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OWED U NDER T HE O CCUPIERS L IABILITY A CT R .S.B.C. 1 996 C .337 O N T HE P ART O F T HE

RELEASEES, A ND F URTHER I NCLUDING T HE F AILURE O N T HE P ART O F T HE R ELEASEES T O

TAKE R EASONABLE S TEPS T O S AFEGUARD O R P ROTECT M E F ROM T HE R ISKS, D ANGERS A ND

HAZARDS O F P ARTICIPATING I N T HE W ELLNESS A CTIVITIES R EFERRED T O A BOVE;

TO H OLD H ARMLESS A ND I NDEMNIFY T HE R ELEASEES f rom a ny a nd a ll l iability f or a ny

property d amage, l oss o r p ersonal i njury t o a ny t hird p arty r esulting f rom m y p articipation i n

Wellness A ctivities a nd u se o f t he E quipment a nd f or a ll c osts i ncurred b y t he R eleasees i n

relation t o t he e nforcement o f t he A greement;

This A greement s hall b e e ffective a nd b inding u pon m y h eirs, n ext o f k in, e xecutors,

administrators, s uccessors, a ssigns a nd r epresentatives i n t he e vent o f m y d eath o r

incapacity;

This A greement a nd a ny r ights, d uties a nd o bligations a s b etween t he p arties t o t his

Agreement s hall b e g overned b y a nd i nterpreted s olely i n a ccordance w ith t he l aws o f t he

Province o f B ritish C olumbia a nd n o o ther j urisdiction; a nd

Any l itigation i nvolving t he p arties t o t his A greement s hall b e b rought s olely w ithin t he

Province o f B ritish C olumbia a nd s hall b e w ithin t he e xclusive j urisdiction o f t he C ourts o f t he

Province o f B ritish C olumbia.

In e ntering i nto t his A greement I a m n ot r elying o n a ny o ral o r w ritten r epresentations o r

statements m ade b y t he R eleasees w ith r espect t o t he s afety o f p articipating i n W ellness A ctivities,

other t han w hat i s s et f orth i n t his A greement. I c onfirm t hat I h ave r ead a nd u nderstood t he

Agreement a nd t hat I h ave h ad r easonable o pportunity t o o btain l egal a dvice p rior t o s igning i t,

and I a m a ware t hat b y s igning t his A greement I a m w aiving c ertain l egal r ights w hich I o r m y h eirs,

next o f k in, e xecutors, a dministrators, a ssigns a nd r epresentatives m ay h ave a gainst t he R eleasees.

Print C lient N ame:

Print W itness N ame:

Date

If C lient i s a m inor, p rovide P arent/Guardian n ame a nd s ignature

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