Program Registration

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Program*

Course Type

Participant Name*

First Last

Participant Email*

We will send program information to this email address:

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Email List

Would you like to be added to our email list? We send a maximum of four emails a year with discount codes, outdoor tips and upcoming programs.

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Mobile Phone*

Please provide a MOBILE phone number we can contact you in case of a course change right up to the day of the course:

Participant Address*

Please provide a MAILING address we can mail your course certificate:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Medical and Disabilities

Please describe any medical conditions or disabilities we should be aware of. If you are filling this out on behalf of another person, and are unsure of any medical conditions, have them contact us through our contact page and send us any conditions we should be aware of.

Emergency Contact Name

First Last

Emergency Contact Email

Emergency Contact Phone

ORCKA Certifications*

Please select which ORCKA awards you have received previously. Select 'None' if you have not taken an ORCKA course before.

Notes to Course Director

Please include any information we should know about.

Consent to Registration Policies*

CANCELLATIONS
There is a full refund for cancellations more than 30 days prior to the program. 50% refund for cancellations up to 14 days. No refunds within 14 days of program start date. There will be no credit or refund if a participant is late for a program or otherwise does not show up at the time of departure. Full payment will be refunded if a program is cancelled because of insufficient enrolment or at the discretion of Akuni Adventures.

MEDICAL EXPENSES
If it should be necessary to use a doctor or hospital, or require emergency services for evacuation, this expense will be passed on to the participant or his/her family. Citizens other than Canadians should have medical reimbursement insurance. If a participant must be sent home during a program due to medical or other reasons, the participant is responsible for all transportation and evacuation expenses, if necessary. Special insurance to cover the said costs is the responsibility of the participant.

HEALTH AND LIABILITY
All participants must be of satisfactory health and fitness for the kind of program they are undertaking. Any physical or medical problems that may require attention during the program should be discussed fully before the course begins. We do not assume responsibility for loss or damage to persons or property before, during or after a course. All participants must sign an assumption of risk waiver, and in some cases a medical form, before commencement of the program. Participants are responsible for their own personal insurance. The use of illegal drugs, cannabis or alcohol is prohibited at all times during programs. We reserve the right to change itineraries or cancel a course if forced to by weather, fire, illness, safety, etc.

CONFIDENTIALITY
Information submitted by the participant is for internal business use only. Akuni Adventures does not supply personal information in any way to other agencies (i.e. mailing lists). Medical information is kept strictly confidential between the guide and the client.

I agree to the registration policy.

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT ONTARIO RECREATIONAL CANOEING AND KAYAKING ASSOCIATION

Participant Age*

Yes, the participant is 18 years or older

No, the participant is under 18 years old

ORCKA RELEASE OF LIABILITY 18 Years or older

WARNING! Please read carefully! By signing this document, you will waive certain legal rights – including the right to sue

Participant Name*

First Last

Participant Date of Birth

Description and Acknowledgement of Risks*

3. I understand and acknowledge that:
a) The Activities have foreseeable and unforeseeable inherent risks, hazards and dangers that no amount of care, caution or expertise can eliminate, including without limitation, the potential for serious bodily injury, permanent disability, paralysis and loss of life,
b) The Organization may offer or promote online programming (such as webinars, remote conferences, workshops, and online training) which have different foreseeable and unforeseeable risks than in-person programming,
c) The Organization has a difficult task to ensure safety and it is not infallible. The Organization may be unaware of my fitness or abilities, may misjudge weather or environmental conditions, may give incomplete warnings or instructions, and the equipment being used might malfunction,
d) (COVID-19) The COVID-19 disease has been declared a worldwide pandemic by the World Health Organization and is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19; however, the Organization cannot guarantee that I will not become infected with COVID-19. Further, participating in the Activities could increase my risk of contracting COVID-19.

4. I am participating voluntarily in the Activities. In consideration of my participation, I hereby acknowledge that I am aware of the risks, dangers and hazards associated with or related to the Activities. I understand that the Organization may fail to safeguard or protect me from the risks, dangers and hazards of the Activities, some of which are listed below. The risks, dangers and hazards include, but are not limited to:
a) The inherent risks of the Activities, including:
i. Improper or incomplete provision or maintenance of paddling equipment, such as canoes, kayaks, stand up paddle boards, paddles, PFDs, and paddling rescue safety equipment,
ii. Improper or incomplete provision or maintenance of tripping equipment, such as tents tarps, kitchen equipment, and packs,
iii. Improper or incomplete provision or maintenance of transportation equipment, such as vehicles, paddling equipment, and tripping equipment,
iv. Improper or incomplete provision or maintenance of first-aid resources or equipment, such as first-aid kits and material,
v. Improper or incomplete provision of participant registration information, such as waivers, medical forms, emergency contact forms, and determination of swimming ability, paddling ability/experience, and general level of fitness,
vi. Improper or incomplete provision of food and water-related information, such as nutrition, hydration, water purification, wildlife management, and food preservation,
vii. Inability to properly secure or prepare the ‘instructional environment’ location or ‘wilderness tripping route’, which may include a waterfront dock, public beach site, campsite or portage route, private property, a conservation area, a Provincial or National Park, or crown land,
viii. Risks associated with transporting participants or equipment,
ix. Risks associated with paddling in rough water conditions, encountering water hazards, swimming/floating, using paddles, using rope and other paddling equipment, carrying a canoe and other paddling equipment, and with accidents or illness in a remote place without medical facilities,
x. Improper or incomplete accounting for safe wilderness travel, weather, or paddling,
xi. Inability to provide a safe wilderness camping environment, such as by failing to be aware of site hazards, lack of awareness of hazards (related to the kitchen, stove, fire pit, and camp hygiene), failing to follow swimming protocol, and prolonging exposure to the elements,
xii. Inability to provide for emergency response, such as by creating an evacuation plan, rescuing the Participant or equipment, determining an alternate route, sourcing alternate leadership, or providing first-aid.
b) Health: executing strenuous and demanding physical techniques; physical exertion; overexertion; repetitive actions; stretching; dehydration; fatigue; cardiovascular workouts; rapid movements and stops; lack of fitness or conditioning; traumatic injury; hyperthermia; hypothermia; sprains and fractures, spinal cord injuries, bacterial infections; drowning; rashes; contact with plants, animals, reptiles or insects; and the transmission of communicable diseases, including viruses of all kinds, COVID-19, bacteria, parasites or other organisms or any mutation thereof,
c) Premises: defective, dangerous or unsafe condition of the facilities; falls; collisions with objects, equipment or persons; dangerous, unsafe, or irregular conditions on the ground or other surfaces; extreme weather conditions; and travel to and from the premises,
d) Use of equipment: mechanical failure of the equipment; negligent design or manufacture of the equipment; the provision of or the failure by the Organization to provide any warnings, directions, instructions or guidance as to the use of the equipment; failure to wear safety or protective equipment; and failure to use or operate equipment within my own ability,
e) Contact: contact with equipment associated with the Activities, other equipment, vehicles, or other persons; and other contact that may lead to serious bodily injury, including but not limited to concussions and/or other brain injury or serious spinal injury,
f) Advice: negligent advice regarding the Activities,
g) Ability: failing to act safely or within my own ability or within designated areas,
h) Cyber: privacy breaches; hacking; and technology malfunction or damage,
i) Conduct: my conduct and conduct of other persons including any physical altercation between participants,
j) Travel: travel to and from the Activities,
k) Negligence: my negligence and negligence of other persons, including NEGLIGENCE ON THE PART OF THE ORGANIZATION, which may increase the risk of damage, loss, personal injury or death.

I have read and agree to be bound by paragraphs 3 and 4

Release of Liability and Disclaimer*

6. In consideration of the Organization allowing me to participate, I agree:
a) That the sole responsibility for my safety remains with me,
b) To ASSUME all risks arising out of, associated with or related to my participation,
c) That I am not relying on any oral or written statements made by the Organization or its agents, whether in a brochure or advertisement or in individual conversations, to agree to participate in the Activities,
d) To WAIVE any and all claims that I may have now or in the future against the Organization,
e) To freely ACCEPT AND FULLY ASSUME all such risks and possibility of personal injury, death, property damage, expense and related loss, including loss of income, resulting from my participation in the Activities,
f) To FOREVER RELEASE and INDEMNIFY the Organization from any and all liability for any and all claims, demands, actions, damages (including direct, indirect, special and/or consequential), losses, actions, judgments, and costs (including legal fees) (collectively, the “Claims”) which I have or may have in the future, that might arise out of, result from, or relate to my participation in the Activities, even though such Claims may have been caused by any manner whatsoever, including but not limited to, the negligence, gross negligence, negligent rescue, omissions, carelessness, breach of contract and/or breach of any statutory duty of care of the Organization,
g) To FOREVER RELEASE AND INDEMNIFY the Organization from any action related to my becoming exposed to or infected by COVID-19 as a result of, or from, any action, omission or negligence of myself or others, including but not limited to the Organization,
h) That the Organization is not responsible or liable for any damage to my vehicle, property, or equipment that may occur as a result of the Activities,
i) That negligence includes failure on the part of the Organization to take reasonable steps to safeguard or protect me from the risks, dangers and hazards associated with the Activities,
j) This release, waiver and indemnity is intended to be as broad and inclusive as is permitted by law of the Province of Ontario and if any portion thereof is held invalid, the balance shall, notwithstanding, continue in full legal force and effect.

Jurisdiction
7. I agree that in the event that I file a lawsuit against the Organization, I will do so solely in the Province of Ontario and further agree that the substantive law of the Province of Ontario will apply without regard to conflict of law rules.

I have read and agree to be bound by paragraphs 5 to 7

Agreement to sign digitally

Do you agree to sign this document electronically? If you do not agree you may sign a paper copy at the start of the course:

Yes, I Agree to sign electronically

No, I will sign a paper copy

Legal Name*

Type the legal name of the participant who is 18 years or older signing this document:

Date*

Acknowledgement*

8. I acknowledge that I have read and understand this agreement, that I have executed this agreement voluntarily, and that this agreement is to be binding upon myself, my heirs, spouse, children, guardians, next of kin, executors, administrators and legal or personal representatives. I further acknowledge by signing this agreement I have waived my right to maintain a lawsuit against the Organization on the basis of any claims from which I have released herein.

Enter your signature:

ORCKA RELEASE OF LIABILITY Under 18 years old

WARNING! Please read carefully! By signing this document, you will waive certain legal rights – including the right to sue

Participant Name*

First Last

Participant Date of Birth

Description and Acknowledgement of Risks

4. The Parties understand and acknowledge that:
a) The Activities have foreseeable and unforeseeable inherent risks, hazards and dangers that no amount of care, caution or expertise can eliminate, including without limitation, the potential for serious bodily injury, permanent disability, paralysis and loss of life,
b) The Organization may offer or promote online programming (such as webinars, remote conferences, workshops, and online training) which have different foreseeable and unforeseeable risks than in-person programming,
c) The Organization has a difficult task to ensure safety and it is not infallible. The Organization may be unaware of the Participant’s fitness or abilities, may give incomplete warnings or instructions, may misjudge weather or environmental conditions, and the equipment being used might malfunction,
d) (COVID-19) The COVID-19 disease has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19; however, the Organization cannot guarantee that the Participant will not become infected with COVID-19. Further, participating in the Activities could increase the Participant’s risk of contracting COVID-19.

5. The Participant is participating voluntarily in the Activities. In consideration of that participation, the Parties hereby acknowledge that they are aware of the risks, dangers and hazards and may be exposed to such risks, dangers and hazards. The Parties understand that the Organization may fail to safeguard or protect the Participant from the risks, dangers and hazards of the Activities, some of which are listed below. The risks, dangers and hazards include, but are not limited to:
a) The inherent risks of the Activities, including:
i. Improper or incomplete provision or maintenance of paddling equipment, such as canoes, kayaks, stand up paddle boards, paddles, PFDs, and paddling rescue safety equipment,
ii. Improper or incomplete provision or maintenance of tripping equipment, such as tents, tarps, kitchen equipment, and packs,
iii. Improper or incomplete provision or maintenance of transportation equipment, such as vehicles, paddling equipment, and tripping equipment,
iv. Improper or incomplete provision or maintenance of first-aid resources or equipment, such as first-aid kits and material,
v. Improper or incomplete provision of participant registration information, such as waivers, medical forms, emergency contact forms, and determination of swimming ability, paddling ability/experience, and general level of fitness,
vi. Improper or incomplete provision of food and water-related information, such as nutrition, hydration, water purification, wildlife management, and food preservation,
vii. Inability to properly secure or prepare the ‘instructional environment’ location or ‘wilderness tripping route’, which may include a waterfront dock, public beach site, campsite or portage route, private property, a conservation area, a Provincial or National Park, or crown land,
viii. Risks associated with transporting participants or equipment,
ix. Risks associated with paddling in rough water conditions, encountering water hazards, swimming/floating, using paddles, using rope and other paddling equipment, carrying a canoe and other paddling equipment, and with accidents or illness in a remote place without medical facilities,
x. Improper or incomplete accounting for safe wilderness travel, weather, or paddling,
xi. Inability to provide a safe wilderness camping environment, such as by failing to be aware of site hazards, lack of awareness of hazards (related to the kitchen, stove, firepit, and camp hygiene), failing to follow swimming protocol, and prolonging exposure to the elements,
xii. Inability to provide for emergency response, such as by creating an evacuation plan, rescuing the Participant or equipment, determining an alternate route, sourcing alternate leadership, or providing first-aid.
b) Health: executing strenuous and demanding physical techniques; physical exertion; overexertion; repetitive actions; stretching; dehydration; fatigue; cardiovascular workouts; rapid movements and stops; lack of fitness or conditioning; traumatic injury; hyperthermia; hypothermia; sprains and fractures, spinal cord injuries, bacterial infections; drowning; rashes; contact with plants, animals, reptiles or insects; and the transmission of communicable diseases, including viruses of all kinds, COVID-19, bacteria, parasites or other organisms or any mutation thereof,
c) Premises: defective, dangerous or unsafe condition of the facilities; falls; collisions with objects, walls, equipment or persons; dangerous, unsafe, or irregular conditions on the ground or other surfaces; extreme weather conditions; and travel to and from the premises,
d) Use of equipment: mechanical failure of the equipment; negligent design or manufacture of the equipment; the provision of or the failure by the Organization to provide any warnings, directions, instructions or guidance as to the use of the equipment; failure to wear safety or protective equipment; and failure to use or operate equipment within the Participant’s own ability,
e) Contact: contact with equipment associated with the Activities, other equipment, vehicles, or other persons; and other contact that may lead to serious bodily injury, including but not limited to concussions and/or other brain injury or serious spinal injury,
f) Advice: negligent advice regarding the Activities,
g) Ability: failing to act safely or within the Participant’s own ability or within designated areas,
h) Cyber: privacy breaches; hacking; and technology malfunction or damage,
i) Conduct: the Participant’s conduct and conduct of other persons including any physical altercation between participants,
j) Travel: travel to and from the Activities.

We have read and agree to be bound by paragraphs 4 and 5

Terms and Jurisdiction

6. In consideration of the Organization allowing the Participant to participate in the Activities, the Parties agree:
a) That when the Participant practices or trains in their own space, the Parties are responsible for the Participant’s surroundings and the location and equipment that is selected for the Participant,
b) That the Participant’s mental and physical condition is appropriate to participate in the Activities and the Parties assume all risks related to the Participant’s mental and physical condition,
c) To comply with the rules and regulations for participation in the Activities,
d) To comply with the rules of the facility or equipment,
e) That if the Participant observes an unusual significant hazard or risk, the Participant will remove themselves from participation and bring their observations to a representative of the Organization immediately,
f) The risks associated with the Activities are increased when the Participant is impaired and the Participant will not participate if impaired in any way,
g) That it is their sole responsibility to assess whether any Activities are too difficult for the Participant. By the Participant commencing an Activity, they acknowledge and accept the suitability and conditions of the Activity,
h) That they are responsible for the choice of the Participant’s safety or protective equipment and the secure fitting of that equipment,
i) (COVID-19) That COVID-19 is contagious in nature and the Participant may be exposed to, or infected by, COVID-19 and such exposure may result in personal injury, illness, permanent disability, or death.

7. In consideration of the Organization allowing the Participant to participate, the Parties agree:
a) That the Parties are not relying on any oral or written statements made by the Organization or their agents, whether in brochure or advertisement or in individual conversations, to agree to participate in the Activities,
b) That the Organization is not responsible or liable for any damage to the Participant’s vehicle, property, or equipment that may occur as a result of the Activities,
c) That this Agreement is intended to be as broad and inclusive as is permitted by law of the Province of Ontario and if any portion thereof is held invalid, the balance shall, notwithstanding, continue in full legal force and effect.

Jurisdiction
8. The Parties agree that in the event that they file a lawsuit against the Organization, they agree to do so solely in the Province of Ontario and they further agree that the substantive law of the Province of Ontario will apply without regard to conflict of law rules.

We have read and agree to be bound by paragraphs 7 and 8

Agreement to sign digitally

Do you agree to sign this document electronically? If you do not agree you may sign a paper copy at the start of the course:

Yes, I Agree to sign electronically

No, I will sign a paper copy

Legal Name of Parent or Gaurdian*

Type the legal name of the Parent or Guardian of the participant who is under 18 years.

Date*

Acknowledgement*

9. The Parties acknowledge that they have read this agreement and understand it, that they have executed this agreement voluntarily, and that this Agreement is to be binding upon themselves, their heirs, their spouses, guardians, next of kin, executors, administrators and legal or personal representatives.

Enter your signature:

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