This form must be signed by the participant prior to being accepted as a Participant.
This form is designed for Participants who wish to undertake additional activities that may cause risk to them.
It is a Duty of Care of service provider to inform each participant of the risks to them if undertaking any risky activity, and if the participant wishes to partake in this activity, it is at their own risk.
Please carefully read the following acknowledgments and assumptions of risk relating to at-risk activities that you wish to be provided by the provider as outlined below:
This form will be saved & placed on the participant’s file and retained as per Cosmos Divine Care’s policy and procedures.
If requested, a copy of this form will be made available to the participant and/or the participant’s representative.
