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Inscription



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Veuillez compléter la fiche d'inscription ci-dessous.
Organisation:

Kitsilano Figure Skating Club

Événement:

Star Skate (STAR 2-5+) / Adult Spring 2024 Open Ice Kits FSC Members

Date et heure: Jeu, 04-Avr-2024 - Sam, 22-Jun-2024

Personne 1:
Prénom:    (*)
Nom:    (*)
Adresse:     (*)
Apt.: 
Ville:     (*)
Code postal:     (*)
Prov./Etat: 
Pays:     (*)
Téléphone (maison):     (*)
Téléphone bureau: 
Téléphone (cell): 
Courriel:     (*)
  J'ai lu et je suis d'accord avec le Contrat d'Utilisateur   (*)
 
INFORMATION PERSONNELLE
Statut:    (*)
Transfer from:  (Club Name)
 
Skater's First Name:    (*)
Skater's Last Name:   (*)
Skater's Email:
Genre: Masculin   Féminin
Date de naissance:  
Medical Number (Care Card Number):
Skate Canada Number:
 
PARENT'S INFORMATION:
Parents' Names:
Phone Numbers (H):
Phone Numbers (C):
 
Contact en cas d'urgence:
Emergency Contact Number:
 
MONDAY
M1:
M2:
M2-OI:
TUESDAY
T1:
THURSDAY
Th1: (Sold Out)  
Th1-OI:
SATURDAY
S1:
S1-OI:
 
Escompte:(10% discount if 3 ice time sessions selected)
 
YEARLY FEES (payable once per skater (Skate Canada fee) or per family (KitsFS Admin Fee) for the period Sept 2023- Aug 2024):
Skate Canada Fee:    (*)
KitsFS Admin fee:    (*)
 
Code de promotion:
 
Photograph Permission:
I give permission for my child to be included in photographs and/or videos which may be used for publications, media coverage, club website or promotional activities for Kitsilano Figure Skating Club.
Photograph Permission: Oui   Non   (*)
Liability Agreement:
The Kitsilano Figure Skating Club (Kits FSC), its board members, volunteers and coaches are not responsible for any accidents, injuries or loss of personal belongings either on or off the ice at the Hillcrest Arena while attending our programs. Parents/Guardians are responsible for their children during lessons at the Hillcrest Arena and may not leave their children unattended.
Politique d'annulation:
Kits FSC is not responsible for cancellation of classes due to unavailable ice, but will make every effort to reschedule if at all possible. Ice time is non- transferable. Kits FSC is not responsible for supplying make-up time for sessions missed by the skater. Every attempt will be made to make up ice time that has been cancelled by the Club.
A fee of $25.00 will be charged for any NSF cheques. NO REFUNDS ISSUED: Refunds will be issued for MEDICAL REASONS ONLY with a doctor’s certificate. A club credit note ONLY will be issued for cancellations, and subject to an administration fee of $10.00. The Skate Canada and Kits FSC Admin Fees are non-refundable. NO EXCEPTIONS WILL BE MADE.
BC/YK Skate Canada Assumption of Risk and Waiver:
Assumption of Risk and Waiver
PLEASE READ CAREFULLY:

1. ACKNOWLEDGMENT OF INHERENT RISK
I understand that participation in skating, figure skating, and any other sporting activities listed in the enclosed appendix (hereinafter the “Sports Activity”) is voluntary, and involves inherent risk during participation, including the risk of possible accidents, physical injury, or exposure to the COVID-19 virus or other infections or infectious diseases as a result of attending training, club events or competitive events. I freely accept and fully assume all such risks, dangers and hazards, including but not limited to personal injury, disease transmission, death, property damage or loss, resulting from my participation. I have carefully considered the risks involved, and I have full confidence that reasonable precautions will be taken to ensure the safety and well-being of myself (or my son/daughter/ward).

2. WAIVER
I do for myself (or my child), and our respective heirs, executors, administrators, successors and assigns, hereby waive, release, and forever discharge Skate Canada and/or [Skate Canada BC/YK Section], [all Regions of Skate Canada BC/YK Section], Kitsilano Figure Skating Club, their officers, partners, agents, employees, servants, representatives, volunteers, coaches, officials, successors and assigns (the “Representatives”) of and from any actions, causes of action, complaints, demands and claims or any recourse whatsoever (“Claims”) that I have or may have in the future in any way connected with my (or my child’s) participation in the Sports Activity contemplated herein, whether in law or in equity, in respect of personal injury, illness or disease transmission, loss of life, or property damage of any kind or nature, and I do hereby discharge the Representatives from any such liability. This includes negligence, breach of contract or breach of any statutory or other duty of care.

3. INDEMNIFICATION
I further agree to fully indemnify and defend Skate Canada and/or [Skate Canada BC/YK Section], [all Regions of Skate Canada BC/YK Section], Kitsilano Figure Skating Club and any of their Representatives from and against any and all Claims brought against Skate Canada and/or [Skate Canada BC/YK Section], [all Regions of Skate Canada BC/YK Section], Kitsilano Figure Skating Club and any of their Representatives, including all related costs and expenses, and against any loss, costs, damages, or expenses which Skate Canada and/or [Skate Canada BC/YK Section], [all Regions of Skate Canada BC/YK Section], Kitsilano Figure Skating Club and any of their Representatives may sustain, suffer, incur, or be liable for resulting from, arising from, or in any way related to my (or my son/daughter/ward’s) participation in the Sports Activity. I also agree and undertake not to make any claim or take any proceedings against the Representatives set out above, or any other person or corporation which might claim contribution or indemnity under the provisions of any statute or otherwise from the Representatives set out above.

4. SEVERABILITY
The provisions of this Assumption of Risk and Waiver shall be deemed severable and if any provision or portion thereof is held invalid, illegal or unenforceable for any reason, the remainder shall not thereby be invalidated, but shall remain in full force and effect.

Acknowledgement: I am aware of the nature and effect of this Assumption of Risk and Waiver and I fully understand all of the terms and conditions above. I understand that I have given up substantial rights by signing this Assumption of Risk and Waiver and I am signing it freely and voluntarily without inducement.

Parent/Guardian: I certify that I am the parent or legal guardian of the participant named below and that I am entitled to his or her custody and control.  I understand the aforesaid inherent risks that could arise from these activities, I grant permission for my son/daughter/ward to participate in the Sports Activity and other activities incidental thereto and I execute this Assumption of Risk and Waiver on behalf of myself and my son/daughter/ward.
By signing below you confirm that you have read and agree with above waivers for yourself and the registrant.
Waiver Signature (Parent): Please sign here using your mouse (click and hold the mouse button on PC or Mac) or your finger (on tablet or phone)
   (*)
Waiver Signature (Skater): Please sign here using your mouse (click and hold the mouse button on PC or Mac) or your finger (on tablet or phone)
   (*)
 (*) information requise
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Commentaire:

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