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Canadian Waiver and Release

Canada Waiver and Release


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Canadian Waiver and Release

[What is a Waiver and Release?]

Simply answer the questions below to personalize your Waiver and Release

A Waiver or Release Agreement is used when one party voluntarily surrenders a right or privilage, in exchange for money or other compensation. This agreement can apply to several situations, such as waiving the right to sue in the event of personal injury, accidents, or property damage. It can also apply to satisfaction of debts, or cases in which both parties have been involved in a dispute and wish to release any claims against each other.

This document is up to date! It was last reviewed by a lawyer in January 2012.


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Governing Jurisdiction:

This agreement will be governed by the laws of which nation?

Select a province or territory:

State:

Purpose of Waiver/Release:

Purpose of Waiver/Release

This release may be used by the Releasor, to allow himself, his child, or his pet to participate in an activity. Alternately, it may be used by the Releasor to release a claim against another person, or that person's pet or child. Personal injury is considered vicarious if the Releasee is legally responsible but was not directly involved in the incident (e.g., a person is vicariously liable if they lend their car to a friend, and their friend hits a pedestrian). A mutual release is used when both parties are releasing their claims against each other.
What will this waiver or release be used for?

Participant's Contact Information:

Participant's Contact Information:

Participant's Contact Information:

First Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Releasor's Contact Information:

Important Notice

It is important to note that, by signing this agreement, the Releasor is releasing ONLY the Releasee. The Releasor may still have claims against other people involved (e.g. the Releasee's child, or the driver of the Releasee's vehicle).
Full Name:

Address:

City:

Select a Nation:

Select a province or territory:

State:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Second Releasor's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Releasee's Contact Information:

Full Name:

Address:

City:

Select a Nation:

Select a province or territory:

State:

Nature of Dispute:

Please enter a detailed description of the dispute:


Nature of Activity:

Please enter a detailed description of the activity:


Date of Activity:

Day (e.g. 5):

Month (e.g. July):

Year (e.g. 2007):

Nature of Activity:

Please enter a detailed description of the activity:


Date of Activity

Day:

Month (e.g. July):

Year (e.g. 2007):

Nature of Activity:

Please enter a detailed description of the activity:


Date of Activity:

Day:

Month (e.g. May):

Year (e.g. 2007):

Nature of Damage:

What was damaged (e.g. mountain bike)?

What caused the damage?


Date of Damage:

Day (e.g. 16):

Month (e.g. February):

Year (e.g. 2006):

Debt Information:

Enter the amount of outstanding debt (e.g. 1,500.00):

Select the currency:

Enter the amount of the original debt (e.g. 10,000.00):

Select the currency:

How did the debt arise?


Date of the Original Debt:

Day (e.g. 3):

Month (e.g. June):

Year (e.g. 2009):

Debt Information:

Enter the amount of outstanding debt (e.g. 3,000.00):

Select the currency:

Enter the amount of the original debt (e.g. 19,000.00):

Select the currency:

How did the debt arise?


Date of the Original Debt:

Day (e.g. 11):

Month (e.g. December):

Year (e.g. 2005):

Dispute Information:

Please provide a detailed description of the dispute:


Date of Accident:

Day (e.g. 9):

Month (e.g. January):

Year (e.g. 2006):

Accident Location:

Where did the accident occur (e.g. 123 Elm St, 5th Ave. and Main St., etc)?

Will the Releasor also be releasing the Releasee's insurance company?
 Yes No

Name of insurance company:

Date of Accident:

Day (e.g. 12):

Month (e.g. May):

Year (e.g. 2006):

Nature of Accident:

Please provide a detailed description of the accident:


Accident Location:

Where did the accident occur (e.g. 123 Elm St, 5th Ave. and Main St., etc)?

Will the Releasor also be releasing the Releasee's insurance company?
 Yes No

Name of insurance company:

Nature of Injury:

What caused the injury?


Date of Injury:

Day (e.g 11):

Month (e.g. March):

Year (e.g 2005):

At which location or place did the injury occur? (e.g. Elmbrook School, 123 Oak St., etc)

Nature of Injury:

What caused the injury?


Date of Injury:

Day (e.g. 4):

Month (e.g. April):

Year (e.g. 2003):

At which location or place did the injury occur? (e.g. Elmbrook School, 123 Oak St., etc)

Nature of Injury:

What caused the injury?


Date of Injury:

Day (e.g. 5):

Month (e.g. June):

Year (e.g. 2006):

At which location or place did the injury occur? (e.g. Elmbrook School, 123 Oak St., etc)

Nature of Injury:

What caused the injury?


Date of Injury:

Day (e.g. 14):

Month (e.g. July):

Year (e.g. 2006):

The injury occurred at what location/place (e.g. Elmbrook School: 123 Oak St., etc)

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Compensation:

Will the First Releasor be receiving compensation?
 Yes No

Enter the amount of compensation (e.g. 1,400.00):

Select the currency:

Select the method of payment:

Method of payment:

Enter the amount of compensation to the Releasor (e.g. 1,400.00):

Select the currency:

Select the method of payment:

Method of payment:

Enter the amount of compensation to the Releasor (e.g. 1,400.00):

Select the currency:

Select the method of payment:

Method of payment:

Enter the amount of compensation to the Releasor (e.g. 1,400.00):

Select the currency:

Select the method of payment:

Method of payment:

Enter the amount of compensation to the Releasor (e.g. 1,400.00):

Select the currency:

Select the method of payment:

Method of payment:

Enter the amount of compensation to the Releasor (e.g. 1,400.00):

Select the currency:

Select the method of payment:

Method of payment:

Enter the amount of compensation to the Releasor (e.g. 1,400.00):

Select the currency:

Select the method of payment:

Method of payment:

Enter the amount of compensation to the Releasor (e.g. 1,400.00):

Select the currency:

Select the method of payment:

Method of payment:

Enter the amount of compensation to the Releasor (e.g. 1,400.00):

Select the currency:

Select the method of payment:

Method of payment:

Enter the amount of compensation to the Releasor (e.g. 1,400.00):

Select the currency:

Select the method of payment:

Method of payment:

Enter the amount of compensation to the Releasor (e.g. 1,400.00):

Select the currency:

Select the method of payment:

Method of payment:

Signatures Required:

Signatures Required

To ensure the validity of this agreement, we recommend the presence of a notary public or at least one witness
Will a Notary Public be present?
 Yes No

Date of Signing, if known:

Day (e.g. 1):

Month (e.g. August):

Year (e.g. 2010):

Location of Signing:

In which nation will this document be signed?

Select a province or territory:

State:

In which City/Town will the document be signed?