(Individuals Under the Age of Majority)

1. This is a binding legal agreement. Clarify any questions or concerns before signing. As a Participant in the sport of
wheelchair rugby, and/or wheelchair tennis and/or wheelchair athletics and seated throws, and the activities,
programs, classes, services provided and events sponsored or organized by BC Wheelchair Sports and its affiliated clubs
and teams (collectively the “Organization”), including but not limited to: games, tournaments, competitions, practices,
training, personal training, dry land training, use of strength training and fitness conditioning equipment, machines and
facilities, nutritional and dietary programs, orientational or instructional sessions or lessons, aerobic and anaerobic
conditioning programs (collectively the “Activities”), the undersigned being the Participant and Participant’s
Parent/Guardian (collectively the “Parties”) acknowledges and agrees to the following terms outlined in this

2. I am the Parent/Guardian of the Participant and have full legal responsibility for the decisions of the Participant.

Description and Acknowledgement of Risks

3. The Parties understand and acknowledge that:

a) The Activities have foreseeable and unforeseeable inherent risks, hazards and dangers that no amount of care,
caution or expertise can eliminate, including without limitation, the potential for serious bodily injury, permanent
disability, paralysis and loss of life;

b) The Organization may offer or promote online programming (such as webinars, remote conferences, workshops,
and online training) which have different foreseeable and unforeseeable risks than in-person programming;

c) The Organization has a difficult task to ensure safety and it is not infallible. the Organization may be unaware of
the Participant’s fitness or abilities, may give incomplete warnings or instructions, may misjudge weather or
environmental conditions, and the equipment being used might malfunction; and

d) The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization and
COVID-19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread
of COVID-19; however, the Organization cannot guarantee that the Participant will not become infected with
COVID-19. Further, participating in the Activities could increase the Participant’s risk of contracting COVID-19.

4. The Participant is participating voluntarily in the Activities. In consideration of that participation, the Parties hereby
acknowledge that they are aware of the risks, dangers and hazards and may be exposed to such risks, dangers and
hazards. The risks, dangers and hazards include, but are not limited to:

a) Physical contact with other participants, spectators, equipment, wheelchairs, the court, the track, and other

b) Not wearing appropriate safety or protective equipment;

c) Health: executing strenuous and demanding physical techniques, physical exertion, overexertion, stretching,
dehydration, fatigue, cardiovascular workouts, rapid movements and stops, lack of fitness or conditioning,
traumatic injury, bacterial infections, rashes, and the transmission of communicable diseases, including viruses of
all kinds, COVID-19, bacteria, parasites or other organisms or any mutation thereof.

d) Premises: defective, dangerous or unsafe condition of the facilities; falls; collisions with objects, walls, wheelchairs,
equipment or persons; dangerous, unsafe, or irregular conditions on floors, grass, turf or other surfaces, extreme
weather conditions; travel to and from premises

e) Use of Equipment: mechanical failure of the equipment; negligent design or manufacture of the equipment; the
provision of or the failure by the Organization to provide any warnings, directions, instructions or guidance as to
the use of the equipment; failure to use or operate the equipment within my own ability

f) Contact: contact with wheelchairs, other equipment, or other persons, whether intentional or unintentional, is a
common part of wheelchair rugby, wheelchair tennis, wheelchair athletics and seated throws programs, and may
lead to serious bodily injury, including but not limited to concussions and/or other brain injury, or serious spinal

g) Advice: negligent advice regarding the Activities

h) Ability: Failing to act safely or within my own ability or within designated areas

i) Sport: the game of wheelchair rugby, wheelchair tennis, wheelchair athletics and seated throws and their
inherent risks

j) Cyber: privacy breaches, hacking, technology malfunction or damage

k) Conduct: My conduct and conduct of other persons including any physical altercation between participants

l) Travel: Travel to and from the Activities

We have read and agree to be bound by paragraphs 1 - 4

I Agree


5. In consideration of the Organization allowing the Participant to participate in the Activities, the Parties agree:

a) That when the Participant practices or trains in their own space, the Parties are responsible for the Participant’s surroundings and the location and equipment that is selected for the Participant;

b) That the Participant’s mental and physical condition is appropriate to participate in the Activities and the Parties assume all risks related to the Participant’s mental and physical condition;

c) To comply with the rules and regulations for participation in the Activities;

d) To comply with the rules of the facility or equipment;

e) That if the Participant observes an unusual significant hazard or risk, the Participant will remove themselves from participation and bring their observations to a representative of the Organization immediately;

f) The risks associated with the Activities are increased when the Participant is impaired, and the Participant will not
participate if impaired in any way;

g) That it is their sole responsibility to assess whether any Activities are too difficult for the Participant. By the Participant commencing an Activity, they acknowledge and accept the suitability and conditions of the Activity;

h) That COVID-19 is contagious in nature and the Participant may be exposed to, or infected by, COVID-19 and such
exposure may result in personal injury, illness, permanent disability, or death; and

i) That they are responsible for the choice of the Participant’s safety or protective equipment and the secure fitting of that equipment.

6. In consideration of the Organization allowing the Participant to participate, the Parties agree:

a) That the Parties are not relying on any oral or written statements made by the Organization or their agents,
whether in brochure or advertisement or in individual conversations, to agree to participate in the Activities;

b) That the Organization is not responsible or liable for any damage to the Participant’s vehicle, property, or
equipment that may occur as a result of the Activities; and

c) That this Agreement is intended to be as broad and inclusive as is permitted by law of the Province of British
Columbia and if any portion thereof is held invalid, the balance shall, notwithstanding, continue in full legal force
and effect.


7. The Parties agree that in the event that they file a lawsuit against the Organization, they agree to do so solely in the
Province of British Columbia and they further agree that the substantive law of the Province of British Columbia will
apply without regard to conflict of law rules.

We have read and agree to be bound by paragraphs 5 to 7

I Agree

I have read and agree to be bound by the BC Wheelchair Sports’ Code of Conduct and Ethics https://goo.gl/LhSQ9H 

I Agree

I have read and agree to be bound by the BC Wheelchair Sports’ Social Media Policy. Entry, participation or attendance during the BCWSA, and BTG program constitutes permission to be photographed or videotaped for possible publicity, promotional or media purposes and constitutes a waiver of any and all claims for compensation from all sponsoring agencies. https://goo.gl/YkL1Fb 

I Agree

I consent to medical treatment in case of emergency. I agree to full responsibility for payment of any fees incurred as a result of necessary medical treatment. 

I Agree

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
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


Confirm Email*
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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.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
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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