NOTE: THIS FORM INCLUDES A RELEASE OF LIABILITY.
UPWARD SPORTS CANADA will do what it can to ensure dates, times and location are not changed, but participants acknowledge that dates, times and location may change subject to notice due to matters beyond the control of UPWARD SPORTS CANADA.
AUTHORIZATION AND RELEASE OF LIABILITY – I, the parent or guardian of the above-named Student Athlete(s), authorize the participation of my Student Athlete(s) in the UPWARD SPORTS CANADA athletic Program. My Student Athlete(s) will participate in the UPWARD SPORTS CANADA event denoted on this registration form.
I understand that this is a nonprofit Christian sports organization for youth and that my Student Athlete(s) participation is voluntary. UPWARD SPORTS CANADA does not officially represent the Canadian government or any of its regional affiliates. I understand that all programs with UPWARD SPORTS CANADA are conducted and lead by the partnership of local evangelical churches and its volunteers and staff, including parents of other participating Student Athlete(s). UPWARD SPORTS CANADA is a Christian based sports organization, thus, biblical principles and applications are applied in the Student Athlete(s) curriculum. UPWARD SPORTS CANADA respects the religious and cultural background of each Student Athlete(s), but stands behind the values and mission found at www.upwardsportscanada.org. I further understand and agree that my Student Athlete(s) participation in athletic and other activities of UPWARD SPORTS CANADA may involve the risk of injury. On behalf of my Student Athlete(s), me, and my family, I assume these risks. In consideration of the privilege of my Student Athlete(s) participation and on behalf of my Student Athlete(s) and me as parent/guardian, I hereby release, discharge, and covenant not to sue, UPWARD SPORTS CANADA or their partnering churches (including but not limited to: directors, board of directors, officers, elders, trustees, deacons, employees, volunteers, and all other persons associated [including without limitation any other participating churches, sponsors, parents, vendors, coaches and other game and event workers, officials, drivers, and organizations]) as to any and all claims of my Student Athlete(s), me and other family members for personal injuries arising directly or indirectly out of my Student Athlete(s) participation in the Program.
MEDIA RELEASE – I hereby authorize UPWARD SPORTS CANADA to use, reproduce, distribute, and display my Student Athlete(s) image, and photograph, as well as any video, digital, or audio recording or reproduction, in connection with external and internal communications of UPWARD SPORTS CANADA for the sole purpose of advancing UPWARD SPORTS CANADA programs. I acknowledge and consent that registration will allow UPWARD SPORTS CANADA to obtain access to personal information regarding me and my Student Athlete(s). I agree that UPWARD SPORTS CANADA may use such personal information in a manner consistent with UPWARD SPORTS CANADA’s Conditions of Use and Privacy as amended from time to time. I further understand that the current version of UPWARD SPORTS CANADA’s Conditions of Use and Privacy may be found at www.upwardsportscanada.org.
REFUND POLICY – Refunds vary from program-to-program. The refund will only be considered and possibly issued upon receipt of an email to email@example.com with "Refund" in the subject line. The contents of the email for requesting a refund must contain the name of the primary parent/legal guardian and the name or names of the Student Athlete(s) that were on the registration form. The amount of refund will be the session fee less an administration charge (varying from program-to-program).
PARTICIPATION AND SAFETY – I understand that participation in UPWARD SPORTS CANADA may involve strenuous and prolonged physical activity. I agree that my Student Athlete(s) is healthy and able to participate in the activities. I understand that the leadership (of both UPWARD SPORTS CANADA and the local church or its representatives), may request health information concerning my Student Athlete(s) and/or ask my Student Athlete(s) to undergo a medical exam. If the leadership determines that my Student Athlete(s) does have a physical, mental or other condition that may affect his/her ability to safely and appropriately participate in the activities (or that may affect the ability of other Student Athlete(s) to participate safely), the leadership may determine that my Student Athlete(s) cannot be permitted to participate. I understand and agree that, while the leadership (of both UPWARD SPORTS CANADA and the local church) desires that all Student Athlete(s) will be able to participate, such decisions may have to be made out of concern for the best interests of my Student Athlete(s) and other participants.
CONSENT TO MEDICAL TREATMENT – In the event my Student Athlete(s) is injured or becomes ill in the activities, and if I, the parent or guardian of the above-named Student Athlete(s), am not present to make medical decisions, I hereby authorize the leadership (of both UPWARD SPORTS CANADA and the local church), its staff, volunteers including volunteer parent participants, coaches, assistant coaches, and referees, supervisors and drivers, to arrange for and consent on my behalf to emergency medical and dental care and treatment, including tests and radiological exams, and surgery, and hospital care and treatment, and to consent to medications for pain and other conditions as prescribed by medical personnel attending my Student Athlete(s). I am responsible for payment of any medical charges or expenses not covered by OHIP and/OR private insurance applicable to my Student Athlete(s) (if any).
By entering my full name,
I certify I am parent, guardian or other adult with legal parental authority to complete this registration. I have reviewed, understand and agree to the Authorization and Release of Liability.