Waiver 免責聲明
Release of Liability, Waiver of all Possible Claims and Assumption of Risks and Attestation for Self-Reporting
如實匯報、免責與放棄索償聲明
I hereby acknowledge that I have agreed to attend in person at Community Family Services of Ontario (CFSO), for the purpose of receiving services provided by CFSO.
我特此確認,我同意親身到訪 家和 (CFSO),為接受【家和】提供的服務。
I hereby agree to participate in CFSO's Dance Class voluntarily. I acknowledge and fully understand the potential risks of injury involved in such activities. I also understand that CFSO is not required to assess my physical condition before I start or continue the class.
我同意參加【家和】的舞蹈班屬於自願性質,並完全明白當中有可能會帶來之受傷風險。我同意【家和】毌須在我開始或繼續運動課程前,對我之身體狀況作出評估。
I confirm that I do not have any physical defects or illnesses that would prevent me from safely participating in Dance Class or using CFSO facilities. Should there be any doubts, I agree to consult with my doctor before participating.
我確認我沒有任何身體之缺陷或疾病,導致我不能安全地參予舞蹈班及享用【家和】之設施。如有懷疑,我應在參予舞蹈班前諮詢我的醫生。
In consideration of being permitted to participate in these activities, I hereby waive, release, and discharge CFSO, its officers, employees, volunteers, agents, and directors (the “Releasees”) from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in Dance Class at CFSO.
我在此同意【家和】 毌須為我參與【家和】之任何活動而可能導致的任何損失、損害、受傷(包括死亡)或指控負責。我並在此放棄、解除和免除一切向【家和】 、包括其職員、員工 、義工、代理及董事(下稱「免責者」)追討、要求、索償之權利。
I agree to indemnify and hold harmless CFSO, its officers, employees, volunteers, and directors from any loss, liability, damage, or cost they may incur due to my participation in these activities, including but not limited to any claims arising from actual or potential infection, including COVID-19 coronavirus.
我同意免除向【家和】、其職員及義工就於我參與其活動同向我提供服務時,因任何潛在或實際感染包括COVID-19冠狀病毒而可能發生或引起的任何人身傷害或其他損失,而提出的訴訟、索賠、需求、要求、損失或任何追索權的任何及所有原因。我確認並同意,我不會向免責者提出訴訟,或要求賠償損失或其他賠償。
I understand and agree that this Release of Liability, Waiver of all Possible Claims and Assumption of Risks, and Attestation for Self-Reporting shall be binding on my heirs, executors, administrators, and assigns, and shall be governed by the laws of the jurisdiction in which CFSO is located.
我理解並同意,此份《免責、放棄任何索償、風險承擔及自我陳述聲明》文件將對我的繼承人、執行人、管理人和受讓人具有約束力,並將受到【家和】所在司法管轄區的法律管轄。
I further acknowledge that this Release of Liability, Waiver of all Possible Claims and Assumption of Risks, and Attestation for Self-Reporting as a complete defense to any and all claims, damages, causes of action, or recourse or liability that may arise at any time.
我進一步確認,免責者可以將此份《免責、放棄任何索償、風險承擔及自我陳述聲明》文件作為於任何時候可能出現的任何和所有索賠、損失、訴訟成因、追索權或責任的完整抗辯理由。
I have carefully reviewed this Release of Liability, Waiver of all Possible Claims and Assumption of Risk and acknowledge that I fully understand the terms as set out above. I acknowledge that I am signing this Release of Liability, Waiver of all Possible Claims, and Assumption of Risk voluntarily.
我已經仔細查閱此份《自行報告下之免責、放棄任何索償、風險承擔及陳述證明》文件,並確認我完全理解上述條款。我確認我自願簽署此份《自行報告下之免責、放棄任何索償、風險承擔及陳述證明》文件。
By checking off the box, you agree and consent to the statement of the waiver
點選下列方塊,代表同意並理解此條款