COVID-19 STAFF ACKNOWLEDGEMENT AND ASSUMPTION OF RISK

BETWEEN:
Muskoka Bible Centre Inc. (hereinafter the “MBC”)
8 Pioneer Ave., Huntsville, Ontario, P1H 2J3 (the “Premises”)

-AND-

  1. I agree to abide by the current restrictions and regulations as outlined by the Government of Ontario and/or Ontario Public Health as well as the COVID-19 safety protocols of MBC. 

  2. I am not currently experiencing COVID-19 symptoms nor have I had COVID-19 symptoms in the last 14 days.

  3. I have not travelled outside of Canada or in an area under a travel health advisory in the last 14 days.

  4. I have not provided care or had close contact with any person with COVID -19 or with any person reasonably suspected to have COVID -19 or with any person who travelled outside of Canada in the last 14 days or with any person who travelled in an area under a travel health advisory in the last 14 days.

  5. I represent and warrant to MBC that I have not been advised by the Government of Canada or Ontario Public Health or my doctor or the Ontario Ministry of Health website to self-isolate due to possible exposure to COVID -19.

  6. I represent and warrant that I will advise MBC immediately if I have been exposed to COVID-19 or have contracted COVID-19, and further that I will follow any direction from MBC Management or health authorities as it relates to leaving the Premises or isolating on the Premises as a result of COVID-19 exposure or infection.

  7. I am fully aware of the risks and hazards with respect to COVID-19 inherent in my attendance at the MBC and participation in the activities of MBC.

  8. I freely and voluntarily agree to assume the risk with respect to COVID 19, regardless of severity, that I (or my child/ward) may sustain as a result of my participation in the activities of MBC or attendance at MBC, howsoever arising, including negligence on the part of the Releasees.

Staff Member

By checking the box below, I confirm that I understand that there are inherent and unforeseen risks involved in working at MBC and participating in the activities of MBC.  I have read this document in its entirety and fully understand its terms. I understand that I am giving up substantial legal rights by signing below, including the right to sue the Releasees. I acknowledge that I am signing this agreement freely and voluntarily and intend my signature to be a waiver and complete and unconditional release of all liability due to the negligence of the Releasees or, the inherent risks of participating in the activities of MBC or while attending the Premises.

Yes

For each staff member under age 18

 

  1. I am the parent or guardian of the minor(s) named above (the “Minor”). I give my consent for the minor’s employment and residence at MBC, and participation in the activities of MBC.  I represent that the Minor is in good physical condition and acknowledge that I have reviewed, understood and agreed to the terms herein and have the legal authority to enter into this Agreement on behalf of the Minor.

  2. I do hereby covenant and agree with the Releasee that I will at all times hereafter indemnify the Releasee of and from all claims and demands, suits or actions or claims for contribution or indemnity whether under the Negligence Act, the Occupiers Liability Act or otherwise which may be made or brought against the Releasee by the said above named Minor, or on his behalf or in any way arising out of the said accident and injuries including the costs of defending any such suits, actions or claims.

 

Yes

 

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