Registration

Indoor T-Ball - Registration

Downloadable Registration Form

indoor_t-ball_registration_2.pdf
File Size:	802 kb
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Indoor T-Ball Registration Form

* Indicates required field

Player's Name *

First

Last

Gender *

Male Female

Division *

Date of Birth

Month *

Day *

Year *

Age *

Parent/Guardian Name(s) *

First

Last

Name *

First

Last

Email(s) *

Phone Number(s) *

Address *

Phone Number *

I Can: *

Coach Assistant Coach

Coach's/Assistant Coach's Name *

First

Last

I Want to play on the same team as: *

Uniform Colour I would prefer not to wear because I wore it before: *

Do you need a community membership: *

Yes - Please add $5 and a community membership will be provided No, I already have a community membership

Community Membership #: *

Terms & Conditions

INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT
By executing this document, you will assume certain risks and responsibilities. Please read carefully.
1. This is a binding legal agreement. As a Participant in the activities, programs and events of South Zone Recreation Board (collectively the “Activities”), the undersigned, being the Participant and their Parent(s)/Guardian(s), acknowledge and agree to the following terms:

Disclaimer
2. The South Zone Recreation Board and its Directors, Officers, organizers, committee members, members, employees, coaches, volunteers, officials, participants, agents, sponsors, owners/operators of applicable facilities, and representatives, and their heirs, executors, children, parents, guardians, next of kin, executors, administrators and legal or personal representatives (collectively the “Organization”) are not responsible for any injury, property damage, expense, loss of income, damage or loss of any kind suffered by a Participant during, or as a result of, the Activities.

Description of Risks
3. The Participant is participating voluntarily in the Activities. In consideration of the Participant’s participation in the Activities, the Parties hereby acknowledge that they are aware of the risks, dangers and hazards associated with or related to the Activities and may be exposed to such risks, dangers and hazards which can be severe and even fatal. The risks, dangers and hazards include, but are not limited to, injuries from:
a) Any sport or program of the South Zone Recreation Board;
b) Executing strenuous and demanding physical techniques;
c) Vigorous physical exertion, strenuous cardiovascular workouts and rapid movements;
d) Exerting and stretching various muscle groups;
e) Entering and exiting the field of play;
f) Extended time in adverse weather conditions;
g) Extreme weather and temperature conditions which may result in dehydration, heatstroke, sunstroke or hypothermia;
h) Falls to the ground due to uneven or irregular terrain or surfaces;
i) Failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment;
j) Contact, colliding, falling or being struck by equipment, other participants, or equipment;
k) Collisions with fences, poles, stands, and other equipment;
l) Spinal cord injuries which may render me permanently paralyzed; and
m) Travel to and from events which are an integral part of the Organization’s Activities.

Release of Liability
4. In consideration of the Organization allowing the Participant to participate in the Activities, the Parties agree:
a) That the Participant’s physical condition has been verified by a medical doctor to participate in the Activities;
b) To freely accept and fully assume all such risks, dangers and hazards, and possibility of personal injury, death, property damage, expense and related loss, including loss of income, resulting from the Participant’s participation in the Activities;
c) To forever release the Organization from any and all liability for any and all claims, demands, actions and costs that might arise out of the Participant’s participation in the Activities.

Acknowledgement
5. The Parties acknowledge that they have read this agreement and understand it, that they have executed this agreement voluntarily, and that this agreement is to be binding upon themselves, their heirs, executors, administrators and representatives.

Note: Photographs of individuals may appear on the website.

I have read and agreed to the terms and conditions: *

Yes

Please send or drop off the cash or cheque payment/money order (cheque /money order payable to SZRB, and include player's first and last name and division #) to:

Natalie Arendt
Indoor T-Ball Co-ordinator
3052 Grant Road
Regina, SK S4S 5G7

Cost to play Fall Indoor T-Ball - $45.00 ($50 with community membership)
Cost to play Winter Indoor T-Ball - $45.00 ($50 with community membership)

We do not take electronic payments.

Submit

Downloadable copy of terms and conditions

waiver.pdf
File Size:	568 kb
File Type:	pdf

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