APPLICATION FOR SPORTS PROGRAM
(Form # ISM-F1002)
Name of Team / Program:
Your answer
Captain Personal Information & Address
Last Name
Your answer
First Name
Your answer
Gender
E-mail Address
Your answer
Primary Phone Number
Your answer
Alternate Phone Number
Your answer
Captain Address Information
Street
Your answer
Unit
Your answer
City
Your answer
Postal Code
Your answer
Organizer Personal Information & Address
Last Name
Your answer
First Name
Your answer
Gender
E-mail Address
Your answer
Primary Phone Number
Your answer
Alternate Phone Number
Your answer
Organizer Address Information
Street
Your answer
Unit
Your answer
City
Your answer
Postal Code
Your answer
Additional Details
Type of Group
If other is selected, please describe in the space provided
Type of Sport/Activity
If other is selected, please describe in the space provided
Number of Partcipants
Captain Signature:
Please type your name as a digital signature
Your answer
Date Signed (Captain):
MM
/
DD
/
YYYY
Organizer Signature:
Please type your name as a digital signature
Your answer
Date Signed (Organizer):
MM
/
DD
/
YYYY
AGREEMENT OF SPORTS ORGANIZER
In submitting this application, the Group, acknowledges and agrees that, upon application approval, the group will assume sole responsibility for:

(a) Fully informing parents and obtaining parental consent (For Under 18 of age) on Islamic Society of Markham "Release and Waiver of Liability" form.

(b) Ensuring the safety and security of all participants, group organizers and anyone else involved in the sports/activity.

(c) That I/we am/are Organizer and representative of the Team and I/we am/are submitting this application with fully informed knowledge, consent and approval of the Team.

(d) In particular, without restricting the generality of the foregoing, that I/we, as Organizer of the Sports/Group am/are responsible at all times for the safety and security of all participants or anyone else involved in the sports/activity.

(e) I will ensure that all participants and anyone else involved in the sports/activity execute a "Release and Waiver of Liability" form.

(f) I will ensure that all participants and anyone else involved in the sports/activity are adhere to all rules and regulations (Terms and conditions) outlined by Islamic Society of Markham. Any violation will cause cancellation of present and future booking(s) and/or cancellation of registration/membership to access gym facilities.

(g) I will ensure that during salah times no activity will take place 15 minutes before salah start time (as soon as Adan starts) to 15 minutes after fard salah is completed.

(h) I will ensure that the gym area will be vacant by the end of the booked time slot.

Organizer Signature
Please type your name as a digital signature
Your answer
Agreement Date Signed (Organizer)
MM
/
DD
/
YYYY
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