Release Of Liability Waiver Of Claims Page 3
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314. I acknowledge that:
a.
I am at least 18 years of age; or if I am not, my parent or guardian must co-sign the paragraphs requiring initials and sign the
Declaration of Guardianship of a Minor Child.
b. I have read this document in its entirety and appreciate my rights, obligation and liabilities set out herein;
c.
I have been given the opportunity to seek independent legal advice with respect to this document and that I have received
such advice or waived my right to do so;
d. I am voluntarily participating in this course and voluntarily signing this document.
15 I understand that if I do not sign this document in full, I will not be permitted to participate in this Course and
that I will be entitled to a full refund of my Course fees.
Notice: Pictures may be taken on the course for purposes of being used in social media and on our website. If you DO NOT
wish to have facially recognizable pictures taken, please notify the photographer by talking to them or waving them off or
stepping out of view of the camera. Some pictures may be wide angle views of the larger training area where individuals will
not be facially recognizable.
Date:
(an executable copy will be provided in class)_
_(an executable copy will be provided in class)_
Student Name
Student Signature
(an executable copy will be provided in class)_
_(an executable copy will be provided in class)_
Witness Name
Witness Signature
DECLARATION OF GUARDIANSHIP OF A MINOR CHILD
(For participants under 18 years of age)
I, (Printed Name of Parent/Guardian)_______
_______
_(an executable copy will be provided in class)_
HEREBY DO CERTIFY THAT I AM THE PARENT OR LEGAL GUARDIAN OF:
(Student Name)_____
_________________AND I hereby give consent for
_(an executable copy will be provided in class)_
my son/daughter (Student Name) __
_ to participate as a student in the
(an executable copy will be provided in class)_
Canada Safety Council Motorcycle Training Program offered by MTOhp, SUBJECT TO ALL THE CONDITIONS
STATED IN THE ABOVE WAIVER OF CLAIMS.
_(an executable copy will be provided in class)_
________________________________
Signature of Parent/Guardian
Date
Parent/Guardian Driver’s Licence Number: ____________ - ___________ - _____________
nd
2
I.D. : ________________________________________________________________________
___________________________________
_(an executable copy will be provided in class)_
Witness Name
Witness Signature
Second position of ‘INITIAL’ completed for all relevant paragraph
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