St Charles Catholic School Vigier Hockey Waiver Form
Please fill in the form below.
Parent E-mail
*
Parent name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell phone
*
-
Area Code
Phone Number
Player name
*
First Name
Last Name
Group
Please Select
Group 1 - Grade 7&8
Group 2 - Grade 6
Player level
Please Select
New player
Experienced player
RELEASE AND INDEMNITY
*
By checking this box I declare I am the legal guardian or parent of the above stated player. In consideration of being allowed to participate in J.P.Vigier Camp(“J.P.”) activities, I hereby release and agree to indemnify J.P. and his successors, assigns, officers, shareholders, volunteers, insurers, reinsurers, directors, managers, employees, agents and any other representative on its behalf from any claim or demand for damages of any nature or kind arising out of the Players participation in any hockey camp or training session.
I, for the consideration aforesaid, in my own regard and on behalf of the Player, hereby covenant and agree not to make any claim or take any proceedings or continue any proceeding against any person, firm or corporation who may claim contribution or indemnity from J.P.under the provisions of any statute or otherwise.
In addition, I acknowledge that there is not medical personnel present at any J.P. event. I accept on behalf of the Player any and all risk associated with participation in the J.P. hockey/training program.
You acknowledge that COVID 19 is a comminciable disease that is present in the community and any group activity increeases dramatically the risk of transmission of the disease. We will have rules in place we can not provide any assurance at all those rules will be universially followed by all paricipates and we have no liability at all should a paricipant constract COVID19 during our camp.In the event, a player is not feeling well for any reason at all you are required to insure they do not attend at the camp. Players may be refused entery or sent home without refund in the event we in our sole discreation consider the player to be unwell.We are not allowing players who have travelled outside Manitoba to participate. We also will not allow anyone to paricipate if they have been in contact with someone with COVID19 in the past three weeks.
Player Signature (Parent signature if player under 18)
First Half Deposit
*
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First half deposit
$
500.00
CAD
Make a deposit to reserve your spot
Full payment
$
800.00
CAD
Or pay the full camp amount
Total
$
0.00
CAD
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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