OCR / Ninja Warrior Participant Information and Release & Waiver of Liability Form
This waiver MUST BE COMPLETED before participating in any activities with the Sarnia Super Ninja OCR Club.
Participant's Full Name
First Name
Last Name
Participant's Date of Birth
-
Month
-
Day
Year
Date
Parent/Guardian's Full Name
First Name
Last Name
Parent/Guardian's Email Address
example@example.com
Parent/Guardian's Phone Number
Please enter a valid phone number.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Emergency Contact Relationship
Please provide any relevant medical information or allergies that we should be aware of.
Do you have any pre-existing medical conditions that may affect your ability to participate in Ninja Warrior / OCR activities?
Yes
No
If yes, please provide details
In case of an emergency, I give my permission for the necessary medical treatment to be administered to the participant.
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I agree
RELEASE & WAIVER OF LIABILITY
I acknowledge and agree that in consideration of being permitted to participate in Obstacle Course Racing (OCR) organized, staged, and/or operated by Sarnia Super Ninja Obstacle Course Racing Club. (hereinafter referred to as "Super Ninja OCR"): I DO HEREBY RELEASE Super Ninja OCR its directors, officers, employees, sponsors, independent contractors, and agents from all liability, and DO HEREBY WAIVE as against Super Ninja OCR its directors, officers, employees, sponsors, independent contractors, and agents all recourses, proceedings, claims, and causes of action of any kind whatsoever, in respect of any and all personal injuries or property losses which I may suffer arising out of or connected with my preparation for, or participation in Ninja Warrior / OCR notwithstanding that such injuries or losses may have been caused solely or partly by the negligence or breach of duty of Super Ninja OCR or any of their directors, officers, employees, sponsors, independent contractors or agents.
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I agree
I HEREBY ACKNOWLEDGE AND AGREE THAT: Ninja Warrior / OCR may be dangerous, exposing participants to many risks and hazards, some of which are inherent in the very nature of Ninja Warrior / OCR itself, others which result from human error and negligence on the part of the persons involved in organizing, staging, and/or operating Ninja Warrior / OCR activities. As a result of the aforesaid risks and hazards, I as a participant may suffer a serious personal injury, as well as property loss. Some of the aforesaid risks and hazards are foreseeable, but others are not. I nevertheless freely and voluntarily assume all the aforesaid risks and hazards, and that, accordingly, my preparation for, and participation in Ninja Warrior / OCR shall be entirely at my own risk. I understand that neither Super Ninja OCR nor any of its directors, officers, employees, sponsors, independent contractors, or agents assume any responsibility whatsoever for my safety during the course of my preparation for or participation in OCR. I have carefully read this RELEASE and WAIVER of LIABILITY AND ASSUMPTION of RISK AGREEMENT (the "Agreement"), that I fully understand same, and that I am freely and voluntarily executing same. I clearly understand that by signing this Agreement I will be FOREVER PREVENTED FROM SUING OR OTHERWISE CLAIMING against Super Ninja OCR directors, officers, employees, sponsors, independent contractors, and agents for any loss or damage connected with any property loss or personal injury that I may sustain while participating in or preparing for OCR whether or not such loss or injury is caused solely or partly by the negligence of Super Ninja OCR or any of its directors, officers, employees, sponsors, independent contractors and/or agents. I clearly understand that Super Ninja OCR would not permit me to participate in Ninja Warrior / OCR activities unless I agreed to this RELEASE and WAIVER of LIABILITY AND ASSUMPTION of RISK AGREEMENT, that this RELEASE and WAIVER of LIABILITY AND ASSUMPTION of RISK AGREEMENT applies to Ninja Warrior / OCR activities whether occurring in the near or distant future. This RELEASE and WAIVER of LIABILITY AND ASSUMPTION of RISK AGREEMENT is binding on myself, my heirs, my executors, administrators, personal representatives and assigns This Agreement may be in addition to another agreement I must sign as a condition of participation in Ninja Warrior / OCR (i.e. another host gym competition) and that I am bound by the terms and conditions of both agreements; and I agree that I am physically capable of participating in Ninja Warrior / OCR and that I have no pre-existing conditions that would hinder my ability to participate in OCR.
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I agree
RULES
We run a tight schedule and kindly ask that at the conclusion of your class/event you leave the mat area immediately so that our staff can begin making preparations for the next group of participants. Our facility expects all participants (including parents/guardians) to behave in a manner that is respectful and safe. Any participant deemed to not be acting appropriately by our staff will be asked to leave the facility immediately without a refund. CLEAN INDOOR SHOES must be used on the mats. WATER ONLY in the gyms please and NO FOOD whatsoever in gym areas
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I agree
Submit
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