IN CONSIDERATION OF my acceptance into Selkirk Canoe and Kayak Center Program(s), I hereby waive and release the Manitoba Paddling Association, its directors, officers, employees, agents, representatives, successors and assigns from and against all claims, actions, demands, costs and expenses with respect to death, injury, loss or damage to my person or property, howsoever caused, arising out of or in connection with my taking part in this program and notwithstanding that the same may have been contributed to or occasioned by the negligence of the Corporation, its directors, officers, employees, agents, representatives, successors, and assigns. This Waiver and Release shall be binding upon me, my heirs, executors and administrators.

I hereby grant permission to any of the above described persons to use any pictures of me or my likeness while participating in any of these programs without obligation or liability to me.

By signing this form I am issuing my consent for the following information to be forwarded to The Manitoba Paddling Association for administrative purposes.

This information may be used to contact you with information regarding programs and services offered by The Manitoba Paddling Association, Selkirk Canoe and Kayak Centre and our sponsors.  This information will NOT be distributed to any outside organizations.