iSaute

WAIVER, GENERAL RELEASE, AND ASSUMPTION OF RISK AGREEMENT
85427324 Canada Inc., doing business under the name Isaute (known as « Isaute ») is a
business operating in Québec and offering entertainment services, more particularly in
trampoline activities such as trampoline jumps, trampoline dodgeball, trampoline basket-ball,
aerial jumps, fitness classes, bouncing house and day camps («Activities»).
By signing this Agreement, I acknowledge and accept that the Activities offered by and
available at iSaute entail both known and unknown risks that could result in serious injury or
death. These risks may be due to but not limited to exposed springs, hooks, frames, and/or
other pieces of equipment; poor lighting; lack of supervision and/or trained spotters; lack of
protective padding, mats, netting, and/or other proper equipment; lack of any other proper
safety measure; slipping and/or falling on and/or off equipment; collision with fixed objects
and/or people; attempted jumps, runs, stunts, tumbles, somersaults, maneuvers and/or
acrobatics; having multiple participants participate in the Activities at one time; the physical
condition, fitness and/or abilities of participants; weight differences between participants;
weather and/or all other environmental conditions; actions and/or omissions committed by me
or the child for which I act as a legal guardian (known as «Minor Child»).
Initials : _______
By signing this Agreement, I acknowledge and accept both the known and unknown risks that
may occur due to the use of the equipments of iSaute or from my participation or that of the
Minor Child to the Activities and accept that these risks are inherent to the practice or
performance of these activities.
Initials : ________
By signing this Agreement, I accept and acknowledge as well that I and/or the Minor Child
participate in the Activities freely, fully aware of the dangers and potential risks involved in the
practice or performance of the Activities.
Initials : _______
In the event of using the iSaute equipments or participation to the Activities by the Minor
Child, I acknowledge that iSaute is in no way responsible for any monitoring or supervision
whatsoever and that it is my responsibility as the parent or person having legal authority to do
so.
Initials : ______
In the course of using the equipments of iSaute, or of my participation or the one of the Minor
Child to the Activities of iSaute, or of my presence or the one of the Minor Child for whom I
have legal authority on the premises of iSaute, I acknowledge and accept that shots,
photographies and/or videos (known as Footage) be taken of myself or the one of the Minor
Child by iSaute any of its employees, representatives, mandataries, agents or any person
who’s services are retained by iSaute through their representatives, and this, without any form
of payment/compensation. I hereby assign all rights pursuant to any of the Footage, including
moral rights, to the beneficiaries, their representatives, mandataries, agents, affiliates, clients
and assigns, without limiting the generality of the foregoing and authorize the beneficiaries to
archive, modify, edit and join for news, editorial or advertising purposes or other on the
Internet or any other media. Consequently, I assign the rights to iSaute to use my likeness
and image or that of the Minor Child in its publications on its website, in promotional and
marketing tools or in any other media, whether it be digital or printed or other and this,
without any form of payment or compensation or need for any other approval or consent and I
release all rights to iSaute pertaining to the said Footage.
I understand that this Agreement extends forever into the future and will have full force and
legal effect each and every time I and/or the Minor Child visit iSaute, whether at the current
location or any other location or facility.
Initials : ______
1.
SECTION FOR PARTICIPANT OVER 18 or PARENT/LEGAL GUARDIAN
COMPLETE THIS SECTION IF YOU ARE SIGNING FOR YOURSELF AND ARE OVER 18 YEARS OF AGE AND/OR
ARE THE PARENT OR LEGAL GUARDIAN SIGNING FOR A MINOR CHILD.
Participant over 18 yrs, Parent, OR Legal Guardian
PRINT FULL NAME: ________________________________ CONTACT NUMBER: _________________________
SIGNATURE: _______________________________________ EMAIL ADDRESS: _______________________________
TODAY’S DATE: _____________________
Date of Birth of Participant over 18 yrs, Parent, OR Legal Guardian: _______________
2.
NAMES AND BIRTHDATES OF ALL CHILDREN UNDER 18
THIS SECTION IS REQUIRED IF YOU ARE RELEASING THE LIABILITY FOR CHILDREN UNDER 18
Parent’s or Legal Guardian’s additional agreement, indemnification, general release and assumption of risk - (Must be
completed for participants under the age of 18)
In consideration of the Minor Child detailed below being allowed to participate in the Activities and use the Facilities, I
voluntarily agree that all terms and conditions set forth herein shall equally apply to such minor as if the Minor Child was at
least 18 years old.
MINOR NAME (Under 18 yrs)
____________ _________________________
First Name
Last Name
MINOR BIRTHDATE
_________________
MM/DD/YYYY
RELATION TO MINOR
____ Parent
____ Legal Guardian
MINOR NAME (Under 18 yrs)
____________ _________________________
First Name
Last Name
MINOR BIRTHDATE
_________________
MM/DD/YYYY
RELATION TO MINOR
____ Parent
____ Legal Guardian
MINOR NAME (Under 18 yrs)
___________ _________________________
First Name
Last Name
MINOR BIRTHDATE
_________________
MM/DD/YYYY
RELATION TO MINOR
____ Parent
____ Legal Guardian
MINOR NAME (Under 18 yrs)
___________ _________________________
First Name
Last Name
MINOR BIRTHDATE
_________________
MM/DD/YYYY
RELATION TO MINOR
____ Parent
____ Legal Guardian