Event # 4251 Back to Calendar

2018-19 Winter Programs - Registration Form


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Male Female
Medical Information REQUIRED FOR ALL REGISTRATIONS
Yes No
Parent/Guardian (under 19 only)
2nd Parent/Guardian (Optional)
Emergency Contact Person (if different from parent/guardian)
Registration Policy

BALMY BEACH CANOE CLUB Member/Parental Acknowledgement and Release (please read and acknowledge your agreement below)

1. I agree to abide by the rules and regulations of the Balmy Beach Canoe Club and I understand that membership is granted only after approval by the club executive. If membership is approved, I understand that fees paid are non-refundable.
2. I understand that the ability to swim competently is essential for the safety of all participants and that the swimming requirement for participation in on-water activity is Red Cross Swim level 6 or equivalent.
3. Periodically, pictures of club members are taken and displayed in brochures, newspapers, the club website etc. I consent to the public use of these pictures.
4. I understand that each member/family (parents with children under 19) registering for a full season program is expected to donate ten (10) hours to club activities throughout the year. High Performance Athletes are required to complete mandatory volunteer and fundraising activities when requested by the Head Coach.
5. Balmy Beach Canoe Club assumes no responsibility for any damages to private boats or the loss of parts. The member is responsible for insurance.
6. In consideration of the applicant becoming a member of the Balmy Beach Canoe Club, the undersigned hereby releases and discharges the said Balmy Beach Canoe Club, the Balmy Beach Club, and the board of management of the Balmy Beach Park Commission, their respective directors, staff, agents and others authorized by the Balmy Beach Club from all claims, caused, that the undersigned or the undersigned’s heirs, executors, administrators or assigns, may have.
7. This authorizes a Club/Team Official of the BALMY BEACH CANOE CLUB to have medical or surgical or dental aid administered to the paddler (myself or my child). This includes the administration of over the counter pain relievers and/or anti-inflammatory medications). I understand that it is my responsibility to keep the club management advised of any change in the above information as soon as possible, and that in the event no one can be contacted club management will admit the paddler (me or my child) to the hospital if deemed necessary.I hereby authorize the physician and nursing staff of any Emergency Unit to undertake examination, investigation and necessary treatment of the paddler (me or my child).
8. (Applicable to parents of underage paddlers only): With my prior approval, this paddler has my permission to participate in any regattas, practices or other activities approved by the Club or its Officials.
9. I have read and understand the Release information shown in this form.

I have read and agree to the Registration Policy above