RELEASE OF LIABILITY FOR PARTICIPANTS OF AKUNI ADVENTURES PROGRAMS

Name:                                                                                                                                                                                          

Address:                                                                                                                                                                                      

City:                                              Prov./State:                                                     Postal Code/ZIP:                                            

Course Name and Date:                                                                                                                                                         

ACKNOWLEDGEMENT OF RISKS

I, the above named person being above the age of eighteen, or the legal guardian of the above named person who is under eighteen, in consideration of Akuni Inc. operating under the business name Akuni Adventures, its employees, directors, servants, volunteers, related parties, agents, successors, heirs and assigns (all of the above hereafter called the Releasees.), I understand and acknowledge that the activity I am about to voluntarily engage in as a participant and/or volunteer bears certain known risks and unanticipated risks which could result in injury, death, illness, disease or damage to myself, to my property, to other participants, to spectators, or to other third parties. Among these risks are the following:

• the nature of the activity itself,
• acts or omissions by the Releasees,
• latent or apparent defects in equipment supplied by the Releasees,
• use or operation, by myself or others of equipment supplied by the Releasees ,
• acts of other participants in this activity or the Releasees,
• weather conditions,
• contact with plants or animals,
• my own physical condition, or my own acts or omissions,
• conditions of roads, trails, waterways, or terrain, and accidents connected with their use,

I understand and acknowledge that the above list is not complete or exhaustive, and that other risks known, or unknown, identified or unidentified, anticipated or unanticipated may also result in injury, death, illness, disease or damage to myself, to my property, to other participants, to spectators, or to other third parties. I expressly accept these risks and those not specifically listed above as well.

ACCEPTANCE OF RISK AND RESPONSIBILITY

I am aware that this activity entails risks or injury to myself and risk or injury to other participants, spectators or other third parties as a result of my actions. I expressly agree, covenant and promise to accept and assume responsibility and risk of injury, death, illness, disease, or damage to other participants, to spectators, or to other third parities and their property arising from my participation in this activity. My participation in this activity is purely voluntary; no one is forcing me to participate, and I elect to participate in spite of the risks.

I agree that if it becomes necessary to change, alter or cancel all or portions of my programme for reasons of inclement weather or for any other reason beyond the control of the Releasees, I will not hold the Releasees liable. I understand that if I have to be evacuated, I am responsible for all costs. I understand that Akuni Adventures, and the Releasees, must reserve the right to withdraw or refuse any service to any participant at any time.

Should the Releasees or other persons be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fee and costs.  In the event that I file a lawsuit against the Releasees, I agree to do so solely in the Province of Ontario and I further agree that the substantive law of that province shall apply in this action without regard to conflict of rules in that province.

RELEASE

Having read this document, I hereby voluntarily release and forever discharge the Releasees from any liability, or claims, which are related to, arise out of, or are in any way connected with my participation in this activity. I also waive claim against the Releasees or entities for any delays howsoever caused, arising out of, or in any way connected with the participation in this activity.

PARTICIPANT INSURANCE BENEFITS AND REPRESENTATION OF PHYSICAL CONDITION

I understand and acknowledge that no major medical insurance benefits will be provided to me during this activity. I certify that I have sufficient health and accident insurance to cover any bodily injury I may incur while participating in this activity. If I have no such insurance, I certify that I am capable of personally paying for all such expenses.

I am in good health and able to participate in this activity. All medical information has been fully disclosed on the medical information form.

ENTIRE AGREEMENT

I understand that this is the entire Agreement between myself and the Releasees, and that it cannot be modified or changed in any way by the representations or statements of any employee or agent of Akuni Adventures, or by me.

My signature below indicates that I have read this entire document, understand it completely, and agree to be bound by its terms.

Print name of participant or guardian                               Date signed (dd/mm/yyyy)

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Signed name of participant or guardian