IRISH SPORTING & SOCIAL CLUB of VANCOUVER
(ISSC VANCOUVER) - YOUTH GAELIC SPORTS PROGRAM
PARTICIPATION AGREEMENT:
I, the parent/guardian, hereby consent to the following child(ren) participating in informal Youth Gaelic Games activities with “IRISH SPORTING & SOCIAL CLUB of VANCOUVER (ISSC VANCOUVER)” at the noted events below (namely, “Youth Gaelic Games Program”):
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Child’s Name (Please Print) Date of Birth
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Child’s Name Date of Birth
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Child’s Name Date of Birth
I, the parent/guardian of the children listed above, recognize there is a cost of $50 per child (or variation, based on Price Schedule), for the 2017 program, and that fro the duration of the specific program they are registered, are Youth Members of the ISSC VANCOUVER, a club within the Canadian Gaelic Athletic Association.
Parent/Guardian Initial: ______
I, the parent/guardian of the children listed above, recognize that it is the responsibility of the parent/guardian to supervise the children during these activities, NOT the organization or its members/volunteers. I recognize that a parent or alternate guardian MUST be in attendance at all times, or alternate supervision arranged.
Parent/Guardian Initial: ______
Please the dates you expect the(se) child(ren) to attend: ______
Emergency Phone #: ______
Email 1: ______
Email 2: ______
Please provide AT LEAST one regularly used email address (print clearly)
Notes:
Indicate any info you wish to share here (allergies, medical conditions, skill level, etc):
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PARENTAL CONSENT AND INDEMNITY AGREEMENT:
I consent to the above named player(s) participating in the activities of Irish Sporting & Social Club of Vancouver, or ISSC Vancouver, (herein called the “Organization”) and acknowledge that there are risks associated with such participation. I release, hold harmless, and agree to indemnify the said Organization and its officers, officials, members, volunteers, and agents from all injury, loss and damage which might be claimed against the said Organization or any of them or on behalf of the said player and arising directly or indirectly from such participation, including transportation. The undersigned understands and agrees to all provisions and conditions of this program.
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Printed Parent/Guardian Name Signature Date