NTR Canada

Liability Waiver For Access To NTR Canada Facilities In Response To COVID-19

Please read this waiver in its entirety.

Please Note: Effective September 22^nd, 2021, National Training Rinks (NTR) is required by law to enforce Ontario’s Proof of Vaccination Policy to gain entry to our facility.

These conditions will affect your legal rights including the right to sue or claim for compensation should you contract COVID-19. We are currently permitting the public to access NTR Canada facilities and use NTR Canada facilities if they sign the waiver below. This waiver form must be signed and submitted from any persons who desire access to NTR Canada facilities before any use or access to NTR Canada facilities is permitted. Individuals who have travelled outside of Canada within the previous 14 days or who are sick or who have been in contact with someone who is suspected of having COVID -19 must not access NTR Canada arenas or use NTR Canada facilities. This access may be withdrawn at any time based on health agency recommendations.
Parents or court-appointed legal guardians must be 18 years of age or older and must authorize on behalf of any participating minors and agree that they and the minors are subject to all the terms of this waiver as set forth herein.
The student applicant on the application/waiver and his/her parents/guardians agree that the National Training Rinks (NTR), shall not be held responsible for any injury, loss or damage whatsoever occurring to the participant while he/she is in attendance at NTR programs or including while he/she is within the premises occupied by NTR.
I/We consent to his/her or my attendance on the terms of this waiver of liability or in the case of a guardian of a person under 19 years of age grant our consent to the terms of this waiver. I/We acknowledge reading this Application/Waiver and Declaration and understand the conditions contained herein and agree to abide by all terms. All Participants understand and consent to their duty to wear the appropriate protective gear as it applies to their sport or profession.
I would like to access the NTR Canada facilities and/or use NTR Canada facilities. I am aware that NTR Canada and its staff cannot guarantee that I will not contract COVID-19 at NTR Canada facilities. I am accessing and using NTR Canada facilities at my own risk. In particular, I accept the risk of contracting COVID-19 should I attend NTR Canada facilities.

By signing and submitting this waiver, I understand and consent to the conditions of this waiver and I consent to the use of my first name and last name that I have entered below as an adult and/or guardian to be used as an electronic signature in lieu of an original signature on paper. I understand that I have the right to request that I sign a paper copy instead. By checking here, I am waiving that right. After consent, I understand that I may, upon written request to NTR Canada, may obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. I understand that my agreement to use an electronic signature with NTR Canada for any documents will continue until such time as I notify NTR Canada in writing that I no longer wish to use an electronic signature. I understand that I should always make sure that NTR Canada has my current email address in order to contact me regarding any changes if necessary.
Which NTR Location will you be using?*
Your Information
Please enter the date of your ice session (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
Please enter the time of your ice session*

: Hour

Min
Please write in the name of the person who booked the session. If it is an NTR run lesson, please write "NTR" below:*
Please select who will be at NTR Canada*
Please select the number of minors*
Please Enter Details For All Minors
1st Minor's Name
First Last
1st Minor's Date of Birth (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
2nd Minor's Name
First Last
2nd Minor's Date of Birth (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
3rd Minor's Name
First Last
3rd Minor's Date of Birth (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
4th Minor's Name
First Last
4th Minor's Date of Birth (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
Please Enter Your Details (Must be age 18+)
Your Name*
First Name Last Name
Parent or Guardian's Name (Must be YOUR name)*
First Name Last Name
Your Email*
Parent or Guardian's Email (Must be YOUR email)*
Your Cell Phone*
The following questions/symptoms/conditions pertain to all participants (adults and minors) and the adult/guardian submitting this form.

(1) Do you or any participants have any of the following new or worsening symptoms or signs?
- Fever or chills: Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher
- Cough or barking cough (croup): Not related to asthma, post-infectious reactive airways, COPD, or other known causes or conditions you already have
- Difficulty breathing or shortness of breath: Not related to asthma or other known causes or conditions you already have
- Decrease or loss of smell or taste: Not related to seasonal allergies, neurological disorders, or other known causes or conditions you already have
- Nausea, vomiting, diarrhea (under 18 years): Not related to irritable bowel syndrome, anxiety, menstrual cramps, or other known causes or conditions you already have
- Extreme tiredness or muscle aches (18 years or older): Unusual tiredness, lack of energy (not related to depression, insomnia, thyroid dysfunction, or other known causes or conditions you already have)
- If you received a COVID-19 vaccination in the last 48 hours and are experiencing mild fatigue that only began after vaccination, select "No."
(2) In the last 14 days, have you travelled outside of Canada AND been advised to quarantine per the federal quarantine requirements?

(3) Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?
This can be because of an outbreak or contact tracing.

(4) In the last 10 days, have you been identified as a "close contact" of someone who currently has COVID-19?
If public health has advised you that you do not need to self-isolate (e.g., you are fully immunized* or have tested positive for COVID-19 in the last 90 days and since been cleared), select "No."

(5) In the last 10 days, have you received a COVID Alert exposure notification on your cell phone?
If you have already gone for a test and got a negative result, select "No." If you are fully immunized or have tested positive for COVID-19 in the last 90 days and since been cleared, select "No."

(6) In the last 10 days, have you tested positive on a rapid antigen test or a home-based self-testing kit?
If you have since tested negative on a lab-based PCR test, select "No."

(7) In the last 14 days, has someone in your household (someone you live with) travelled outside of Canada AND been advised to quarantine (as per the federal quarantine requirements) in the last 14 days?
If you are fully immunized or have tested positive for COVID-19 in the last 90 days andsince been cleared, select "No."

(8) In the last 10 days, has someone in your household (someone you live with) been identified as a "close contact" of someone who currently has COVID-19 AND advised by a doctor, healthcare provider or public health unit to self-isolate in the last 10 days?
If you are fully immunized or have tested positive for COVID-19 in the last 90 days andsince been cleared, select "No."

(9) Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms?
If the individual experiencing symptoms received a COVID-19 vaccination in the last 48hours and is experiencing mild fatigue, muscle aches, and/or joint pain that onlybegan after vaccination, select "No." If you are fully vaccinated or have tested positive for COVID-19 in the last 90 days andsince been cleared, select "No."
Do any of the above listed symptoms or conditions apply to you or any participants?*
- Yes
- No
Age Certification*
- I certify that I am 18 years of age or older
Age Certification*
- As a parent or guardian, I certify that I am 18 years of age or older.
Since you answered "YES" to the above, you cannot currently proceed to attend any sessions at NTR.
Electronic Signature Consent*
- I authorize the use of my name above as an electronic signature for consent

Liability Waiver For Access To NTR Canada Facilities In Response To COVID-19

Please read this waiver in its entirety.

Please Note: Effective September 22nd, 2021, National Training Rinks (NTR) is required by law to enforce Ontario’s Proof of Vaccination Policy to gain entry to our facility.

Your Information

Please Enter Details For All Minors

Please Enter Your Details (Must be age 18+)

The following questions/symptoms/conditions pertain to all participants (adults and minors) and the adult/guardian submitting this form.

Since you answered "YES" to the above, you cannot currently proceed to attend any sessions at NTR.

Please Note: Effective September 22^nd, 2021, National Training Rinks (NTR) is required by law to enforce Ontario’s Proof of Vaccination Policy to gain entry to our facility.