Registration Winter Camp 2023-2024 Registration Winter Camp 2023-2024 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastBirthdate (mm-dd-yyyy) *Enrolled to Play for 2022-2023 Season *FemaleCo-Ed2023/2024 Hockey Level *U7U9U11U13U15U18Junior/College/ProAddress *Phone # *Email Address *Parents/Guardians Name *Please indicate any medical conditions, medications, or allergies:Winter Camp Monday's 4-5pm Ice (8 sessions)$310.00 GST Inc if received by Oct 5/23$355.00 GST Inc. if reveived after Oct 5/23Winter Camp Friday Morning Small Group 7- 8am Ice Oct 20- Dec 15, 2023 (8 sessions)$380.00 GST Included if recieved by Oct 5/23Winter Camp Friday Morning Small Group 7- 8am Ice Jan 12- Feb 16, 2024 (6 sessions)$285.00 GST IncludedSelect your method of payment: By Clicking this box, I understand that I will be required to submit payment that is required for TJ Power Fit Camps. I understand that if payment is not made, the Registrant will not be accepted into the program. *Cheque- dated Oct 5, 2023E-transfer- tjpowerfit2@gmail.com by Oct 5, 2023. Include security responseCashTJ Power Fit/Trisha Feil-Johnson 1221 Jubilee Drive Swift Current Sk. S9H 2A4Cancellation Policy (please refer to webiste for individual camp brochures for full details)No refunds after Oct 5/23. All refunds at discretion of TJ Power Fit and listed in full detail on each camp information sheet or brochure.Total Amount *DO NOT DESELECT CHECK BOXES IN Release of Liability, Waiver of Claims, Assumptionof Risks and Indemnity Agreement "RELEASE AGREEMENT" *BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT.TO: TJ Power Fit/Trisha Feil-Johnson and its directors, employees, instructors, representatives, independent contractors, subcontractors, suppliers, sponsors, and successors (all of whom are hereinafter referred as “the Releases”)DEFINITION: In this Release Agreement, the term "Power Skating” and "Dryland Training"shall include events or services provided, arranged, organized, conducted, sponsored or authorized by the Releasees and shall include, but not be limited to: games, practices,dryland training sessions, instructional courses, or other events and services in any way connected with or related to Power Skating.PROTECTIVE EQUIPMENT- Mandatory to wear a helmet and other protective equipment as deemed necessary.ASSUMPTION OF RISKS- I am aware that Power Skating and Dryland Training activities involve many risks, dangers and hazards. The risks may include negligence of other participants; and NEGLIGENCE ON THE PART OF THE RELEASEES, INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF POWER SKATING. I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH POWER SKATING AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM.RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT In consideration of the RELEASEES agreeing to my participation in Power Skating and Dryland Training, I hereby agree as follows1. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the RELEASEES AND TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury, including death, that I may suffer or that my next of kin may suffer, as a result of my participation in Power Skating and Dryland Training, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, or BREACH OF CONTRACT AND FURTHER INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF PARTICIPATING IN POWER SKATING, Dryland or Fitness Training ACTIVITIES REFERRED TO ABOVE; 2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES for any and all liability for any property damage, loss or personal injury to any third party resulting from my participation in Power Skating, Dryland and Fitness Training activities;3. This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity4. This Release Agreement and any rights, duties and obligations as between the parties to this Release Agreement shall be governed by and interpreted solely in accordance with the laws of the province where the Power Skating, Dryland and Fitness activities take place and no other jurisdiction; and5. Any litigation involving the parties to this Release Agreement shall be brought solely within the province where the Power Skating, Dryland and Fitness activities take place and shall be within the exclusive jurisdiction of the Courts of that province.Name/Photo Publishing *6. Should the participant be filmed for teaching purposes, or name/photo published for public display, a signature/ check box granting permission is required .Release Agreement *In entering into this Release Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of participating in Power Skating activities, other than what is set forth in this Release Agreement. I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS RELEASE AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS RELEASE AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.Dated (dd/mm/year) *Printed name of Parent/Guardian *Acknowledgement *By checking this box, I confirm that I am the legal Parent/Guardian of the particpant registered in this TJ Power Fit Camp as printed above. I also agree that I have read this waiver, and that by submitting this online Registration Form, this waiver is binding.Submit
