Release and Waiver

Association of Professional Engineers and 
Geoscientists of the Province of Manitoba

(“Engineers Geoscientists Manitoba”)


Promotion Release & Waiver of Claims Form
(the “Release”)

Participant’s Full Legal Name:

Complete Address:

Phone Number:

All defined terms used herein but not otherwise defined shall have the meaning ascribed to such terms in the Promotion Rules.

The undersigned acknowledges that he/she has entered the Promotion and has been chosen as a potential recipient of a Promotional Item. In consideration of being selected as a potential recipient of a Promotional Item and in consideration of my receipt of such Promotional Item, I hereby declare, confirm and agree as follows:

1. Prior to participating in the Promotion, I had received, read, understood and remain in compliance with and will abide by the Promotion Rules;

2. I acknowledge that the Promotional Item will be accepted as awarded to me as is, in the condition in which I receive it, without substitution and with no cash surrender value;

3. I consent to the collection and use by Engineers Geoscientists Manitoba of my full name, province/territory, address, phone number, likeness, submission and/or prize information in connection with the Promotion or similar promotions without further payment or consideration;

4. I release, indemnify and forever discharge Engineers Geoscientists Manitoba and its officers, directors, employees, shareholders, agents, representatives, contractors, sub-contractors, consultants, advertising and promotional agencies, affiliates, subsidiaries and parent companies, and their respective officers, directors, shareholders and employees (hereinafter collectively referred to as the "Releasees") from, and waive as against the Releasees, all recourses, losses or damages including any consequential losses or damages, actions, causes of action, suits, debts, dues, accounts, bonds, covenants, contracts, claims and demands whatsoever including, without limitation, any claim based on the loss of ability to earn income, claims for injury, death, illness, delay or cancellation arising out of the Promotional Item (hereinafter collectively referred to as "Claims"), which I now have or hereafter can, shall or may have for or by reason of or in any way arising out of this Promotion including, without limitation, any Claims arising out of my subsequent use or enjoyment of the prize, whether such Claims arise in contract, by reason of negligence, or by reason of breach of duty raised by statute or in any other manner whatsoever.

5. This Release shall ensure to the benefit of the respective heirs, executors, administrators, legal personal representatives, successors and assigns of the Releasees and shall be binding upon my heirs, executors, administrators, legal personal representatives, successors and assigns;

6. This Release shall be governed by and interpreted in accordance with the laws of the Province of Manitoba and I irrevocably attorn to the jurisdiction of courts of the Province of Manitoba;

7. I represent and warrant that I have the legal authority to give and sign this Declaration and Complete Release and Waiver of Claims; and

WARNING: By indicating your acceptance of the Promotion Rules and this Release you give up certain legal rights. This Release contains a complete release and waiver of claims - read completely before signing. You also understand and agree that by your acceptance of the Promotion Rules and this Release you are acknowledging full compliance with the Promotion Rules.

□ By clicking "Continue to Shipping" and submitting your request, you confirm that (i) you are the age of majority in the province where you reside (and if not, that you have obtained parental consent), (ii) that you accept and confirm your adherence to the Promotion Rules and (iii) that you agree to the terms of the Release and Waiver of Claims.