LEGAL PLEASE READ CAREFULLY. NOTE: THIS FORM INCLUDES A RELEASE OF LIABILITY. AUTHORIZATION AND RELEASE OF LIABILITY – I, the parent or guardian of the above-named child, authorize the participation of my child in the UPWARD SPORTS CANADA athletic Program. My child will participate in the UPWARD SPORTS CANADA sport denoted on this registration form. I understand that this is a nonprofit Christian sports organization for youth and that my child’s participation is voluntary. UPWARD SPORTS CANADA does not officially represent the Canadian government or any of its regional affiliates. I understand that all programs with UPWARD SPORTS CANADA are conducted and lead by the partnership of local evangelical churches and its volunteers and staff, including parents of other participating children. UPWARD SPORTS CANADA is a Christian based sports organization, thus, biblical principles and applications are applied in the players curriculum. UPWARD SPORTS CANADA respects the religious and cultural background of each player, but stands behind the values and mission found at www.upwardsportscanada.org. I further understand and agree that my child’s participation in athletic and other activities of UPWARD SPORTS CANADA may involve the risk of injury. On behalf of my child, me, and my family, I assume these risks. In consideration of the privilege of my child’s participation and on behalf of my child and me as parent/guardian, I hereby release, discharge, and covenant not to sue, UPWARD SPORTS CANADA or their partnering churches (including but not limited to: directors, board of directors, officers, elders, trustees, deacons, employees, volunteers, and all other persons associated [including without limitation any other participating churches, sponsors, parents, vendors, coaches and other game and event workers, officials, drivers, and organizations]) as to any and all claims of my child, me and other family members for personal injuries arising directly or indirectly out of my child’s participation in the Program. MEDIA RELEASE – I hereby authorize UPWARD SPORTS CANADA to use, reproduce, distribute, and display my child’s image, and photograph, as well as any video, digital, or audio recording or reproduction, in connection with external and internal communications of UPWARD SPORTS CANADAREFUND P

for the sole purpose of advancing UPWARD SPORTS CANADA programs. I acknowledge and consent that registration will allow UPWARD SPORTS CANADA to obtain access to personal information regarding me and my child participant. I agree that UPWARD SPORTS CANADA may use such personal information in a manner consistent with UPWARD SPORTS CANADA’s Conditions of Use and Privacy as amended from time to time. I further understand that the current version of UPWARD SPORTS CANADA’s Conditions of Use and Privacy may be found at www.upwardsportscanada.org.

CANCELLATION & REFUND POLICY – Refunds vary from program-to-program. The refund will only be considered upon receipt of an email to info@upwardsportscanada.org with "Refund" in the subject line, Requests for Cancellations and Refunds must be received at least 2 weeks prior to program start date to be considered, except in extenuating circumstances. The contents of the email for requesting a refund must contain the name of the primary parent/legal guardian and the name or names of the child or children that were on the registration form. The amount of refund will be the session fee less an administration charge (varying from program-to-program). PARTICIPATION AND SAFETY – I understand that participation in UPWARD SPORTS CANADA may involve strenuous and prolonged physical activity. I agree that my child is healthy and able to participate in the activities. I understand that the leadership (of both UPWARD SPORTS CANADA and the local church or its representatives), may request health information concerning my child and/or ask my child to undergo a medical exam. If the leadership determines that my child does have a physical, mental or other condition that may affect his/her ability to safely and appropriately participate in the activities (or that may affect the ability of other children to participate safely), the leadership may determine that my child cannot be permitted to participate. I understand and agree that, while the leadership (of both UPWARD SPORTS CANADA and the local church) desires that all children will be able to participate, such decisions may have to be made out of concern for the best interests of my child and other participants. CONSENT TO MEDICAL TREATMENT – In the event my child is injured or becomes ill in the activities, and if I, the parent or guardian of the above-named child, am not present to make medical decisions, I hereby authorize the league leadership (of both UPWARD SPORTS CANADA and the local church), its staff, volunteers including volunteer parent participants, coaches, assistant coaches, and referees, supervisors and drivers, to arrange for and consent on my behalf to emergency medical and dental care and treatment, including tests and radiological exams, and surgery, and hospital care and treatment, and to consent to medications for pain and other conditions as prescribed by medical personnel attending my child. I am responsible for payment of any medical charges or expenses not covered by OHIP and/OR private insurance applicable to my child (if any).

I am the Parent/Guardian of the member and am executing this waiver on behalf of the member in my capacity as
Parent/Guardian and with the intent that this waiver be binding on myself and the member for all purposes.
2. “Sport Activities” includes but is not limited to contact and non-contact sport/fitness activities, lessons, classes,
training, use of facilities, transportation services and/or other programs provided to the member by the
Organization.
3. I am aware that there are inherent and significant dangers, hazards and risks (“Risks”) associated with the
participation in Sport Activities. I understand that the Risks are relative to the Members state of fitness or health
(physical, mental and emotional), and to the awareness, care and skill with which the student conducts him or
herself while participating in Sport Activities.
4. I freely accept and fully assume all responsibility for all Risks and possibilities of personal injury, death, property
damage or loss resulting from the Member participation in Sport Activities. I agree that although the Organization
has taken steps to reduce the Risks and increase the safety of the Sport Activities, it is not possible for the
Organization to make the Sport 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 the
Member in the Member’s participation in Sport Activities.
5. I acknowledge the Member’s obligation to inform the nearest employee of the Organization if the Member feels
any pain, discomfort, fatigue or any other symptoms the Member may suffer during or immediately after his or her
participation in Sport Activities. I understand that the Member may stop participating at any time, and has the right
to immediately withdraw from any exercise or drill in which the conduct of any party seems beyond the scope of
training, makes the Member uncomfortable or which the Member believes will be harmful to him or her.
6. In addition to consideration given to the Organization for the Member’s participation in Sport Activities, I and my
heirs, next of kin, executors, administrators and assigns, as well as the Member’s heirs, next of kin, executors,
administrators and assigns (collectively our “Legal Representatives”) agree:
(a) to waive all claims that I, the Member 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 the Member’s participation in Sport 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.
7. 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 solicitor and own client basis, and liabilities of
whatsoever nature or kind arising out of or in any way connected with the Member’s participation in Sport
Activities.
8. I agree that this waiver and all terms contained within are governed by the laws of the Province or Territory in
which the Member is participating in Sport Activities. I hereby irrevocably submit to the jurisdiction of the courts of
that Province or Territory.
9. I confirm that I have had sufficient time to read and understand each term in this waiver in its entirety, and have
agreed to the terms freely and voluntarily. I understand that this waiver is binding on myself, the Member and our
Legal Representatives.

I certify I am parent, guardian or other adult with legal parental authority to complete this registration. I have reviewed, understand and agree to the Authorization and Release of Liability.

Programs

March Break Camp

Etobicoke Basketball

Winter Basketball League

Winter Dodgeball Clinic at St Mark School

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