R5, 2023-05-03

NOTE: Ecosource Mississauga does not accept paper waivers, please submit electronically.

Cultivating Green Champions Participant Agreement

Participants in the Cultivating Green Champions project agree to:

  1. Complete health and safety training provided by Ecosource and agree to adhere to public health guidelines related to COVID-19.
  2. Attend workshops and events whenever possible (at least 2 per month).
  3. Complete 120 hours of volunteer service within the duration of the program.
  4. Design, lead and document a stewardship project with the support of the program coordinator.
  5. Check in regularly with the program coordinator so they can provide additional support as needed.
  6. Present stewardship project at the final celebration to share learning, if desired.
  7. Engage in a respectful manner with peers, guest speakers and Ecosource staff for the duration of the program.
  8. Respond in a timely fashion to requests from the program coordinator as required.
  9. Demonstrate a commitment to learning and acquiring new skills through the program.

Informed Consent & Assumption of the Risk and Waiver of Liability

Please read the following carefully.

  1. I have read and understood the information provided in this form about participating/volunteering for Ecosource. I hereby willingly consent to release Ecosource from all liabilities and waive all claims and demands arising from personal injuries I (or the participant/volunteer if under 18 years of age) may incur while participating/volunteering with Ecosource.
  2. I understand that photographs, videos and/or evaluation may be taken of myself (or the participant/volunteer if under 18 years of age) and may be used in the promotion of Ecosource. They may be published or used for any application in newspapers, magazines, film, television commercials, posters, slide presentations or otherwise displayed to the public or used for educational, fundraising, information or training purposes.
  3. I understand that I will not receive any compensation for photographs or videos taken of myself (or the participant/volunteer if under 18 years of age) during Ecosource activities.
  4. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I (or the participant/volunteer if under 18 years of age) may be exposed to or infected by COVID-19 by participating in Ecosource’s programs and that such exposure or infection may result in personal injury, illness, permanent disability, and death.
  5. I voluntarily agree to assume all of the COVID-19 risks and accept full responsibility for any injury to me (or the participant/volunteer if under 18 years of age), while participating in Ecosource programs including any claims, losses, personal injury, disability, death and any other health related COVID-19 risks. I agree to hold harmless, indemnify, defend and waive any liability against Ecosource from any direct or indirect damages, suits or claims including legal expenses sustained as a result of or in relation to any matters under this agreement or in consequence of any breach of any representation or obligation made herein.
  6. I understand and agree that Ecosource may share my personal information (including my name and contact information) with other agencies, including Peel Public Health, for the express purpose to manage the spread of COVID-19. If it is necessary to disclose my personal information, I understand that I will be contacted in advance and provided the reason for disclosure, unless this is prohibited by law or regulation as determined by a public body.
  7. Ecosource is committed to fostering a safe, inclusive, and welcoming environment through our programming. All participants/volunteers are expected to uphold our value of inclusivity and not engage in behaviours or actions that are discriminatory or may be perceived as discriminatory by others. Violation of this policy may result in discipline including removal from the program at the discretion of Ecosource.

I have read and understood the information provided in this form regarding participation in the Cultivating Green Champions program. I further confirm that all eligibility criteria for participation have been met and consent to participation (or, if participant is under 18 years old, give permission for my child to participate).


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Signature of Volunteer/Participant

Volunteers/Participants under the age of 18

I am the parent or legal guardian of the child(ren) named below. I have read the Informed Consent & Assumption of the Risk and Waiver of Liability and I understand the legal consequences of signing this document. I assume all risks of my child(ren)’s participation in Ecosource’s programs and agree to waive any claims relating to their participation against Ecosource and their respective employees.

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Signature of Parent/Guardian

Sun May 5, 2024