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Summer Seperation Series - 5 Week Reciever Development

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    INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT

    (To be executed by Participants under the age of majority and signed by a parent or guardian)

    1. Binding Legal Agreement

    This is a binding legal agreement. Please clarify any questions or concerns before signing. The

    undersigned, consisting of the Participant and the Participant’s Parent/Guardian (collectively

    the “Parties”), hereby acknowledge and agree to the terms outlined in this agreement.

    2. Acknowledgment of Participation in Activities

    By participating in the activities, programs, and services provided or organized by Dylan

    Tucker Sole Proprietorship, including but not limited to: individual training, group training,

    games, practices, instructional sessions or lessons, and conditioning programs (collectively

    referred to as the “Activities”), the undersigned acknowledge and agree to the following

    terms:

    3. Parental/Guardian Responsibility

    I, the Parent/Guardian of the Participant, have full legal responsibility for the decisions and

    actions of the Participant.

    Disclaimer

    4. Limitation of Liability

    Dylan Tucker and any other assigned individual or party who provides recommendations,

    directions, or instructions, or engages in risk evaluation and loss control activities (collectively

    referred to as the "Organization"), shall not be held responsible for any injury, property

    damage, loss, expense, loss of income, or damage suffered by the Participant during, or as a

    result of, participating in the Activities. This includes but is not limited to any injury or loss

    caused by the negligence of the Organization.

    Description of Risks

    5. Understanding of Risks

    The Parties understand and acknowledge that:

    ◦ The Activities involve both foreseeable and unforeseeable risks, hazards, and dangers,

    some of which cannot be eliminated, even with the utmost care, caution, and expertise.

    These include, but are not limited to, the potential for serious bodily injury, permanent

    disability, paralysis, and even loss of life.

    ◦ The Organization faces significant challenges in ensuring safety and is not infallible.

    The Organization may not be aware of the Participant's fitness level or abilities, may

    provide incomplete warnings or instructions, may misjudge weather or environmental

    conditions, and the equipment used could malfunction.

    6. Voluntary Participation

    The Participant is voluntarily participating in the Activities. In consideration of this

    participation, the Parties acknowledge and understand the risks involved and accept the

    possibility of exposure to such risks, dangers, and hazards.

    Terms of Agreement7. Conditions for Participation

    In consideration of the Organization allowing the Participant to take part in the Activities, the

    Parties agree to the following:

    ◦ The Participant’s mental and physical condition is appropriate for participation in the

    Activities.

    ◦ When the Participant trains or practices in their own space, the Parties are responsible

    for ensuring a safe environment and appropriate selection of location and equipment.

    ◦ To comply with all rules and regulations for participation in the Activities.

    ◦ To follow the rules of the facility and proper usage of equipment.

    ◦ It is the sole responsibility of the Parties to assess whether any Activity is too difficult

    for the Participant. By beginning any Activity, the Participant acknowledges and

    accepts the conditions and suitability of the Activity.

    ◦ The Parties are responsible for selecting and ensuring the proper fit of the Participant's

    protective equipment.

    Additional Provisions

    8. Health and Fitness Declaration

    The Parent/Guardian affirms that the Participant is in good physical and mental health and has

    no known conditions or injuries that would prevent safe participation in the Activities. If

    applicable, the Parent/Guardian agrees to provide written medical clearance from a healthcare

    professional for participation in the Activities. The Parties further agree to immediately inform

    the Organization of any condition that may affect the Participant’s ability to safely engage in

    the Activities.

    9. Medical Emergency Authorization

    In the event of a medical emergency, the Parent/Guardian authorizes the Organization to seek

    emergency medical treatment for the Participant, if necessary, and to take all necessary actions

    to ensure the Participant's health and well-being. The Parent/Guardian agrees to assume all

    costs for such treatment and any associated medical expenses.

    10. Media/Photographic Consent

    The Parent/Guardian consents to the recording (photographs, video, or audio) of the

    Participant during the Activities. The Parent/Guardian grants the Organization permission to

    use these recordings for promotional purposes, including but not limited to websites, social

    media, and marketing materials, without compensation or further approval.

    11. Behavior Expectations and Code of Conduct

    The Parties acknowledge and agree to the following behavior expectations and Code of

    Conduct for the Participant’s involvement in the Activities:

    • The Participant is expected to act respectfully toward coaches, teammates, and other

    participants at all times.

    • The Participant will follow all safety protocols and instructions provided by the Organization

    and coaches.

    • The Participant will not engage in any violent, aggressive, or disruptive behavior.

    • The Participant will respect the facilities, equipment, and property of others, and refrain from

    any activity that could cause damage or harm.

    • Failure to adhere to these expectations may result in suspension or termination of participation

    in the Activities, at the Organization’s discretion, without refund.

    12. Indemnification

    The Parent/Guardian agrees to indemnify and hold harmless Dylan Tucker, its agents,

    employees, or any other parties involved in the provision of the Activities from any and allclaims, demands, or lawsuits arising from the Participant’s involvement in the Activities,

    including any claims made by the Participant’s family, estate, or third parties.

    13. Refunds and Cancellations

    The Parties acknowledge that all payments are final and non-refundable, and that no refunds

    will be issued in the event of withdrawal from the Activities, except as outlined in separate

    agreements or contracts.

    14. Suspension or Termination of Participation

    The Organization reserves the right to suspend or terminate the Participant’s involvement in

    the Activities at any time if the Participant fails to adhere to safety guidelines, violates the

    Code of Conduct, or if the Organization deems it necessary for the safety or well-being of the

    Participant or others. In the event of termination, no refunds will be provided.

    General Provisions

    15. Jurisdiction and Applicable Law

    The Parties agree that, in the event of a legal claim against the Organization, the claim shall be

    filed solely within the province of British Columbia, Canada, and that the substantive law of

    British Columbia shall apply, even in cases of conflict of law rules.

    16. Severability

    The Parties expressly agree that this Agreement is intended to be as inclusive as permitted by

    law. Should any provision of this Agreement be deemed invalid by a court of competent

    jurisdiction, the remaining provisions shall continue in full force and effect.

    Acknowledgment of Understanding

    17. Acknowledgment

    By signing this agreement, the Parties acknowledge that they have read and fully understand

    the terms of this Agreement. They affirm that they are signing voluntarily and with the intent

    to be legally bound. This Agreement shall be binding upon the Parties, their heirs, spouses,

    parents, guardians, next of kin, executors, administrators, and legal or personal

    representatives.

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    How to complete payment

    After you complete this form, you will be sent a confirmation of your registration via email. Please send an e-transfer to info@fifthquarterelite.com with the amount owing and reference your athlete's name in the message.

    • Program Cost: $200

    Payment is required to reserve your spot. 

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Seperation Series - 6 Week Reciever Program
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