LIABILITY WAIVER
Further, | RELEASE AND SAVE HARMLESS Camosun College, its employees, agents and
liability for any loss, damage or expense that | may suffer as a
representatives from any and al
result of my participation in the program or course.
I have read this document carefully and acknowledge my understanding that
signing it affects my legal rights.
If you have any questions or concerns, you are encouraged to seek independent
legal advice.
“‘If this waiver is used for the duration of the semester, please provide the
following information
4) Course number and section: _English 151 SECTION __008__
2) Projected field activiti
it Tsawout First Nation and participate in activities with Elder
ctor Underwood.
“ oes
3) Dates: Start of semester:
End of semester:
—plaechn, Seeues cchwan Devs aa
{Signature of Participant)
Participant's Name — Please Print)
signed this _!4 day of _Seglember 20421
If the participant is not 19 years of age, the following must be completed:
| , am the legal parent or guardian of (the
*Minor), hereby on behalf of the Minor and his/her heirs, executors, successors assigns, do
agree to the terms of this Risk Assumption and Liability Waiver form and execute it on behalf of
the Minor.
(Parent/Guardian Signature) (Relationship)