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Activity, COVID-19, and Media Waiver & Release Form

 

THIS ACTIVITY WAIVER & RELEASE (this “Agreement”) is dated on the date of the individual’s registration.

BETWEEN:

the “Participant” or Guardian of the “Participant”    

AND

Yoni Marmorstein Doing Business As Hoop Reel          

IN CONSIDERATION OF the covenants and agreements contained in this Agreement and other good and valuable consideration, the receipt of which is hereby acknowledged, the parties to this Agreement agree as follows:

Consideration

1. Being of lawful age and in consideration of being permitted to participate in the activity described below, the Participant releases and forever discharges the Activity Provider, the Activity Provider’s spouse, heirs, executors, administrators, legal representatives, assigns, and any affiliated facilities, trainers, coaches, or business partners used or involved in the activity from all manner of actions causes of action, debts, accounts, bonds, contracts, claims and demands for or by reason of any injury to person or property, including injury resulting in the death of the Participant, which has been or may be sustained as a consequence of the Participant’s participation in the activity described below, and notwithstanding that such damage, loss, or injury may have been caused solely or partly by the negligence of the Activity Provider.

2. The Participant releases and forever discharges the Activity Provider, the Activity Provider’s spouse, heirs, executors, administrators, legal representatives, assigns, and any affiliated facilities, trainers, coaches, or business partners used or involved in the activity from all manner of actions causes of action, debts, accounts, bonds, contracts, claims and demands for or by reason of contracting COVID-19 or related illnesses due to the contracting of COVID-19.

3. The Participant understands that the Participant would not be permitted to participate in the activity described below unless the Participant signed this agreement.

Details of Activity

4. The participant will participate in the following activity: Athletic Training.

Concurrent Release

5. The Participant acknowledges that this Agreement is given with the express intention of effecting the extinguishment of certain obligations owed to the Participant and with the intention of binding the Participant’s spouse, heirs, executors, administrators, legal representatives and assigns.

Fitness to Participate

6. The Participant acknowledges that the Participant does not have any physical limitations, medical ailments, physical or mental disabilities that would limit or prevent the Participant from participating in the above-mentioned activity. If required, the Participant will obtain a medical examination and clearance.

7. The Participant will not participate if they are knowingly ill with COVID-19 or have travelled out of the country within the last 14 days.

Release for Photo & Video Footage

8. The Participant releases and forever discharges the Activity Provider, the Activity Provider’s spouse, heirs, executors, administrators, legal representatives, assigns, and any affiliated facilities, trainers, coaches, or business partners used or involved in the activity from all manner of actions causes of action, debts, accounts, bonds, contracts, claims and demands for or by reason of using photo or video footage from activity sessions.

Full and Final Settlement

9. The Participant hereby acknowledges and agrees that the Participant has carefully read this Agreement, that the Participant fully understands the same, and that the Participant is freely and voluntarily executing the same.

10. The Participant understands that by signing this Agreement, the Participant agrees to be forever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the Participant may sustain while Participating in or preparing for the above noted activity.

11. The Participant has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this Agreement.

12. This Agreement contains the entire agreement between parties to this Agreement and the terms of this Agreement are contractual and not a mere recital.

Governing Law

13. This Agreement will be governed by and constructed in accordance with the laws of the Province of British Columbia.

The Participant or Participant’s guardian has given expressed consent to the terms and conditions above upon completing the form below.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information on past and upcoming Hoop Reel programs
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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