Conjugate Margins

FIELD TRIP WAIVER

Lewis Conference Services International Inc

Central Atlantic Conjugate Margins\ Halifax 2008 Conference 

FIELD TRIP WAIVER

WARNING: BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS INCLUDING THE RIGHT TO SUE. READ IT CAREFULLY!

In consideration of the Central Atlantic Conjugate Margins\ Halifax 2008 Conference Coordinators allowing me to participate in the Field Trip (Field Trip), I waive any and all claims that I have or may in the future have against, and release from all liability and agree not to sue, Lewis Conference Services International Inc. (the conference agent), any of their directors, officers, employees, servants, agents, representatives, volunteers, field trip and/or seminar leaders (collectively the “Personnel”), as well as other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and leasors of premises used for the Field Trip for any personal injury, death, property damage or other loss that I sustain during or as a result of any Field Trip due to any cause whatsoever on the part of anyone or more of LCSI, the Personnel or others, including:

a. Negligence (the meaning of which includes failure to use such care as a reasonable, prudent and careful person would use under similar circumstances and failure to meet standards of care in field trips in the Province of Nova Scotia for the safety of participants);

b. Breach of any other duty imposed by law, including any duty imposed by occupiers liability or other legislation;

c. Breach of any contract; and

d. Mistakes or errors in judgment of any kind.

I am aware of the risks inherent in the Field Trip, including:

1. Badlands and Mountainous Terrain: I am aware that the Field Trip includes visiting badlands any / or mountain terrain which has many dangers, obstacles and hazards including:

Exposure to cold, wet weather or the effects of heat and strong sunlight, or strong winds;

Curious or aggressive wildlife: carnivores, omnivores, rodents, insects, birds, snakes, or other domestic or non-domestic animals;

Bacterial, parasitic or fungal hazards, such as Giardia;

Falls on, from, or onto steep, slippery or uneven terrain resulting in contact with rocks, trees, obstructions or other participants;

Falling rock, flooding, immersion in cold water potentially causing hypothermia, shock or drowning;

Deadfall and noxious vegetation.

2. Oil and Gas Exploration and Production Operations: I am aware that such operations are included in the Field Trip and include the risk of:

Exposure to high voltages, noxious gases or fumes, moving cables and machinery, geophysical energy sources (including explosives), heat sources, and electromagnetic fields.

3. Travel by Aircraft: I am aware of the risk of:

Mechanical failure or operational error including pilot error;

Risks associated with operations in and around fixed wing and, particularly, rotary wing aircraft, both on the ground and in the air.

4. Motor Vehicle: I am aware of the risk of mechanical failure or operational error including driver error.

5. Travel by Horseback: I am aware of the dangers and hazards of horseback travel including but not restricted to:

Bucking, kicking, biting, being stepped on, runaway;

Inherent unpredictability of horse behaviour;

Loose or broken tack or equipment;

Falling with or under a horse on broken ground, uneven slopes, river crossings, etc.

6. Travel by River: I am aware of the danger, hazards and obstacles associated with river travel by raft or boat including but not restricted to:

Hypothermia, drowning or shock falling into potentially frigid river water;

Drowning or injury after being trapped by river currents/rapids under or against river obstacles after falling out of a raft or boat;

Body trauma from striking submerged rocks or obstacles after falling out of a raft or boat.

I assume and accept all the risks and dangers of the Field Trip and the possibility of personal injury, death, property damage or other loss as a result. I willingly accept these risks and agree to the terms of this Field Trip Waiver, even if Lewis Conference Services International Inc. or any of the Personnel are found in law to be negligent or in breach of a duty of care or any other obligation to me in their conduct of any Field Trip.

In signing this Field Trip Waiver, I am not relying on any oral, written or visual statements of any kind, including promotional statements made by Lewis Conference Services International Inc. in its brochures or by any of the Personnel to induce me to go on a Field Trip.

I confirm that I am the full age of Eighteen (18) years, that I have had sufficient time to read and understand what I am agreeing to in this Field Trip Waiver before signing it and that it will be binding upon my heirs, next of kin, executors, administrators and successors.

I agree that the Field Trip Waiver and the agreements it contains will be governed in all respects by and interpreted in accordance with the laws of the Province of Nova Scotia and I hereby irrevocably attorn to the jurisdiction of the Courts of the Province of Nova Scotia.

 

Signed and witnessed this _______ day of ______________, __________

 

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Signature of Witness Signature of Participant

 

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Print Name of Witness Print Name of Participant

 

______________________________________ ______________________________________

 

Print Address of Witness Emergency Contact and Telephone Number

 

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Emergency Contact’s Relationship  with the Participant