Alberta Indigenous Games 2018 Registration Form

Full Name:

(Registration form can also be completed with AIG online fillable registration form just go to . Payment by credit card option is available through online registration form as well.)

Please Circle Sport(s) and Division:

Ball Hockey - Basketball - Volleyball - Fastpitch

Divisions:

Divisions: Junior: 2006-2004 - Intermediate: 2003-2001 -

Senior: 2000-1998

Lacrosse

Divisions:

Junior: 2008-2005 -

Intermediate: 2004-2001 -Senior: 2000-1998

(If there are not enough registrations for the senior division in any sport then that specific sport senior division may be subject to cancellation. In addition, if there are an excess of registrations in any sport junior division then a new division may be created)

Day schedule and location of each of the sports:

Thursday- Friday August 16-17th

Ball HockeyLocation TBA

VolleyballLocation TBA

Saturday- Sunday August 18-19th

BasketballLocation TBA

Fastpitch SoftballLocation TBA

LacrosseLocation TBA

Circle gender: MALE FEMALE

Team Name (if applicable) :

Address:

Email:

Home Phone:

Cell Phone:

Date of Birth:

Alberta Health Care #:

Aboriginal ancestry:

Parent or Guardian name:

Address (if different than athlete):

Sport Registration fee $80 if individual for each sport and $400 for a team. (For teams, one team member pays $400 for entire team and indicates team name/sport/division on completed registration form. Then the other team members don’t have to send payment but still need to send in completed registration form). Registration and Payment Deadline is July 15, 2018

Paid: YES NO Certified cheques or money orders can be made to Alberta Indigenous Games. Registration forms and payment can be sent to: 3323 107 Street NW, Edmonton AB, T6J 3C8 or emailed to ATTN: Jacob Hendy

WAIVER AND RELEASE OF LIABILITY AGREEMENT EVENT: 2018 Alberta Indigenous Games

NAME OF PARTICIPANT:

ADDRESS:

PHONE:

AGE:

NAME OF GUARDIAN: (if Participant is a minor)

TO: ENBA Sports and its sponsors, (hereinafter collectively referred to as “the Sponsors”)

I am aware that my participation in the athletic events being held at various locations throughout Edmonton (collectively, the “Event Location”) from August 16 – 19, 2018 (the “Event”) is at my own risk and that there are dangers and risks inherent in the Event’s athletic activities, including, but not limited to, head trauma, broken bones, muscle and ligament sprains/strains and cardiac and respiratory distress. I freely accept and fully assume all such dangers and risks and the possibility of personal injury, death, property damage or loss resulting therefrom.

In consideration of the Sponsors permitting my participation in the Event, I hereby agree as follows:

  1. THAT I knowingly and freely assume all risks of the Event, both known and unknown, even if arising from the negligence of the Releasees (defined below), and assume full responsibility for my participation.
  2. TO WAIVE ANY AND ALL CLAIMS that I may have against the Sponsors and their respective directors, officers, employees, agents and representatives, and any volunteers in any way associated with the Event, (all whom are hereinafter collectively referred to as “the Releasees”);
  3. TO RELEASE THE RELEASEES FROM ANY AND ALL LIABILITY for any loss, damage, injury (including death) or expense that I may suffer or that my next of kin may suffer as a result of my participation in the Event due to any cause whatsoever, INCLUDING ANY NEGLIGENCE ON THE PART OF THE RELEASEES;
  4. TO HOLD HARMLESS AND INDEMNIFY the Releasees from any and all liability for any property damage or personal injury (including death) to any third party, resulting from my participation in the Event; and
  5. THAT this Waiver and Release of Liability shall be effective and binding upon my heirs, next of kin, executors, administrators and assigns in the event of my death.

I have read and understand this Waiver and Release of Liability prior to signing it, and I am aware that by signing this Waiver and Release of Liability I am waiving certain legal rights (including the right to sue) which I or my heirs, next of kin, executors, administrators and assigns may have against the Releasees.

Signed this ______day of______, 2018

WITNESS ______

SIGNATURE OF PARTICIPANT OR GUARDIAN WHERE PARTICIPANT IS A MINOR/IF TEAM IS SIGNING UP THEN SIGNATURE OF COACH OR GUARDIAN RESPONSIBLE FOR TEAM:

______

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