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 ACKNOWLEDGEMENT OF RISK/CONSENT

Please review the following and decide whether you agree that your child may participate. 

My child swims like a... Required
Acknowledgement of Risk and Consent

I understand that there are inherent risks involved in these activities. I recognize that these risks could result in consequences that include general physical injuries, head or spinal injuries, physical or emotional trauma, infection, death or financial loss (e.g., damaged or lost personal equipment or medical costs.) 

 

I have fully informed myself about the nature of these activities and the inherent risks associated with these activities.

 

I acknowledge that I have been encouraged to ask for clarification about the nature of any activity and the safety measures to be used by the farm to manage risks. 

I Understand and Agree:

  1. That the physical demands of this particular program require that my child is medically, physically, and emotionally fit and fully able to participate in the activities. I am not aware of any reason, health-related or otherwise, why my child would not be capable of participating in any or all of the planned activities. The program’s instructors reserve the right to refuse my child’s participation in any activity if they deem them not fit to participate.

  2. I acknowledge that Gibsons Farm cannot guarantee absolute safety. I also understand that my child is, in part, responsible for their own safety and that they must act prudently and carefully. I understand and acknowledge that my child may suffer serious and permanent injury or damage to or loss of property, resulting directly or indirectly from their own negligence, failure to follow direction, misadventure or unavoidable or unintentional accident. I also understand and acknowledge that all of the potential risks cannot be listed in this Agreement.

  3. The setting and activities that my child will be participating in requires that they have adequate clothing and personal equipment to keep them warm and dry. It is our family’s responsibility to ensure that our child is properly equipped for the program.

  4. I understand that it is our family’s responsibility to communicate to the farm staff any particular/ specific need that my child has prior to the first day of the program.

I consent to my child’s participation in the activities.

I CONFIRM THAT I HAVE READ THIS DOCUMENT AND FULLY UNDERSTAND THE TYPES OF ACTIVITIES MY CHILD WILL BE PARTICIPATING IN AND THE ASSOCIATED RISKS OF THOSE ACTIVITIES.


I understand that by signing below, I am acknowledging my agreement to the above. I am also aware of, and my family is abiding by, current provincial COVID protocols.

Thanks for submitting!

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