Recreational Basketball League - No Limits Youth Organization

AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY

Waiver

BY CHECKING THIS BOX AND PARTICIPATING IN ANY NO LIMITS YOUTH PROGRAMS, I AGREE TO THE FOLLOWING STATEMENT/WAIVER: In Consideration of being allowed to participate in any way in the ABOVE, related events and activities, the undersigned acknowledges, appreciates and agrees that; 1. The risk of injury from the activities involved in this program is possible and can take place. While there are par5cular rules, equipment, and personal discipline that may reduce the risk; the risk of serious injury does exist; and, 2. I or participant KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participant; and, 3. I or participant willingly agree to comply with the stated and customary terms and condi5ons for participants. If however I or participant observe and feel there is a significant hazard during the presence or participti5on, I or participant will remove myself, or his/herself from participation and ring such to the attention of the nearest official immediately; and, 4. I, for myself or participant and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS No Limits Youth Organization, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and , if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. I have read this Release of Liability and Assumption of Risk Agreement, and fully understand its terms. I understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any encouragement.

PICTURE/PRINT/VIDEO MEDIA

Picture Waiver

BY CHECKING THIS BOX AND PARTICIPATING IN ANY NO LIMITS YOUTH PROGRAMS, I AGREE TO THE FOLLOWING STATEMENT/WAIVER: I grant permission to No Limits Youth Organization to display photographs/video and/or name of the above named participant in media releases, displays, and other publications or social media. This consent will remain valid for as long as the individual remains involved with No Limits Youth Organization unless revoked in writing.

HEALTH

Please list any allergies, medications and/or conditions that we should know about

Payment Confirmation

TO COMPLETE REGISTRATION, I understand I must send an etransfer to info@nolimitsyouth.ca for the above amount. The full payment will confirm space is held for my athlete. If payment is not received, No Limits Youth cannot guarantee a space will be held.

Payment Confirmation

I UNDERSTAND, NO LIMITS YOUTH CANNOT OFFER REFUNDS once classes have started.

ASSISTED PAYMENTS ARE AVAILABLE, contact The Children’s Foundation (Playing For Keeps) and/or Canadian Tire (JumpStart) if you wish to apply for these payment sources. Do you plan on applying for assisted payments?