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Girls Multi-Sport
Registration Form
Player First Name
Player Last Name
Player Date of Birth
Parent/Guardian Full Name (if minor)
Relationship to Player (if minor)
Contact Email
Phone Number
Address
Emergency Contact
Player Alberta Health Care Number
Is the player allergic to any medication?
Yes
No
If yes, what medications?
Does the player suffer from any of the following?
Asthma
Diabetes
Epilsepy
Other
None
If other, what does the player suffer from that we should know about?
Is the player on any regular medication?
Yes
No
If yes, which medication?
Does the player wear contacts?
Yes
No
How did you hear about us?
Social Media
Online Search
Word of Mouth
I've heard of Soccer Strides before
Other
By filling out the waiver you agree to the following Acknowledgement of Risk and Release of Liability Terms. I am executing this waiver on behalf of myself and/or the player and this waiver will be binding on myself and the player for all purposes. 'Soccer Activities' includes but is not limited to contact and non-contact fitness activities, lessons, classes,training, use of facilities, programs and services provided to the member by the Organization. I am aware that there are in the rent and significant dangers, hazard sand risks ('Risks') associated with the participation in Soccer Activities. I understand that the Risks are relative to the my state of fitness or health (physical, mental and emotional), and to the awareness, care and skill with which I conduct myself while participating in Soccer Activities. ​ I freely accept and fully assume all responsibility for all Risks and possibilities of personal injury, death, property damage or loss resulting from the my participation in Soccer Activities. I agree that although the Organization has taken steps to reduce the Risks and increase the safety of the Soccer Activities, it is not possible for the Organization to make the Soccer Activities completely safe. I accept these Risks and agree to the terms of this waiver even if the Organization is found to be negligent or in breach of any duty of care or any obligation to me and my participation in Soccer Activities. ​ I acknowledge my obligation to inform the nearest employee of the Organization if the I feel any pain, discomfort, fatigue or any other symptoms I may suffer during or immediately after my participation in Soccer Activities. I understand that I may stop participating at any time, and I have the right to immediately withdraw from any exercise or drill in which the conduct of any party seems beyond the scope of training, makes me uncomfortable or which I believe will be harmful to me. In addition to consideration given to the Organization for my participation in Soccer Activities, I as well as my heirs, next of kin, executors, administrators and assigns (collectively our 'Legal Representatives') agree: (a) To waive all claims that I, or our Legal Representatives have or may have in the future against the Organization; and (b) To release and forever discharge the Organization from all liability for all personal injury, death, property damage or loss resulting from my participation in Soccer Activities due to any cause, including but not limited to negligence (failure to use such care as a reasonably prudent and careful person would use under similar circumstances), breach of any duty imposed by law, breach of contract or mistake or error in judgment of the Organization. ​ I agree to be liable for and to hold harmless and indemnify the Organization from all actions, proceedings, claims, damages, costs demands including court costs and costs on a solicit or and own client basis, and liabilities of what so ever nature or kind arising out of or in any way connected with my participation in Soccer Activities"
By checking here, you are consenting to the use of your electronic sigature in lieu of an original signature on paper. You have the rights to request that you sign a paper copy instead. By checking here, you are waiving that right.
Do you consent to having you or your child be a part of Soccer Strides' marketing material (ex. photos/promotional videso)? Photos and videos will be taken during the sessions. These images or videos will be posted on Soccer Stride's website and social media channels.
Your Signature
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Ages 6-9
Ages 10-12
Select an item (C$)
8 Sessions - C$175
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