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Central Huron Volunteer Waiver Form - Honey Bee Program

Please note, this form gives you the ability to save your progress if you are not able to complete the requirements all in one sitting. Simply hit the "save" button located at the bottom of the page to save your work and come back to complete it at another time.

First Name

Last Name

Email Address

Phone #

Are you 16 Years of Age or Older?

Yes

I acknowledge, appreciate and agree that while performing my assigned duties as a Honey Bee Program Volunteer:

1. I knowingly and freely assume all risks, both known and unknown;

2. I understand my duties will be rendered without payment for same, nor will I be entitled to any benefits normally provided by the Municipality of Central Huron, including WSIB. I will be responsible for my own health insurance.

3. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, agree to release and discharge the Municipality of Central Huron from and against all claims and proceedings, in respect of any damage or injury sustained by myself of any loss or damage to personal property arising by reason of my provision of my duties as a volunteer.

Please read the above statement carefully

I have read this Release of Liability and Assumptions of Risk Agreement; I full understand its terms and sign it freely and voluntarily without any inducement.

Date