Yukon Medieval Combat Group
2016/17 Membership
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First Name *
Email *
Middle Name
Postal Code *
Address *
Last Name *
Territory *
City *
Work Phone
Home Phone *
Cell Phone
Gender *
Birthdate *
Do you want to be a member of the Company of the White Wolf *
If you want to be a member of the CWW then you need to have EMP membership.
Aboriginal Self Declaration: This is a voluntary self declaration and will not be used for any other purpose except to indicate to Yukon Government if you have aboriginal ancestry
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Membership Type *
RELEASE, WAIVER OF CLAIM, AND ASSUMPTION OF RISK AND INDEMNITY TO: Yukon Medieval Combat Group (the “Society”) FROM: ________________________ (the “Member”) I, in participating in events conducted by the Society, agree and acknowledge the following: I understand that my participation in events, which include the use of armour and weaponry, involves certain risks inherent to simulated combat, and that not all such risks can be listed here, but that the risks associated with such activities are generally foreseeable. Knowing the risks, I, for myself, my heirs, executors, administrators, or anyone else who may claim on my behalf, COVENANT NOT TO SUE, AND AGREE TO WAIVE, RELEASE, AND DISCHARGE the Society, its directors, employees, agents and representatives or anyone acting for or on their behalf, from any and all claims or liability for personal injury, death, damage to property or loss of any nature or kind and however caused, whether arising by reason of the negligence of, either the Society or his/her representatives. By my signature below I acknowledge that I have read the above language of release, that I agree to the terms therein of my own volition and accept the reasonable risks inherent within.
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