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  • Next Level Sports' The League Team Registration

  • Next Level Sports 3x3: THE LEAGUE is a fast-paced, high-energy summer basketball program designed for boys and girls in Grades 8-12. THE LEAGUE emphasizes skill development, competitive gameplay, and athlete growth through the dynamic 3-on-3 format. 

    Hosted at BGC London - 184 Horton St. E, THE LEAGUE runs Tuesday evenings from June 30 - August 18 from 6:30-9:30 PM. 

    Each team will play 2 games every week, for a total of 16 games across the season. Games are played to 21 for 10 minutes, using the traditional 1s and 2s scoring system. There are no playoffs at the end of the season. However, all wins and losses are tracked throughout the leagues, and a league champion is announced at the end of the final week based on overall season standings.

    Teams include 5 players, with only 16 total teams accepted (8 boys, 8 girls)

    Important Registration Information
    This registration form is designed for team registration, not individual sign‑ups.

    ✔ You must recruit your full team of up to 5 players before registering.
    ✔ By completing this registration form, you are registering all players on your team at once.
    ✔ The team fee of $450 covers all 5 athletes.
    ✔ Please ensure you have all player names and contact details ready before submitting your form.

    What Athletes Gain

    • Increased confidence
    • Improved game IQ
    • More touches and faster decision making
    • Leadership and teamwork experience
    • A highly competitive and fun summer environment

    Game Days: June 30, July 7, 14, 21, 28, August 4, 11 18

    Cost: $450/team

     

  • TEAM INFORMATION

  • Select Your Team Name!

  • Athlete #1 Information

  • Athlete #1 Date of Birth*
     - -
  • Does Athlete #1 have any medical conditions we should be aware of?*
  • Are there any medications the participant is taking we should be aware of? (Including inhalers, insulin pumps, etc.)*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Contact Information

  • Format: (000) 000-0000.
  • How did you hear about this program?*
    • Waiver 
    • BGC LONDON (BOYS & GIRLS CLUB OF LONDON)

      RELEASE OF LIABILITY, WAIVER OF CLAIMS

      ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT.

       

      BY SIGNING THIS AGREEMENT YOU WILL WAIVE CERTAIN

      LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE

      PLEASE READ CAREFULLY!       

    • TO:    Boys & Girls Club of London and the Boys & Girls Club of London Foundation (together the “BGCL”) and their directors, officers, employees, instructors, agents, representatives, volunteers, independent contractors, subcontractors, sponsors, successors and assigns (hereinafter collectively referred to as the “Releasees”).

       

      COVID – 19   COVID-19 is a contagious disease (“Covid”). We care about you, your family, our employees and the public. We strive to obey the law and follow Covid guidelines and implement all risk mitigation measures. However there are significant health risks and high risk of transmission through physical or shared contact. COVID-19 is novel and, because it can be transmitted through physical or shared contact with another person, the risk of contraction from engaging in sport activities may be foreseeable.

       

      ASSUMPTION OF RISKS

      I am aware that the activities at the BGCL programs involve risks and dangers that may cause serious injury and even death, and loss or damage to personal property. These risks are inherent in the activities and cannot be eliminated without altering their character and value. The risks include, among others, the following: contracting Covid;  moving about the BGCL premises; negligence on the part of myself and/or other participants; negligence of the BGCL and its staff, including the improper use of equipment; the breakage and failure of equipment and structures; over exertion, together with other risks which may be encountered 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 REFERRED TO ABOVE.

       

      The BGCL programs are designed for use by participants of average strength, mobility and fitness who are in good health. Several medical
      conditions, including but not limited to obesity, high blood pressure, cardiac and coronary artery disease, pulmonary problems, arthritis, tendonitis, or joint and muscular-skeletal problems may impair the safety and well being of participants as may other medical, physical, psychological or psychiatric problems. All such medical conditions may increase the risk of participating in the programs and cause the participant to be a danger to themselves or others. Participants with underlying medical, physical, psychological or psychiatric conditions must evaluate their condition and their ability before choosing to participate in the programs. All participants must inform BGCL in writing of any such medical, physical, psychological or psychiatric conditions before participating in any programs. The Releasees reserve the right to prevent any person, for medical or safety reasons, from participating in the programs at any time.

       

      I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH MY USE OF THE BGCL PROGRAMS AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM.

       

      RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

      In consideration of the Releasees permitting my use of the BGCL PROGRAMS and other facilities at the BGCL (hereinafter referred to as “the BGCL Facilities”), I hereby agree as follows:

       

      1. 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 resulting from either my use of or my presence at or on the BGCL Facilities DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT, RSO 1990, c.02  ON THE PART OF THE RELEASEES, AND ALSO INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE;

       

      1. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of or personal injury to any third party, resulting from my use of or presence on the BGCL facilities.

       

      I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS 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.

       

      Signed {dateAnd}

    • Additional Permissions 
    • MEDIA CONSENT
      BGCL reserve the right and permission to publish, reproduce, distribute and/or otherwise use any still or moving photograph, for such purposes and with such frequency as it shall determine in its sole discretion without further compensation or consideration to me and without further authorization by me for, yet, unnamed video or photographic projects (including promotion, marketing and social media) which shall constitute the sole property of BGCL. BGCL shall be released from and against all liability resulting from its use of the photos or related to my use of the product.
    • I have read and understand the Photo Consent Release*
    • Date and Time Signed
       - -
    • PERMISSION TO SIGN OUT OF PROGRAM

      Some parents may choose to give their child permission to sign themselves out of program in order to walk home or leave with non-approved persons (friends, family, etc.). Please indicate below if your child has permission to sign themselves out:

    • You have indicated you do not wish your child to sign themselves out of programming. Please identify two approved adults who have permission to pick your child up from programming. These adults will be required to show Photo I.D. to staff onsite in order to release your child from programming.

  • Athlete #2 Information

  • Athlete #2 Date of Birth*
     - -
  • Does Athlete #2 have any medical conditions we should be aware of?*
  • Are there any medications the participant is taking we should be aware of? (Including inhalers, insulin pumps, etc.)*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Contact Information

  • Format: (000) 000-0000.
  • How did you hear about this program?*
    • Waiver 
    • BGC LONDON (BOYS & GIRLS CLUB OF LONDON)

      RELEASE OF LIABILITY, WAIVER OF CLAIMS

      ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT.

       

      BY SIGNING THIS AGREEMENT YOU WILL WAIVE CERTAIN

      LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE

      PLEASE READ CAREFULLY!       

    • TO:    Boys & Girls Club of London and the Boys & Girls Club of London Foundation (together the “BGCL”) and their directors, officers, employees, instructors, agents, representatives, volunteers, independent contractors, subcontractors, sponsors, successors and assigns (hereinafter collectively referred to as the “Releasees”).

       

      COVID – 19   COVID-19 is a contagious disease (“Covid”). We care about you, your family, our employees and the public. We strive to obey the law and follow Covid guidelines and implement all risk mitigation measures. However there are significant health risks and high risk of transmission through physical or shared contact. COVID-19 is novel and, because it can be transmitted through physical or shared contact with another person, the risk of contraction from engaging in sport activities may be foreseeable.

       

      ASSUMPTION OF RISKS

      I am aware that the activities at the BGCL programs involve risks and dangers that may cause serious injury and even death, and loss or damage to personal property. These risks are inherent in the activities and cannot be eliminated without altering their character and value. The risks include, among others, the following: contracting Covid;  moving about the BGCL premises; negligence on the part of myself and/or other participants; negligence of the BGCL and its staff, including the improper use of equipment; the breakage and failure of equipment and structures; over exertion, together with other risks which may be encountered 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 REFERRED TO ABOVE.

       

      The BGCL programs are designed for use by participants of average strength, mobility and fitness who are in good health. Several medical
      conditions, including but not limited to obesity, high blood pressure, cardiac and coronary artery disease, pulmonary problems, arthritis, tendonitis, or joint and muscular-skeletal problems may impair the safety and well being of participants as may other medical, physical, psychological or psychiatric problems. All such medical conditions may increase the risk of participating in the programs and cause the participant to be a danger to themselves or others. Participants with underlying medical, physical, psychological or psychiatric conditions must evaluate their condition and their ability before choosing to participate in the programs. All participants must inform BGCL in writing of any such medical, physical, psychological or psychiatric conditions before participating in any programs. The Releasees reserve the right to prevent any person, for medical or safety reasons, from participating in the programs at any time.

       

      I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH MY USE OF THE BGCL PROGRAMS AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM.

       

      RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

      In consideration of the Releasees permitting my use of the BGCL PROGRAMS and other facilities at the BGCL (hereinafter referred to as “the BGCL Facilities”), I hereby agree as follows:

       

      1. 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 resulting from either my use of or my presence at or on the BGCL Facilities DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT, RSO 1990, c.02  ON THE PART OF THE RELEASEES, AND ALSO INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE;

       

      1. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of or personal injury to any third party, resulting from my use of or presence on the BGCL facilities.

       

      I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS 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.

       

      Signed {dateAnd}

    • Additional Permissions 
    • MEDIA CONSENT
      BGCL reserve the right and permission to publish, reproduce, distribute and/or otherwise use any still or moving photograph, for such purposes and with such frequency as it shall determine in its sole discretion without further compensation or consideration to me and without further authorization by me for, yet, unnamed video or photographic projects (including promotion, marketing and social media) which shall constitute the sole property of BGCL. BGCL shall be released from and against all liability resulting from its use of the photos or related to my use of the product.
    • I have read and understand the Photo Consent Release*
    • Date and Time Signed
       - -
    • PERMISSION TO SIGN OUT OF PROGRAM

      Some parents may choose to give their child permission to sign themselves out of program in order to walk home or leave with non-approved persons (friends, family, etc.). Please indicate below if your child has permission to sign themselves out:

    • You have indicated you do not wish your child to sign themselves out of programming. Please identify two approved adults who have permission to pick your child up from programming. These adults will be required to show Photo I.D. to staff onsite in order to release your child from programming.

  • Athlete #3 Information

  • Athlete #3 Date of Birth*
     - -
  • Does Athlete #3 have any medical conditions we should be aware of?*
  • Are there any medications the participant is taking we should be aware of? (Including inhalers, insulin pumps, etc.)*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Contact Information

  • Format: (000) 000-0000.
  • How did you hear about this program?*
    • Waiver 
    • BGC LONDON (BOYS & GIRLS CLUB OF LONDON)

      RELEASE OF LIABILITY, WAIVER OF CLAIMS

      ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT.

       

      BY SIGNING THIS AGREEMENT YOU WILL WAIVE CERTAIN

      LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE

      PLEASE READ CAREFULLY!       

    • TO:    Boys & Girls Club of London and the Boys & Girls Club of London Foundation (together the “BGCL”) and their directors, officers, employees, instructors, agents, representatives, volunteers, independent contractors, subcontractors, sponsors, successors and assigns (hereinafter collectively referred to as the “Releasees”).

       

      COVID – 19   COVID-19 is a contagious disease (“Covid”). We care about you, your family, our employees and the public. We strive to obey the law and follow Covid guidelines and implement all risk mitigation measures. However there are significant health risks and high risk of transmission through physical or shared contact. COVID-19 is novel and, because it can be transmitted through physical or shared contact with another person, the risk of contraction from engaging in sport activities may be foreseeable.

       

      ASSUMPTION OF RISKS

      I am aware that the activities at the BGCL programs involve risks and dangers that may cause serious injury and even death, and loss or damage to personal property. These risks are inherent in the activities and cannot be eliminated without altering their character and value. The risks include, among others, the following: contracting Covid;  moving about the BGCL premises; negligence on the part of myself and/or other participants; negligence of the BGCL and its staff, including the improper use of equipment; the breakage and failure of equipment and structures; over exertion, together with other risks which may be encountered 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 REFERRED TO ABOVE.

       

      The BGCL programs are designed for use by participants of average strength, mobility and fitness who are in good health. Several medical
      conditions, including but not limited to obesity, high blood pressure, cardiac and coronary artery disease, pulmonary problems, arthritis, tendonitis, or joint and muscular-skeletal problems may impair the safety and well being of participants as may other medical, physical, psychological or psychiatric problems. All such medical conditions may increase the risk of participating in the programs and cause the participant to be a danger to themselves or others. Participants with underlying medical, physical, psychological or psychiatric conditions must evaluate their condition and their ability before choosing to participate in the programs. All participants must inform BGCL in writing of any such medical, physical, psychological or psychiatric conditions before participating in any programs. The Releasees reserve the right to prevent any person, for medical or safety reasons, from participating in the programs at any time.

       

      I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH MY USE OF THE BGCL PROGRAMS AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM.

       

      RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

      In consideration of the Releasees permitting my use of the BGCL PROGRAMS and other facilities at the BGCL (hereinafter referred to as “the BGCL Facilities”), I hereby agree as follows:

       

      1. 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 resulting from either my use of or my presence at or on the BGCL Facilities DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT, RSO 1990, c.02  ON THE PART OF THE RELEASEES, AND ALSO INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE;

       

      1. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of or personal injury to any third party, resulting from my use of or presence on the BGCL facilities.

       

      I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS 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.

       

      Signed {dateAnd}

    • Additional Permissions 
    • MEDIA CONSENT
      BGCL reserve the right and permission to publish, reproduce, distribute and/or otherwise use any still or moving photograph, for such purposes and with such frequency as it shall determine in its sole discretion without further compensation or consideration to me and without further authorization by me for, yet, unnamed video or photographic projects (including promotion, marketing and social media) which shall constitute the sole property of BGCL. BGCL shall be released from and against all liability resulting from its use of the photos or related to my use of the product.
    • I have read and understand the Photo Consent Release*
    • Date and Time Signed
       - -
    • PERMISSION TO SIGN OUT OF PROGRAM

      Some parents may choose to give their child permission to sign themselves out of program in order to walk home or leave with non-approved persons (friends, family, etc.). Please indicate below if your child has permission to sign themselves out:

    • You have indicated you do not wish your child to sign themselves out of programming. Please identify two approved adults who have permission to pick your child up from programming. These adults will be required to show Photo I.D. to staff onsite in order to release your child from programming.

  • Athlete #4 Information

  • Athlete #4 Date of Birth*
     - -
  • Does Athlete #4 have any medical conditions we should be aware of?*
  • Are there any medications the participant is taking we should be aware of? (Including inhalers, insulin pumps, etc.)*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Contact Information

  • Format: (000) 000-0000.
  • How did you hear about this program?*
    • Waiver 
    • BGC LONDON (BOYS & GIRLS CLUB OF LONDON)

      RELEASE OF LIABILITY, WAIVER OF CLAIMS

      ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT.

       

      BY SIGNING THIS AGREEMENT YOU WILL WAIVE CERTAIN

      LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE

      PLEASE READ CAREFULLY!       

    • TO:    Boys & Girls Club of London and the Boys & Girls Club of London Foundation (together the “BGCL”) and their directors, officers, employees, instructors, agents, representatives, volunteers, independent contractors, subcontractors, sponsors, successors and assigns (hereinafter collectively referred to as the “Releasees”).

       

      COVID – 19   COVID-19 is a contagious disease (“Covid”). We care about you, your family, our employees and the public. We strive to obey the law and follow Covid guidelines and implement all risk mitigation measures. However there are significant health risks and high risk of transmission through physical or shared contact. COVID-19 is novel and, because it can be transmitted through physical or shared contact with another person, the risk of contraction from engaging in sport activities may be foreseeable.

       

      ASSUMPTION OF RISKS

      I am aware that the activities at the BGCL programs involve risks and dangers that may cause serious injury and even death, and loss or damage to personal property. These risks are inherent in the activities and cannot be eliminated without altering their character and value. The risks include, among others, the following: contracting Covid;  moving about the BGCL premises; negligence on the part of myself and/or other participants; negligence of the BGCL and its staff, including the improper use of equipment; the breakage and failure of equipment and structures; over exertion, together with other risks which may be encountered 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 REFERRED TO ABOVE.

       

      The BGCL programs are designed for use by participants of average strength, mobility and fitness who are in good health. Several medical
      conditions, including but not limited to obesity, high blood pressure, cardiac and coronary artery disease, pulmonary problems, arthritis, tendonitis, or joint and muscular-skeletal problems may impair the safety and well being of participants as may other medical, physical, psychological or psychiatric problems. All such medical conditions may increase the risk of participating in the programs and cause the participant to be a danger to themselves or others. Participants with underlying medical, physical, psychological or psychiatric conditions must evaluate their condition and their ability before choosing to participate in the programs. All participants must inform BGCL in writing of any such medical, physical, psychological or psychiatric conditions before participating in any programs. The Releasees reserve the right to prevent any person, for medical or safety reasons, from participating in the programs at any time.

       

      I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH MY USE OF THE BGCL PROGRAMS AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM.

       

      RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

      In consideration of the Releasees permitting my use of the BGCL PROGRAMS and other facilities at the BGCL (hereinafter referred to as “the BGCL Facilities”), I hereby agree as follows:

       

      1. 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 resulting from either my use of or my presence at or on the BGCL Facilities DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT, RSO 1990, c.02  ON THE PART OF THE RELEASEES, AND ALSO INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE;

       

      1. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of or personal injury to any third party, resulting from my use of or presence on the BGCL facilities.

       

      I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS 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.

       

      Signed {dateAnd}

    • Additional Permissions 
    • MEDIA CONSENT
      BGCL reserve the right and permission to publish, reproduce, distribute and/or otherwise use any still or moving photograph, for such purposes and with such frequency as it shall determine in its sole discretion without further compensation or consideration to me and without further authorization by me for, yet, unnamed video or photographic projects (including promotion, marketing and social media) which shall constitute the sole property of BGCL. BGCL shall be released from and against all liability resulting from its use of the photos or related to my use of the product.
    • I have read and understand the Photo Consent Release*
    • Date and Time Signed
       - -
    • PERMISSION TO SIGN OUT OF PROGRAM

      Some parents may choose to give their child permission to sign themselves out of program in order to walk home or leave with non-approved persons (friends, family, etc.). Please indicate below if your child has permission to sign themselves out:

    • You have indicated you do not wish your child to sign themselves out of programming. Please identify two approved adults who have permission to pick your child up from programming. These adults will be required to show Photo I.D. to staff onsite in order to release your child from programming.

  • Athlete #5 Information

  • Athlete #5 Date of Birth*
     - -
  • Does Athlete #5 have any medical conditions we should be aware of?*
  • Are there any medications the participant is taking we should be aware of? (Including inhalers, insulin pumps, etc.)*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Contact Information

  • Format: (000) 000-0000.
  • How did you hear about this program?*
    • Waiver 
    • BGC LONDON (BOYS & GIRLS CLUB OF LONDON)

      RELEASE OF LIABILITY, WAIVER OF CLAIMS

      ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT.

       

      BY SIGNING THIS AGREEMENT YOU WILL WAIVE CERTAIN

      LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE

      PLEASE READ CAREFULLY!       

    • TO:    Boys & Girls Club of London and the Boys & Girls Club of London Foundation (together the “BGCL”) and their directors, officers, employees, instructors, agents, representatives, volunteers, independent contractors, subcontractors, sponsors, successors and assigns (hereinafter collectively referred to as the “Releasees”).

       

      COVID – 19   COVID-19 is a contagious disease (“Covid”). We care about you, your family, our employees and the public. We strive to obey the law and follow Covid guidelines and implement all risk mitigation measures. However there are significant health risks and high risk of transmission through physical or shared contact. COVID-19 is novel and, because it can be transmitted through physical or shared contact with another person, the risk of contraction from engaging in sport activities may be foreseeable.

       

      ASSUMPTION OF RISKS

      I am aware that the activities at the BGCL programs involve risks and dangers that may cause serious injury and even death, and loss or damage to personal property. These risks are inherent in the activities and cannot be eliminated without altering their character and value. The risks include, among others, the following: contracting Covid;  moving about the BGCL premises; negligence on the part of myself and/or other participants; negligence of the BGCL and its staff, including the improper use of equipment; the breakage and failure of equipment and structures; over exertion, together with other risks which may be encountered 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 REFERRED TO ABOVE.

       

      The BGCL programs are designed for use by participants of average strength, mobility and fitness who are in good health. Several medical
      conditions, including but not limited to obesity, high blood pressure, cardiac and coronary artery disease, pulmonary problems, arthritis, tendonitis, or joint and muscular-skeletal problems may impair the safety and well being of participants as may other medical, physical, psychological or psychiatric problems. All such medical conditions may increase the risk of participating in the programs and cause the participant to be a danger to themselves or others. Participants with underlying medical, physical, psychological or psychiatric conditions must evaluate their condition and their ability before choosing to participate in the programs. All participants must inform BGCL in writing of any such medical, physical, psychological or psychiatric conditions before participating in any programs. The Releasees reserve the right to prevent any person, for medical or safety reasons, from participating in the programs at any time.

       

      I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH MY USE OF THE BGCL PROGRAMS AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE AND LOSS RESULTING THEREFROM.

       

      RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

      In consideration of the Releasees permitting my use of the BGCL PROGRAMS and other facilities at the BGCL (hereinafter referred to as “the BGCL Facilities”), I hereby agree as follows:

       

      1. 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 resulting from either my use of or my presence at or on the BGCL Facilities DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE UNDER THE OCCUPIERS LIABILITY ACT, RSO 1990, c.02  ON THE PART OF THE RELEASEES, AND ALSO INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS REFERRED TO ABOVE;

       

      1. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of or personal injury to any third party, resulting from my use of or presence on the BGCL facilities.

       

      I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS 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.

       

      Signed {dateAnd}

    • Additional Permissions 
    • MEDIA CONSENT
      BGCL reserve the right and permission to publish, reproduce, distribute and/or otherwise use any still or moving photograph, for such purposes and with such frequency as it shall determine in its sole discretion without further compensation or consideration to me and without further authorization by me for, yet, unnamed video or photographic projects (including promotion, marketing and social media) which shall constitute the sole property of BGCL. BGCL shall be released from and against all liability resulting from its use of the photos or related to my use of the product.
    • I have read and understand the Photo Consent Release*
    • Date and Time Signed
       - -
    • PERMISSION TO SIGN OUT OF PROGRAM

      Some parents may choose to give their child permission to sign themselves out of program in order to walk home or leave with non-approved persons (friends, family, etc.). Please indicate below if your child has permission to sign themselves out:

    • You have indicated you do not wish your child to sign themselves out of programming. Please identify two approved adults who have permission to pick your child up from programming. These adults will be required to show Photo I.D. to staff onsite in order to release your child from programming.

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