CHILD CARE AND LEARNING CENTRE
Volunteers: by signing this document you will waive certain legal rights, including the right to sue –
Please Read Carefully!
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY:
In consideration of approval to enter a work experience program in the University of Guelph Child Care
and Learning Centre, I hereby agree as follows:
TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the University of
Guelph and its directors, officers, employees, and representatives (all of whom are hereinafter
collectively referred to as “the Releasees”) To release the releasees from any and all liability for
any loss, damage, injury or expense that I may suffer, or that my next of kin my suffer as a result
of my participation in this work experience program, due to any cause whatsoever, including
negligence, breach of contract or breach of any statutory or other duty of care.
IT IS MY RESPONSIBILITY to ensure that I have adequate medical, personal health, dental and accident
insurance coverage, as well as protection of my personal possessions;
TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to
property of, or personal injury to, any third party, resulting from my participation in this work experience
program, if such liability is as a result of my acting outside the scope of my duties and responsibilities.
THIS AGREEMENT SHALL be effective and binding upon my heirs, next of kin, executors, administrators,
assignees and representatives in the event of my death or incapacity;
IN ENTERING INTO THE AGREEMENT, I am not relying upon any oral or written representations or
statements made by the Releasees other than what is set forth in this Agreement.
I FREELY ACCEPT AND FULLY ASSUME all risk, dangers and hazards and the possibility of personal injury,
death, property damage or loss, resulting from my participation in this program
I have read and understand this agreement and I am aware that by signing, I am waiving certain legal
rights which I or my Heirs, Next of Kin, Executors, Administrators and Assignees may have against their
Signature of Parent or Legal Guardian Relationship to Minor
Director, Chair or Witness Signature Date