INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT
(To be executed by Participants under the age of majority UNDER 18)
(To be executed by Participants under the age of majority UNDER 18)
WARNING! By signing this document, you will assume certain risk and responsibilities. Please read carefully!
a) That the Participant’s mental and physical condition is appropriate to participate in the Activities;
b) That when the Participant practices or train in his or her own space, the Parties are responsible for the Participant’s surroundings and the location and equipment that is selected for the Participant;
c) To comply with the rules and regulations for participation in the Activities;
d) To comply with the rules of the facility or equipment;
e) That if the Participant observes an unusual significant hazard or risk, the Participant will remove themselves from participation and bring such to the attention of an Organization representative immediately;
f) The risks associated with the Activities are increased when the Participant is impaired and the Participant agrees not to participate if impaired in any way;
g) That it is their sole responsibility to assess whether any Activities are too difficult for the Participant. By the Participant commencing an Activity, they acknowledge and accept the suitability and conditions of the Activity;
h) That they are responsible for the choice of the Participant’s protective equipment and the secure fitting of the protective equipment;
i) That COVID-19 is contagious in nature and the Participant may be exposed to or infected by COVID-19 and such exposure may result in personal injury, illness, permanent disability or death and voluntarily agree to assume all of the foregoing risks.
In consideration of the Organization allowing the Participant to participate, the Parties agree:
a) That the Parties are not relying on any oral or written statements made by the Organization or their agents, whether in brochure or advertisement or in individual conversations, to agree to be involved in the Activities; and
b) That the Organization is not responsible or liable for any damage to the Participant’s vehicle, property, or equipment that may occur as a result of the Activities.
General
The Parties agree that in the event that they file a lawsuit against the Organization, they agree to do so solely in the province of Ontario, Canada and they further agree that the substantive law of Ontario will apply without regard to conflict of law rules.
The Parties expressly agree that this Agreement is intended to be as broad and inclusive as is permitted by law and that if any of its provisions are held to be invalid, the balance shall, notwithstanding, continue in full legal force and effect.
CONSENT FOR MEDICAL TREATMENT
In the event that my child is injured or ill, I hereby give consent to medical personnel to administer medical treatment to my child including medical and surgical services including x-ray, anesthesia and drugs as deemed necessary for the safety and welfare of my child. I authorize the information on this form to be released to all medical personnel and any other necessary parties. I understand that it is my responsibility to advise the coaching staff and management immediately if there is any change to the above information.
CONSENT FOR USE OF PERSONAL INFORMATION
I, the Participant and/or the Parent/Guardian of the Participant
1. Authorize the Blue Devils Academy, the Canadian Soccer Association, the Ontario Soccer Association and District Leagues, (collectively the “Organizations”) to collect and use personal information about the Participant for the purpose of receiving communications and the purposes described in the Organizations respective Privacy Policies.
2. Grant permission to the Organizations and anyone authorized by them, permission to use the Participant’s name, likeness, image, voice, appearance and/or performance whether recorded on or transferred to videotape, film, slides, photographs, audio tapes, digital media, or other media, now known or later developed.
3. Authorize the inclusion of the Participant in photographs and video and understand that this media will be used on the Blue Devils Academy’s website, social media, hosted photo galleries and other sites related sites. Photos and videos may also be taken at any time for print or online promotional purposes but participants will not be identified.
4. Understand that such consent may be withdrawn at any time by sending an email to [email protected].
Acknowledgement
The Parties acknowledge that they have read this agreement and understand it, that they have executed this agreement voluntarily, and that this Agreement is to be binding upon themselves, their heirs, their spouses, parents, guardians, next of kin, executors, administrators and legal or personal representatives.
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