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Basketball Prep for Rep Training Camp

Summer Registration

From 9am-3pm (add $50/wk for extended hours)

Early Bird cost/ week + HST
$200/4-day week | $250/5-day week

July 2-Aug. 9


Select School/Location
Select Week/s (@Veronica)
Select Week/s (@Julia)
Select Week/s

Parent/Guardian Details

Guardian Address

Youth

Youth Info
i.e. shy, anxious, etc. If none write no
If yes, please specify, if none write no.

Emergency contact in case main parent/guardian can't be reached. Please provide a different name and phone number in this section than what is entered under the above Parent/Guardian area.

I am interested in receiving information...

'I am the parent or legal guardian of the Participant listed above, who desires to attend at and participate in the DARE to LOVE Sports Club Basketball Programs/Events (which involves playing basketball on the basketball court). On behalf of the Participant, myself, the Participant’s parent(s) or guardian(s), heir(s), estate, insurers, assigns and anyone else who may make any claim for or on behalf of the Participant, I hereby irrevocably and unconditionally: represent and warrant that the Participant is in good health and physical condition and can participate in the Programs/Events, and acknowledge and understand that participation in and attendance at the Programs/Events involves certain risks and dangers of accidents, serious personal and bodily injury, including death, and property loss or damage either specifically as a result of participation in the Programs/Events or generally in connection with the Participant’s attendance thereat and transportation therefrom. I understand, have considered and evaluated the nature, scope, and extent of the risks involved, and I voluntarily and freely choose to assume these risks; 

fully and forever release, discharge and indemnify DARE to LOVE Sports Club, Corporate Sports, 321DataPro Inc., the Dufferin Peel Catholic District School Board (DPCDSB) and Peel District School Board, Maple Leaf Sports & Entertainment Ltd. (“MLSE”), Paramount Fine Foods Centre, Scotiabank Arena, and each of the said parent companies, affiliates, divisions, subsidiaries, directors, officers, employees, agents, insurers, assigns and successors, together with all Program/Event directors, volunteers, staff, coaches, training and medical personnel (collectively, the “Released Parties”) of and from any and all causes of action, lawsuits, losses, damages, injuries howsoever occurring, whether by negligence or otherwise (including death), claims, demands, sums, costs, expenses (including legal fees and disbursements), and any other liability of any kind, of or to me or the Participant or any other person, directly or indirectly arising out of or in connection with the Programs/Events, including, without limitation, participation of the Participant in the Programs/Events, including, without limitation, transportation related to the Programs/Events;

agree not to initiate any lawsuit, court action or other legal proceeding against the Released Parties, nor join or assist in the prosecution of any claim for money damages, which anyone may have, on account of loss, damage or injury sustained by me, the Participant or others howsoever occurring, whether by negligence or otherwise in connection with the selection, attendance and participation of the Participant in the Programs/Events and I waive any right to do so. This means that I cannot sue or hold the Released Parties responsible for any loss, damage, or injury that I or the Participant may experience related to the Programs/Events including, without limitation, transportation related to the Programs/Events;

waive my insurers’ right to make a claim against the Released Parties based on insurance payments made to me or on my behalf for any reason. This means my insurers have no right of subrogation; agree to hold harmless, indemnify and reimburse the Released Parties from and for any sums, costs, or expenses (including legal fees and disbursements) incurred or suffered by any of the Released Parties or paid by them to any person (including me or my insurers) in connection with any accident, loss, damage, injuries, howsoever occurring, whether by negligence or otherwise (including death), claims, demands, lawsuits, expenses and any other liability of any kind, sustained by me or others in connection with the Participant’s participation in the Programs/Events. This means that I will reimburse the Released Parties if anyone makes a claim against them based on damages or injuries the Participant suffers;

understand that the Released Parties do not provide any insurance, either life, medical or liability, for any illness, accident, injury, loss, or damage that may arise in connection with Participant’s participation in and attendance at the Program/Event. If I want insurance of any kind on behalf of the Participant, I must obtain my own. I will pay my own medical emergency expenses and all subsequent medical expenses in the event of any illness, accident, or injury in connection with the Program/Event;

acknowledge that if any portion of this Acknowledgement, Release and Waiver is held to be invalid or unenforceable, all other provisions shall nevertheless continue to be valid and enforceable. This Acknowledgement, Release and Waiver supersedes any oral or written statements made by or to me or the Participant in connection with the Program/Event. I understand that I cannot terminate, cancel or revoke this Acknowledgement, Release and Waiver for any reason;

agree that, in the event that I cannot be reached in a medical emergency, I hereby authorize and permit the Released Parties and event personnel to administer first aid to the Participant, and to authorize such other medical treatment and transportation as may be recommended by physicians, paramedics, and other medical personnel, in the event of any illness, accident or injury to the Participant;

give and grant perpetually to DARE to LOVE Sports Club, and the said entities respective affiliates, licensees, employees and agents, exclusively, the irrevocable right (including, without limitation, all now and hereafter existing common law, statutory and moral rights throughout the world and regardless of whether or not such rights are now known) to use the name, address, photograph, image and likeness, and voice of the Participant (the “Attributes”) in any and all publicity purposes, commercial or otherwise, in any and all media without compensation or further notification including, without limitation, the perpetual and unlimited right to reproduce (by electrical transcription, tape or other recording process whether now known or hereafter developed) any materials produced by DARE to LOVE Sports Club incorporating the Attributes, and the complete and unencumbered right throughout the world, to exhibit, record, reproduce, broadcast, transmit, publish, sell, distribute, perform and use for any purpose, in any manner, by any means and in any medium, whether now known or hereafter developed, all or any part or parts of the matter and things referred to in this paragraph. I acknowledge that neither I nor the Participant shall have or claim to have any right, title or interest in or to any materials produced hereunder incorporating the Attributes;

agree to the Conditions of my child’s FREE Sponsored Season as such. Your sponsorship requires your child's commitment to attend all 8 sessions. If your child is absent without notice, your child's sponsorship becomes void to allow another child to participate who is on our waitlist. The same will apply if your child is absent with notice after 2 absences or 3 times being late. (Some exceptions will apply). Your child will have the opportunity to register again for next season;

further agree that this document is governed by the laws of the Province of Ontario and operates to the benefit of the Released Parties as well as their administrators, successors and assigns, and is binding on me and my heirs, administrators, successors, assigns, insurers and estate.  

I HAVE READ THIS ACKNOWLEDGEMENT, MEDIA RELEASE AND LIABILITY WAIVER FORM CAREFULLY. I FULLY UNDERSTAND ITS CONTENT, AND VOLUNTARILY AGREE TO ITS TERMS. BY SIGNING THIS ACKNOWLEDGEMENT, MEDIA RELEASE AND LIABILITY WAIVER, I UNDERSTAND THAT I, ON BEHALF OF MYSELF AND THE PARTICIPANT, AM WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.

'

Unacknowledged
Acknowledged