2020 Haldimand Wolfpack RLFC Player Registration Form
Please complete this Registration Form and press submit.
You will the be directed to the Documents page where you can print off the PLAYERS CONCUSSION CODE OF CONDUCT. This form must be completed, signed and submitted before participating in your first weekly session.
CANADA RUGBY LEAGUE ASSOCIATION – PARTICIPANT WAIVER
THIS FORM MUST BE COMPLETED PRIOR TO PARTICIPATION
Membership and/or Participation Agreement for Canada Rugby League Association Programs
1. CONDUCT: I agree to abide by and support the current Canada Rugby League Association rules of play and codes of conduct.
2. USE OF IMAGE: I hereby grant Canada Rugby League Association the irrevocable right to use at their sole discretion any information and/or photographs of or about myself and/or my child/ward for publicity, advertising, or other promotion of Canada Rugby League Association. I understand that this may include, written, pictorial, digital or video materials.
3. PERSONAL INFORMATION: I consent to the collection, use and distribution of myself and/or my child/ward’s personal information for the purposes of Canada Rugby League Association. The personal information will be used for the purposes reasonably associated with my registration as a Canada Rugby League Association Participant. The personal information will not be disclosed to third parties other than as stipulated unless required bylaw
4. RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF ALL RISKS & INDEMNITY AGREEMENT
ATTENTION: PLEASE READ THE FOLLOWING PARTICIPANT WAIVER FORM CAREFULLY. BY SIGNING THIS PARTICIPANT WAIVER FORM, YOU ARE AFFECTING YOUR LEGAL RIGHTS AND LIABILITIES. DO NOT SIGN THIS PARTICIPANT WAIVER FORM UNLESS YOU HAVE CAREFULLY READ THE ENTIRE PARTICIPANT WAIVER FORM, FULLY UNDERSTAND IT AND AGREE WITH ALL OF ITS CONTENTS.
I UNDERSTAND AND ACCEPT THE RISKS TO MYSELF AND/OR MY CHILD/WARD THROUGH OUR PARTICIPATION IN THE ACTIVITIES ASSOCIATED WITH MY AND/OR MY CHILD/WARD’S PARTICIPATION IN THE SPORT OF RUGBY LEAGUE, WHICH MAY INCLUDE THE RISK OF SERIOUS AND PERMANENT INJURY AND POTENTIALLY DEATH. THEREFORE, IN CONSIDERATION OF THE CANADA RUGBY LEAGUE ASSOCIATION (“CRLA”) PERMITTING ME AND/OR MY CHILD/WARD TO ATTEND AND PARTICIPATE IN ANY OF ITS ACTIVITIES, PRACTICES, EVENTS OR GAMES, INCLUDING BUT NOT LIMITED TO MY AND/OR MY CHILD/WARD’S PARTICIPATION IN BOTH PRACTICES AND GAMES, WHETHER AT CLUB, PROVINCIAL OR INTERNATIONAL LEVEL INCLUDING ANY MATCHES TAKING PLACE BETWEEN JANUARY 1st 2020, and DECEMBER 31st 2020. THEREFORE, IN CONSIDERATION OF THE CRLA PERMITTING ME AND/OR MY CHILD/WARD TO ATTEND AND PARTICIPATE IN ANY OF ITS ACTIVITIES, PRACTICES, EVENTS OR GAMES, INCLUDING BUT NOT LIMITED TO MY AND/OR MY CHILD/WARD’S PARTICIPATION IN BOTH PRACTICES AND GAMES, WHETHER AT CLUB, PROVINCIAL OR INTERNATIONAL LEVEL INCLUDING ANY MATCHES TAKING PLACE BETWEEN JANUARY 1st 2019, and DECEMBER 31st 2019, ON BEHALF OF MYSELF AND MY HEIRS, REPRESENTATIVES, EXECUTORS AND ADMINISTRATORS, DO HEREBY RELEASE (EACH OF THE FOLLOWING BEING A “RELEASED PARTY”) CRLA AND ANY CONTRACTED STADIUM OR VENUE (SUCH AS GYMS, FIELDS AND STADIUMS WHERE AN ACTIVITY, EVENT OR GAME MAY TAKE PLACE) AND ALL DIRECTORS, OFFICERS, EMPLOYEES AND AGENTS OF SUCH PARTIES, FROM ANY AND ALL CLAIMS, DEMANDS, DAMAGES AND CAUSES OF ACTION WHICH MAY ARISE OUT OF OR IN CONNECTION WITH ANY LOSS, INJURY OR DAMAGE TO MYSELF AND/OR MY CHILD/WARD OR MY PROPERTY WHICH MAY BE SUFFERED OR INCURRED WHILE ATTENDING OR PARTICIPATING IN A CRLA ACTIVITY, EVENT OR GAME, REGARDLESS OF WHETHER OR NOT SUCH LOSS, INJURY OR DAMAGE AROSE BY REASON OF THE NEGLIGENCE OF A RELEASED PARTY.
I FURTHER AGREE TO REMISE, INDEMNIFY AND HOLD HARMLESS ALL RELEASED PARTIES FROM ANY AND ALL LOSSES, CLAIMS, DEMANDS AND DAMAGES THAT MAY BE SUFFERED OR INCURRED BY ANY RELEASED PARTY ARISING OUT OF OR IN ANY WAY CONNECTED WITH MY AND/OR MY CHILD/WARD’S ATTENDANCE AT OR PARTICIPATION IN ANY SUCH ACTIVITY, EVENT OR GAME.
THIS PARTICIPANT WAIVER FORM AND ANY RIGHTS, DUTIES AND OBLIGATIONS AS BETWEEN THE PARTIES TO THIS PARTICIPANT WAIVER FORM SHALL BE GOVERNED AND INTERPRETED SOLELY IN ACCORDANCE WITH THE LAWS OF THE PROVINCES OF ALBERTA, BRITISH COLUMBIA AND ONTARIO, AND I AGREE TO ATTORN SOLELY TO THE JURISDICTION OF THE COURTS OF THE PROVINCES OF ALBERTA, BRITISH COLUMBIA AND ONTARIO. ANY LITIGATION INVOLVING THE PARTIES TO THIS PARTICIPANT WAIVER FORM SHALL BE BROUGHT SOLELY WITHIN THE PROVINCES OF ALBERTA, BRITISH COLUMBIA AND ONTARIO AND SHALL BE WITHIN THE EXCLUSIVE JURISDICTION OF THE COURTS OF THE PROVINCES OF ALBERTA, BRITISH COLUMBIA AND ONTARIO.
EACH OF THE PROVISIONS OF THIS PARTICIPANT WAIVER FORM IS DISTINCT AND SEVERABLE AND A DECLARATION OF THE INVALIDITY OR UNENFORCEABILITY OF ANY PROVISION OF THIS PARTICIPANT WAIVER FORM OR ANY COVENANT HEREIN CONTAINED ON THE PART OF A COURT OF COMPETENT JURISDICTION SHALL NOT AFFECT THE VALIDITY OR ENFORCEABILITY OF ANY OTHER PROVISION OR COVENANT HEREOF OR HEREIN CONTAINED.
BY SIGNING THIS PARTICIPANT WAIVER FORM, I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND ACCEPTED THE CONDITIONS OF THIS PARTICIPANT WAIVER FORM AND I AM WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.
