Laserfiche WebLink
OCDSB 649 Field Trip Volunteer Acknowledgements and Disclaimer Waiver <br />Name of Trip: <br />Section A: Volunteer Duty/Activity <br />I, the undersigned hereby acknowledge and agree that I will be performing the following volunteer duties and/or activities: <br />Section B: location <br />Name of School: <br />Section C: Dates of Activity <br />Date: <br />Section D: Types of Volunteers <br />Please read and confirm: <br />I am a volunteer and I will be participating in an assisting capacity on this trip to <br />under the direction of OCDSB staff. <br />I understand that a police check may be required in order for me to accompany students on this trip. <br />I already have a valid police check and will provide it to the principal and/or Lead Trip Supervisor upon request. <br /> <br /> <br /> Yes No <br />I am willing to obtain a police check Yes No <br />Volunteer Confirmation (Signature) <br />Section E: Acknowledgement of Element of Risk. <br />I understand that participating as a volunteer presents various elements of risk. Accidents resulting from such activities may occur and <br />cause injury. These risk(s) must be assumed by the volunteer. As a volunteer I understand that I am not an employee of the Ottawa- <br />Carleton District School Board and am not covered by the Workplace Safety & Insurance Act in the event of accidental injury or disease. <br />I understand that the Ottawa-Carleton District School Board does not carry medical insurance for volunteers and that any medical <br />expenses incurred by me due to an accident would be my responsibility. I hereby, on behalf of myself, my heirs, executors, administrators <br />and assigned demise, release and forever discharge the Ottawa-Carleton District School Board, its successors and assigns, of and from all <br />manner of actions, causes of actions, suits, debts, dues, accounts, bonds, covenants, contracts and demands whatsoever which against the <br />Ottawa-Carleton District School Board I may press or commence arising out of and caused from the use of such volunteer duties and <br />activities as described above or the demonstration of the same. <br />DATED AT , ONTARIO, THIS DAY OF , 2 <br />Signature of Volunteer: <br />Print Name: <br />Address: <br />Telephone:Cell:Home: <br />Signature Of Principal: <br />OCDSB 649 (October 2017)Page 1 <br />Rain Date: