In consideration of the Centre for Suicide Prevention (CSP) allowing me to participate in a volunteer capacity, I agree that I am volunteering at my own request and at my own risk. I certify that I have not been otherwise informed by any physician and know of no restrictions imposed on me by my own physician that would in any way prevent me from actively participating in this role.
I also agree that the CSP shall have the right to publish any photographs, film and/or videos taken during my participation as a volunteer, so long as such photographs, film and/or videos are used in furtherance of the objectives of the CSP.
Further in consideration of being permitted to participate in this volunteer capacity, I, on behalf of myself, my successors in interest, heirs, assigns and representatives, hereby fully release and agree to hold harmless the CSP, its affiliates, officers, trustees, agents, employees, representatives, and successors of and from any liability, claims, damages or causes of action for any reason; even as a result of negligence by the CSP or that of anyone acting on the CSP’s behalf including without limiting the generality if the following: death, bodily injury, property damage, or any other loss, or inconvenience whatsoever, suffered by me at any time hereafter occurring as a result of my voluntary participation in this program.
I hereby declare that the above information is accurate and complete to my full knowledge and I authorize the Centre for Suicide Prevention to follow up on any information disclosed, criminal checks, and/or references (if required).