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Pine Valley Driving Academy - Liability Waiver & Consent Form

SECTION: Student Information
Driver training involves inherent risks including collisions, personal injury, property damage, actions of other drivers, weather conditions, and mechanical failures.

Full Name

Email Address

Phone Number

SECTION: Acknowledgment of Risk
Driver training involves inherent risks including collisions, personal injury, property damage, actions of other drivers, weather conditions, and mechanical failures.

SECTION: Acknowledgment of RiskDriver training involves inherent risks including collisions, personal injury, property damage, actions of other drivers, weather conditions, and mechanical failures.

I acknowledge and accept the risks associated with driver training. [Checkbox] (Required)

SECTION: Release of Liability
By participating in training, you release Pine Valley Driving Academy, its instructors, employees, and agents from liability for vehicle damage, property damage, personal injury, third‑party claims, or mechanical issues during or after training.

SECTION: Release of LiabilityBy participating in training, you release Pine Valley Driving Academy, its instructors, employees, and agents from liability for vehicle damage, property damage, personal injury, third‑party claims, or mechanical issues during or after training.

I agree to release Pine Valley Driving Academy from all liability related to training activities. [Checkbox] (Required)

SECTION: Responsibility for My Conduct
You agree to follow all instructor directions, comply with Ontario driving laws, and operate the vehicle safely. You are fully responsible for your actions while driving.

SECTION: Responsibility for My ConductYou agree to follow all instructor directions, comply with Ontario driving laws, and operate the vehicle safely. You are fully responsible for your actions while driving.

I accept full responsibility for my conduct during training. [Checkbox] (Required)

SECTION: Indemnification
You agree to indemnify and hold Pine Valley Driving Academy free from any claims arising from your actions during training.

SECTION: IndemnificationYou agree to indemnify and hold Pine Valley Driving Academy free from any claims arising from your actions during training.

I agree to indemnify Pine Valley Driving Academy for claims arising from my actions. [Checkbox] (Required)

SECTION: No Guarantee of Licensing or Performance
The academy does not guarantee passing any MTO road test or achieving any specific driving outcome.

SECTION: No Guarantee of Licensing or PerformanceThe academy does not guarantee passing any MTO road test or achieving any specific driving outcome.

I understand that no licensing or performance outcome is guaranteed. [Checkbox] (Required)

SECTION: Medical Fitness
You confirm you are physically and mentally capable of safely operating a motor vehicle and will disclose any relevant medical conditions.

SECTION: Medical FitnessYou confirm you are physically and mentally capable of safely operating a motor vehicle and will disclose any relevant medical conditions.

I confirm that I am medically fit to participate in driver training. [Checkbox] (Required)

SECTION: Use of My Own Vehicle
If you use your own vehicle, it must be insured, roadworthy, and meet Ontario safety standards. You accept full responsibility for any damage or mechanical issues.

SECTION: Use of My Own VehicleIf you use your own vehicle, it must be insured, roadworthy, and meet Ontario safety standards. You accept full responsibility for any damage or mechanical issues.

I understand and accept the conditions for using my own vehicle. [Checkbox] (Required)

SECTION: Digital Consent & Binding Agreement
By signing electronically, you confirm that you have read, understood, and agree to all terms. Your electronic signature is legally binding..

SECTION: Digital Consent & Binding AgreementBy signing electronically, you confirm that you have read, understood, and agree to all terms. Your electronic signature is legally binding..

I agree to all terms in this Liability Waiver. [Checkbox] (Required)

SECTION: Electronic Signature

Signature