PROGRAM REGISTRATION FORM
17 BASKETBALL CLUB
You will receive a confirmation email after completing the registration.
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PLAYER INFORMATION
Full Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender
*
Provincial Health Number
School
Please select at least one of the following program(s) you would like to attend.  *
Required
THANKS FOR YOUR APPLICATION

Payment Options
We accept Cash and E-transfer but you still must register online.
We also accept cheques, but there is a 5% processing fee.
Cash can be brought to the first day of class.

E-Transfer Details
Email: 17basketballclub@gmail.com
Memo Line: your child's name and selected program(s)

For the new player, there is ONE time membership registration fee ($40)

To confirm spot in program/house league, payment is required, spot is pending until payment is made.

For the player who attends the tryout, trial class or weekly event, there is no membership registration fee.
PLAYER MEDICAL INFORMATION
Allergies
*
Required
Allergic Reactions
Medical conditions
*
Required
Medications/Frequency/Dosage

LEGAL GUARDIAN INFORMATION/EMERGENCY INFORMATION
Full Name *
Address *
Phone
*
E-mail Address
*
Please read and accept 17 Basketball Club Refund Policy for this program.
*
The program payment is NOT REFUNDABLE.

A refund will be provided if we are unable to start the season. Once the season has started, and we are unable to complete the entirety of the season due to a change in Public Health restrictions, a credit will be provided.

If you miss any skill classes during the half term or full term, you can do make-up classes in current season.
Please read and accept the 17 Basketball Club Waiver.
*

IMPORTANT NOTICE: BY ACCEPTING THIS FORM YOU ARE ACCEPTING RISKS AND AGREEING TO GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT. DO NOT SUBMIT THIS FORM UNTIL YOU HAVE READ IT, COMPLETELY UNDERSTAND IT, AND AGREE TO ALL OF ITS TERMS.

FOR PARENTS OF MINOR PARTICIPANTS

I/We, the undersigned parents/legal guardians of the minor participant (the “Player”) who will be participating in a program (the “Program”) provided by 17 Basketball Club and Bayview Multicultural Sports Association and/or operated by 17 Basketball Club and Bayview Multicultural Sports Association at any facilities authorized by 17 Basketball Club and Bayview Multicultural Sports Association , hereby acknowledge that I/we understand that we have been offered to have the Player participate in the Program provided by 17 Basketball Club and Bayview Multicultural Sports Association.

I/We understand that in this Form, “the Clubs” includes 17 Basketball Club and Bayview Multicultural Sports Association, its employees, officers, directors, partners, mandatories, representatives, agents, servants, subsidiaries, shareholders, parent or affiliate corporations, successors, assigns, and any volunteers.

I/We also understand that the participation in the Program involves the Player’s use of facilities and equipment at the Program and the Player’s participation in the activities offered at the Program.

ACTIVITIES: The Program may include, but is not necessarily limited to: Playing basketball; low and high-energy recreational activities

RISKS: Participating in the Program involves a risk of injury or death and/or damage to or loss of property. Players and/or the Player’s parents/legal guardians must assume these risks. All of the risks cannot be listed on this Form, but may generally include the following:

  • Minor or serious bodily injury.
  • An impairment of the Player’s future ability to study, work and earn a living; to engage in other business, social, personal, intimate and recreational activities; and generally, to enjoy life.
  • Other risks may include the possible conduct of other players participating in the Program, whether it is negligent or intentional; and the contraction of a contagious illness or communicable disease.
  • Participating in the Program may lead to additional risks not described above.

CONSENT: I/We acknowledge that I/we understand the RISKS involved. I/We consent to the Player’s participation with the knowledge of the RISKS involved.

ACCEPTANCE OF RISK: I/We accept any and all inherent RISKS, including the risk of injury or death and/or damage to or loss of property associated with my/our and the Player’s participation in the Program.

WAIVER, AGREEMENT NOT TO SUE AND INDEMNITY: In exchange for my own or the Player’s participation in the Program, I/we AGREE TO THE

FOLLOWING:

  • To waive any and all liability, of any kind, against the Clubs;
  • That I/we will not commence or participate in any type of claim or lawsuit against the Clubs;
  • That I/we will completely defend, indemnify and hold harmless the Clubs from any claims or lawsuits against the Clubs, by any person or corporation, including claims or lawsuits commenced in a personal capacity or by any legal person as a representative of me/us or the Player.

EXPULSION: I/We agree that any violation of the rules of the Clubs or the Program by the Player or any behavior or health status that puts the Player or others at physical or emotional risk will result in immediate dismissal from the Clubs at the discretion of the Clubs management.

JURISDICTION, APPLICABLE LAW AND CLASS ACTION WAIVER: I/We agree that any dispute arising out of, in connection with or incident to participation in the Program shall be litigated, if at all, before the Superior Court of Ontario located in Toronto, Ontario, to the exclusion of the courts of any other city, province or country. I/We further agree that the applicable law to be applied to any dispute shall be the law of the Province of

Ontario. I/we agree that any lawsuit against the Clubs whatsoever shall be litigated by me/us individually and not as a member of any class or as part of a class action, and I/we expressly agree to waive any law entitling me/us to participate in a class action.

CONTAGIOUS ILLNESS AND EMERGENCY AUTHORIZATION: To the best of my/our knowledge, the Player does not have a contagious illness and is physically able to participate in all Program activities. If the Player comes in contact with a communicable disease at any time prior to the Program start date, or has any change in his/her health condition, I/we will inform the Clubs immediately. All medical issues requiring ongoing medical supervision or care have been fully disclosed on the PROGRAM REGISTRATION FORM. I/We give permission for any and all health/personal care information to be shared with the appropriate Clubs staff and outside medical personnel as necessary. I/We give permission to the Clubs Directors or their delegate(s) to administer over the counter or prescription medications and provide routine health care to the Player as directed by a physician.

I/We agree that if I/we cannot be reached in the event of an emergency, the physician selected by the Clubs staff may secure proper treatment for the Player, including, without limitation, hospitalization, medications, anesthesia, surgery or blood transfusion and at my/our expense.

SEVERABILITY: If any provision of this Form is held by a Court to be unenforceable, then such provision will be modified to reflect the parties' intention. All remaining provisions of this Form shall remain in full force and effect as drafted.

MEDIA CONSENT: I/We hereby authorize any images or video footage taken of the Player, in whole or in part, individually or in conjunction with other images and video footage, to be displayed on the Clubs' website and other official Clubs social media, and to be used for media purposes including promotional presentations and marketing campaigns. I/We also authorize the display and use of any media material created by the Player within the Clubs. I/We waive rights to privacy and compensation, which I/We may have in connection with such use of the Player’s likeness, including rights to be written copy that may be created in connection with video production, editing and promotion therewith.

MEDICAL: I/We am the parent/guardian who provides care for and has a right to make decisions about the Player being registered for activities as part of this registration.

By accepting this form, I/We are indicating my/our acknowledgment and acceptance of all of the above and assumes full responsibility for payment and acknowledges that I/We have read and understood all the Clubs' policies and the Clubs can rely on all representations made and information given.

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