Consent & Release

One or more course(s) in your cart contains practical sessions/lab where you will have a chance to practice the techniques discussed in the course. You have the option to act as a model for fellow participants or be shown techniques by the instructor or lab assistant within your group, which is usually 2-3 people. Participants are encouraged to act as a model for learning purposes but have the option to withdraw consent. Participants should be licensed in the region/province they are in and are responsible for obtaining any temporary or courtesy license they may require if travelling to attend this course.

Participating as a model has immense learning benefits, however if you are unable or uncomfortable acting as a patient model for any reason, you are required to bring someone (such as a friend, family member, or colleague) to practice on, as there is no guarantee that another participant will volunteer to act as a model more than once. Please notify info@pelvichealthsolutions.ca if you will be bringing someone to practice on.

Confirming below indicates that you consent to act as a model for the practical session(s), which may include internal vaginal and/or rectal palpation. If, at any time, you feel uncomfortable or wish to withdraw participation/consent, and to cease acting as a model, you may do so.

NOW THEREFORE in consideration of being allowed to participate as a model at the above course, and for other good and valuable consideration (the receipt and sufficiency of which are hereby acknowledged by the undersigned), the undersigned hereby covenants and agrees as follows:

I accept all physical and legal risks in participating as a model in this course, including all risk of injury or death. I hereby waive and release, remise and forever discharge Pelvic Health Solutions Inc., its directors, officers, shareholders, employees, agents, contactors, instructors and assistants (collectively, the "Releasees") of and from all actions, causes of action, suits, debts, duties, accounts, bonds, covenants, contracts, claims and demands whatsoever in law or in equity, which the undersigned now has or hereafter may have against the Releasees or any of them for or by reason of or in any way arising out of my participation as a model in connection with the above course.

The undersigned further covenants and agrees not to join, assist, aid or act in concert in any manner whatsoever with any other person, firm or corporation in the making of any claim or demand or in the bringing of any proceeding or action in any manner whatsoever against the Releasees, or any of them, or to make any claim or to take any proceedings against any other person or entity in respect of the matters and claims hereby released who might claim contribution or indemnity from any of the Releasees.

This Consent and Release shall be governed by and construed in accordance with the laws of the Province of Ontario, without reference to its conflicts of laws principles. This Consent and Release shall be binding upon the undersigned and his or her heirs, executors, administrators, successors, assigns and legal representatives, and shall enure to the benefit of, the Releasees and their heirs, executors, administrators, successors, assigns and legal representatives.