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Monteregie West Community Network

Activity Risk Waiver Form

Please read and sign the form

Name of Organization: Monteregie West Community Network - MWCN, and Partnership Orgnaizations

Activity: All activities organized by or in partnership with MWCN

Location: All MWCN offices or any preferred location designated by MWCN and/or its Partnerships for conducting activities.

I, the undersigned, hereby acknowledges and agrees to the terms and conditions outlined in this Activity Risk Waiver Form ("Form") in consideration of being allowed to participate in the activities organized by MWCN ("Organization").


  1. Assumption of Risk: I understand and acknowledge that by participating in the MWCN activities I voluntarily assume all risks associated with my participation in the activities and agree to release and hold harmless the Organization, its officers, employees, volunteers, and affiliates from any and all claims, demands, actions, or liabilities arising out of or related to such risks.

  2. Health and Medical Condition: I represent and warrant that I am physically and mentally capable of participating in the activities. I acknowledge that it is my responsibility to consult with a medical professional and obtain necessary medical clearance if I have any pre-existing medical conditions or concerns that may affect my ability to safely participate in the activities. I understand that the Organization does not provide medical or health insurance coverage for participants and that any medical expenses incurred during, or as a result of the activities, are my sole responsibility.

  3. Code of Conduct: I agree to abide by all rules, regulations, and instructions provided by the Organization and its representatives during the activities. I understand that failure to comply with these rules may result in immediate removal from the activities without any refund or compensation.

  4. Personal Belongings: I acknowledge that I am solely responsible for the security and safety of my personal belongings during the activities. The Organization shall not be liable for any loss, theft, or damage to my personal belongings.

  5. Governing Law: This Form shall be governed by and construed in accordance with the laws of the province of Quebec. Any disputes arising out of or related to this Form shall be subject to the exclusive jurisdiction of the courts of Quebec.


By signing below, I acknowledge that I have carefully read and understood this Activity Risk Waiver Form in its entirety and voluntarily agree to its terms and conditions.

Photography and Video Release: Do you grant the Organization permission to capture and use photographs, videos, or other forms of media that may include my likeness, image, voice, or performance during the activities? If yes, I understand that the Organization may use this media for promotional, marketing, or educational purposes without any compensation to me.

Thank you for submitting!
We will contact you soon to complete the registration.

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