement”) MUST be signed/initialed by a parent or legal guardian for the Participant Minor as named below who is participating in the Venture Academy Program (the “Program”) within the Faculty of Engineering at McMaster University.
McMaster University advises that participation in the activities associated with the Program (the “Activities”) contains elements of risk, both obvious and inherent. Further, by participating in the Activities, I am also aware I will be exposed to many inherent risks and dangers (“Risks”) that may result in, among other things, mild or severe illness, potential exposure to infectious and communicable disease, including but not limited to COVID-19; contracting COVID-19, physical injury, partial or total disability, death and/or property loss or damage.
1. By signing this Agreement I agree and acknowledge that:
the Participant Minor’s and/or my participation in the Activities may have inherent risks as a result of which personal injury, including death, or property damage may occur and I accept and assume all such risks arising from the Activities and hereby waive my individual right to commence legal action against the Released Parties for all claims I, or my representatives, may have for such personal injury, death or property damage;
participation in the Activities is NOT MANDATORY;
there will be other participants in the Program, such as but not limited to:
1.3.1 employees of Program with the Faculty of Engineering at McMaster University,
1.3.2 other registered participant minors of the Program, and
1.3.3 if requested by their parents/guardians, the parents/guardians of other registered participant minors;
McMaster University may use any media content recorded or taken during the Program for promotional material for McMaster University, Venture Academy and without any further permission or payment;
I am responsible for the condition of any tools or equipment appropriate or needed for the Participant Minor to participate in the Program;
I am responsible for ensuring that the I and/or the Participant Minor will have and will wear equipment suitable for safety and properly participating in the Program;
I am not only giving up my right to sue the Released Parties but also any rights my heirs, assigns or beneficiaries may have to sue the Released Parties resulting from my death;
I, and will ensure that the Participant Minor, will follow the laws, recommended guidelines, policies and protocols issued by the Government of the Province and/or McMaster University, in respect of COVID-19, including practicing physical distancing and mask wearing, and in accordance with McMaster University’s Vaccination Policy - COVID-19 Requirements for Visitors https://secretariat.mcmaster.ca/app/uploads/Vaccination-Policy-COVID-19-Requirements-for-Visitors.pdf;
I, and on behalf of the Participant Minor, will complete the COVID-19 Ontario Provincial Screening Tool and/or any McMaster University COVID-19 screening tool as required prior to entry onto McMaster University premises;
the Participant Minor, if 12 years of age or older on the start date of the Program, will be vaccinated in accordance with McMaster University’s Vaccination Policy - COVID-19 Requirements for Visitors https://secretariat.mcmaster.ca/app/uploads/Vaccination-Policy-COVID-19-Requirements-for-Visitors.pdf; and
I, and will ensure that the Participant Minor will follow and abide by any and all risk assessments, health and safety regulations and instructions, received prior to taking part in the Activities.
2. I indemnify, hold harmless and release McMaster
University, its directors, officers, employees, agents and contractors (the “Released Parties”) from all claims, costs, damages, liability or responsibility whatsoever for personal injury, property damage or wrongful death howsoever caused, including, but not limited to, the negligence of the Released Parties, whether passive or active, which arise from my participation in the Activities and/or the Program.
3. I agree that this Agreement shall be governed in all respects by and interpreted in accordance with the laws of the Province of Ontario and the laws of Canada applicable therein.
4. I confirm that I have read and understood this Agreement and that by initialing in the box below, this terms as provided in this Agreement will be binding on me, the Participant Minor and on my, and their, heirs, next of kin, executors, and administrators.
☐ I am the Parent/Guardian of Participant Minor listed below and am authorized to sign this Agreement, on behalf of the Participant Minor.
Altitude Program Waiver *
During this event, students will be participating in a camp fire and various team building outdoor activities with the Altitude Team. The Consent form below is required by the altitude team in order for your child/ward to participate in the event
In place of your signature, please type the parent/guardian name in the text box below. This will be accepted as your digital signature in agreement to the Altitude Team Development & Leadership Program Participant Consent Form.
I hereby acknowledge that certain risks of injury are inherent to participation in recreational activities, sporting activities and lessons on and associated with the ALTITUDE Program. These types of injuries may be minor or serious and may result from one’s actions, or the actions or inactions of others or a combination of both.
I hereby understand that certain activities require a minimum level of fitness and health (physical, mental, and emotional) and that each person has a different capacity for participating in these activities. Some activities involve an intense level of activity. I understand that the level of my participation is on a Challenge by Choice basis and that all McMaster University faculty, staff, and agents will respect my decision regarding the level of intensity of my participation.
I hereby agree that McMaster University, its faculty, staff and agents shall not be liable for any injury, loss or damage to person or property, incurred during this program, including deterioration of health or illness or aggravation of condition resulting from participation in these activities, property damage or lost property unless arising from McMaster’s negligence.
If at any time emergency medical treatment is necessary, I give my consent for treatment to be given. Every effort will be made to contact parent/guardian(s) and or emergency contacts. McMaster University may decline a participant due to physical and/or verbal abuse towards staff and participants.
I hereby authorize McMaster University to take my photograph to display and otherwise use these photographs without charge solely for the purpose of promotional material in connection with Department of Athletics & Recreation Camps & Programs.
I declare having read and understood the above informed consent agreement in its entirety.