Create Black Futures Program

The Participant named below, with the express approval of their Guardian, desires to participate in the Create Black Futures Program (the “Programs”) provided by the Women’s Centre at #39 – 4th St NE, Calgary, AB or at various other locations in and around the City of Calgary. As lawful consideration for the Women’s Centre accepting the undersigned (the “Participant”) for participation in the Program, the Participant and their Guardian agree to all the terms and conditions set forth in this agreement (the “Release”). The Participant and their Guardian acknowledge that the Participant is voluntarily participating in the Programs and accept and assume any and all risks of injury, death, or property damage, whether caused by the negligence of the Women’s Centre or otherwise. The Participant and their Guardian expressly waive and release any and all claims, now known or hereafter known, against the Women’s Centre, and its officers, directors, employees, volunteers, agents, affiliates, members, successors and assigns (collectively, the “Releasees”), on account of injury, death or property damage arising out of or attributable to participation in the Program whether arising out of the negligence of the Women’s Centre of any Releases or otherwise. The Participant and the Guardian covenant not to make or bring any such claim against the Women’s Centre or any other Releasee and forever release and discharge the Women’s Centre and all other Releases from liability under such claims. The Participant and the Guardian declare that they have had the opportunity to seek independent legal advice with respect to the matters addressed in this Release. The Participant and the Guardian further declare that they fully understand this Release and have not been influenced by any representations or statement made by or on behalf of the Women’s Centre. All matters arising out of or relating to this Release shall be governed by and construed in accordance with the laws of the Province of Alberta.

We will try to make the Create Black Futures Programs safe place for girls to talk about their hopes, dreams, fears and troubles. Everything girls share with staff or volunteers is confidential, with a few exceptions: Participant, if we know that you or another child is being hurt by an adult, in some kind of danger, or if we are worried that you are going to harm yourself or others, then we have a legal duty to report it to someone outside of the program who can help. This may include but are not limited to: your parent or guardian, Child and Family Services, the Calgary Police Service, and/or medical professionals (e.g. a doctor or a nurse). This is not to scare you, but just to make sure you know what Create Black Futures Programs staff and/or volunteers have to do if we hear about these things. Your safety is our first priority.