COMPETE ZONE BATTLE  SMALL ICE
Ages: 2015-2011 - 4 PLAYERS MAXIMUM
Email us dates mikecosta@rogers.com

Wave Twin Rinks - 1179 Northside Rd - Mini red or black pad
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PLAYER'S NAME:
PLAYER'S DATE OF BIRTH:
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LEVEL PLAYED IN THIS LAST SEASON:
PLAYED FOR THIS ORGANIZATION:
PARENT/GUARDIAN'S NAME:
PARENT/GUARDIAN'S EMAIL ADDRESS:
PARENT/GUARDIAN'S PHONE NUMBER:
NOTES:
ENROLLING IN: (PLEASE DO NOT SEND PAYMENT UNTIL WE CONFIRM YOUR REGISTRATION) payments to mikecosta@rogers.com *

LIABILITY WAIVER

In consideration of the participant and/or his/her parent being permitted to register the participant, and participate in the Progressive Target Development  (PTD) Clinics at the Oakville Hockey Academy, or Wave Sports or  any related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1) By signing and agreeing to this waiver, I, the undersigned, being the Participant (if over 18 years old) or as the parent/guardian of the Participant noted above, I am responsible for my conduct or of my child’s as Participant while participating in this program.

2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown even arising from the negligence of the releases or others, and assume FULL responsibility for my participation, and for any health risks and health related consequences caused by or arising from engaging in any activities with Progressive Target Development and in the Oakville Hockey Academy Facility or Wave Sports.

3) I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe and unusual significant hazards during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.

4) I, for myself and on behalf of my heirs, assign personal representatives and next of kin, we HEREBY FOREVER RELEASE AND HOLD HARMLESS PROGRESSIVE TARGET DEVELOPMENT. its directors, instructors, employees and any person or corporation herewith from all manner of action, injury, illness (including COVID-19), damages, costs, claims or demands which we shall or may hereafter have, suffer or receive by reason of such participant in any programs or camps. The release shall be binding on our their, assigns, executors and administrators.

5) I further consent to Progressive Target Development to use any pictures taken of the participant during any programs or camps for marketing and promotional purposes without charge.

6) I acknowledge and willingly accept that all clinics and/or camps sales are final. If I have registered but cannot attend a clinic or camp a full credit will be provided that can be used for any PTD program in the future. A refund will only be issued if a valid doctor’s note is provided confirming inability to participate in the respective camp.

7.) I willing consent PTD to add my provided email to their subscribed mailing list knowing that opting out of promotional and informational emails can occur at any time.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, I FULLY UNDERSTAND ITS TERMS, I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

              

 

www.progressivetargetdevelopment.ca  Coach Costa 416 417 7127  Bookings: Vera 416 768 5184 etransfers payments to mikecosta@utoronto.ca

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SIGNATURE: *
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BATTLE & COMPETE!
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