NATURE AND DURATION OF ACTIVITIES: Missions in Oakville, St. Joseph Parish, Ontario. Activities include visiting the elderly and doing outreach on the street, feeding the homeless, times of prayer and formation, Mass and adoration. Missions take place in Oakville and in Hamilton, from 10:00am to 9:00pm, on November 23, 2024.

ACTIVITY SUPERVISOR(S):  Fr. Adam Zettel, LC

TRANSPORTATION: Not Applicable. Participants are responsible for securing their own transportation to and from activities, as the company does not provide transportation.

REQUIREMENTS: The participant named above is in good health and has no physical or medical limitations that would cause the activities as described above to be detrimental or dangerous to the participant.  Specific allergies and medical problems should be indicated in section 9 below.

CONSENT:  The above name participant certifies that he/she is above the age of majority and hereby consents to participate in the activities described above, and specifically requests that he/she be allowed to participate in those activities.

AUTHORIZATION. The above named participant hereby authorizes Legion of Christ Canada, Inc. to use the image and likeness of him/her in photograph or video form whether taken by or commissioned by Legion of Christ Canada, Inc. in its promotional materials and for its promotional purposes associated with its nonprofit activities. This authorization shall extend to use of his/her image and likeness on website of Legion of Christ Canada, Inc. or its successor in operation or affiliated organization(s) upon written consent of Legion of Christ Canada, Inc.  The above named participant understands that this authorization shall survive the end of his/her participation in the activities referenced on this form.

INSURANCE:  The above named participant understands that Legion of Christ Canada, Inc. does not carry any insurance relative to the activities or for any injury that may occur to him/her.  The above named participant represents that he she is (a) covered by insurance through his/her own insurance carrier; or (b) that he/she is personally financially responsible for any and all medical costs incurred as a result of injury.

 EMERGENCIES: If the above named participant requires any emergency medical procedures or treatments during the activities, he/she consents to the activity supervisor(s) taking, arranging for or consenting to such procedures or treatments in the discretion of the activity supervisor(s). For purposes of such procedures and treatments, the above named participant’s blood type allergies or other medical problems (if any) are listed below:

RELEASE AND INDEMNIFICATION: I release and waive, and further agree to indemnify, hold harmless or reimburse Legion of Christ Canada, Inc., the individual members, agents, directors, officers, employees, volunteers and representatives thereof, as well as activity supervisors, from and against, any claim which I, any parent or guardian, any sibling, or any other person, firm or corporation may have or claim to have, known or unknown, directly or indirectly, for any losses (including attorneys’ fees incurred by Legion of Christ Canada, Inc., or any of its individual employees, agents, volunteers, etc. in enforcing this indemnity provision) without limitation in time or amount, damages or injuries arising out of, during, or in connection with my participation in the activities, the travel to and there from, and the rendering of emergency medical procedures or treatment, if any. I understand that this release and indemnification shall survive the end of my participation in the activities referenced on this form and shall have no limitation in time or amount.