BIG ROCK SKATING CLUB PARTICIPANT REGISTRATION

Participant Name*

First NameLast Name

Participant Birthday

Date

Skating Ability*

Home Club (if applicable)

Head Coach (if applicable)

Parent / Legal Gaurdian*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

E-mail*

example@example.com

Emergency Contact (do not use the same contact as above)*

First NameLast Name

Phone Number*

Please enter a valid phone number.

PUBLICITY WAIVER & PHOTO RELEASE

I hereby acknowledge that there may be photos and videos of my participant, that are captured and/or live streamed, while taking part in or being in close proximity to Big Rock Skating Club (hereinafter referred to as “The Club”). The Club is not responsible for photos and videos taken and/or released by members or the public, these photos and videos are not protected by this Publicity Waiver. I hereby grant or deny publicity and photo release as indicated above.

Full Permission I grant The Club permission to use my participant’s name and image in public marketing materials including but not limited to print material, website, social media, and other promotional platforms such as media outlets, newspapers, etc.

Photo Only I grant The Club permission to use my participant’s image only, without any names, in public marketing materials including but not limited to print material, website, social media, and other promotional platforms such as media outlets, newspapers, etc.

No Permission I do not grant permission for The Club to use my participant's name or image in any public marketing materials including but not limited to print material, website, social media, and other promotional platforms such as media outlets, newspapers, etc.

Full PermissionPhoto OnlyNo Permission

ACKNOLWEDGMENT AND ASSUMPTION OF RISK BY PARTICIPANT

I acknowledge that there are many risks, dangers and hazards related to my participation in the above noted activity offered by BIG ROCK OKOTOKS SKATING CLUB. In particular, I acknowledge the risk with skating without a helmet which is often recommended or required at facilities. I also acknowledge that those risks, dangers and hazards may arise directly or indirectly from my participation in the above noted activity and that those risks, dangers and hazards may present themselves in many ways including but not limited to the negligence of other people involved with the above noted activity and NEGLIGENCE ON THE PART OF THE RELEASEES, INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO TAKE STEPS TO SAFEGUARD OR PROTECT ME FROM THOSE RISKS, DANGERS AND HAZARDS. I FULLY AND FREELY ACCEPT AND ASSUME ALL RISKS, DANGERS AND HAZARDS INCLUDING THE POSSIBILITY OF SERIOUS PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM.

I agree to the terms and conditions above outlined under 'ACKNOWLEDGEMENT AND ASSUMPTION OF RISK BY PARTIPANT' as the Participant or Guardian of the Participant. Parties Protected by this Waiver (the “Releasees”) incluI agree to the terms and conditions above outlined under 'ACKNOWLEDGEMENT AND ASSUMPTION OF RISK BY PARTIPANT' as the Participant or Guardian of the Participant. Parties Protected by this Waiver (the “Releasees”) include: BIG ROCK OKOTOKS SKATING CLUB and its officers, directors, employees, agents and volunteers.de: BIG ROCK OKOTOKS SKATING CLUB and its officers, directors, employees, agents and volunteers.*

I agree

WAIVER AND RELEASE OF LIABILITY

In consideration of the RELEASEES agreeing to my participation in the above noted activity and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree TO WAIVE AND RELEASE ANY AND ALL CLAIMS that I, my family members or anyone claiming through me, have, or in the future may have, against the RELEASEES for any loss, damage, expense or injury, including death, that I may suffer DUE TO ANY CAUSE WHATSOEVER, INCLUDING BUT NOT LIMITED TO NEGLIGENCE, BREACH OF CONTRACT, BREACH OF STATUTORY OR OTHER DUTY, INCLUDING ANY DUTY OF CARE OWED UNDER ANY OCCUPIERS’ LIABILITY LEGISLATION, ON THE PART OF THE RELEASEES.

I agree to the terms and conditions above outlined under 'WAIVER AND RELEASE OF LIABILITY' as the Participant or Guardian of the Participant. Parties Protected by this Waiver (the “Releasees”) incluI agree to the terms and conditions above outlined under 'ACKNOWLEDGEMENT AND ASSUMPTION OF RISK BY PARTIPANT' as the Participant or Guardian of the Participant. Parties Protected by this Waiver (the “Releasees”) include: BIG ROCK OKOTOKS SKATING CLUB and its officers, directors, employees, agents and volunteers.de: BIG ROCK OKOTOKS SKATING CLUB and its officers, directors, employees, agents and volunteers.*

I agree

INDEMNITY

I understand and agree that this Waiver, Release of Liability and Indemnity Agreement WILL BE A COMPLETE BAR AND DEFENCE TO ANY CLAIM, action or proceeding that I or my family members or anyone claiming through me may commence and I agree to indemnify and hold harmless the Releasees from any expenses, legal fees or any other sums incurred in responding to the commencement or continuation of such claim, action or proceeding. I am entering into this Waiver, Release of Liability and Indemnity Agreement freely and knowingly. I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of the above noted activity and I accept full responsibility for my participation in the above noted activity. I understand and agree that if any term of this Waiver, Release of Liability and Indemnity Agreement is found to be unenforceable or invalid for any reason, then the unenforceable or invalid term shall be severed from the Waiver, Release of Liability and Indemnity Agreement and shall otherwise have no effect on the enforceability or validity of the remaining portion of this Waiver, Release of Liability and Indemnity Agreement. I have read the Waiver, Release of Liability and Indemnity Agreement above. I understand its terms and that by signing, I am giving up certain legal rights. I sign freely, voluntarily and without inducement and agree to be bound by its terms.

I agree to the terms and conditions above outlined under 'INDEMNITY' as the Participant or Guardian of the Participant. Parties Protected by this Waiver (the “Releasees”) incluI agree to the terms and conditions above outlined under 'ACKNOWLEDGEMENT AND ASSUMPTION OF RISK BY PARTIPANT' as the Participant or Guardian of the Participant. Parties Protected by this Waiver (the “Releasees”) include: BIG ROCK OKOTOKS SKATING CLUB and its officers, directors, employees, agents and volunteers.de: BIG ROCK OKOTOKS SKATING CLUB and its officers, directors, employees, agents and volunteers.*

I agree

Additional Notes