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  • Facility Waiver of Liability

    Blanket waiver for each facility in addition to individual waivers
  • Cycling Without Age – Mississauga requires a waiver of liability for each passenger we take on a trishaw ride. There are three methods to satisfy our waiver requirements:


    a) A passenger who is cognitive can complete and sign their own CWA-Mississauga waiver.
    b) A passenger with cognitive or developmental impairments must have their personal Power of Attorney complete the CWA-Mississauga waiver on their behalf.
    c) A facility administrator can complete and sign this Facility Waiver of Liability form to acknowledge that they are liable for the CWA-Mississauga passengers.

    I acknowledge that participation in the Cycling Without Age - Mississauga program involves facility residents becoming passenger of a trishaw which is piloted by volunteers.


    I acknowledge that participation in this activity could involve the possibility of injury to the passenger.


    I acknowledge, that for each resident in our facility who will be a trishaw passenger, that it is the responsibility of our facility to have either a Cycling Without Age – Mississauga waiver signed or the facility will have our own Facility Waiver of Liability for the residents, sufficient to cover each passenger during their trishaw ride with Cycling Without Age – Mississauga.


    I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Cycling Without Age - Mississauga from any and all claims, demands, or cause of action, which are in any way connected with the Cycling Without Age – Mississauga program.


    I accept these risks, and all others arising from our participation in Cycling Without Age.

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