Membership type
There are no available categories for the age of this registrant.
Waivers
Waiver items are required for this registration. Please enter the email address of the registrant or parent/guardian (if the registrant is under the age of majority). ?
Participation Waiver
I agree that I am a member of Lakehead Track & Field/Cross-Country U14/U16/U18/U20 program, and I know
that participating in and volunteering for organized group practices, social events, and competitions with this
club are potentially hazardous activities, which could cause injury or death. I will not participate in any club
organized events, group training runs or social events, unless I am medically able and properly trained, and by
my signature, I certify that I am medically able to perform all activities associated with the club and am in good
health, and I am properly trained. I agree to abide by all rules established by the club, including the right of any
official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with being
a member of this club and participating in club activities which may include: falls, contact with other
participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the
road, all such risks being known and appreciated by me.
Having read this waiver and knowing these facts and inconsideration of your accepting my membership, I, for
myself and anyone entitled to act on my behalf, waive and release the Lakehead Running Club (Track &
Field/Cross-Country), it’s coaches and directors, all club sponsors, their representatives and successors from all
claims or liabilities of any kind arising out of my participation with the club, even though that liability may arise
out of negligence or carelessness on the part of the persons named in this waiver.
I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record
for any legitimate promotional purposes for the club.
Name (Please Print):_________________________________________________________
Signature:______________________________________________
Date:__________________________________________________
Parent’s Name (Please Print):__________________________________________
Parent’s Signature if under 18 years:_______________________________________________
Date:______________________________________________________
Facility Waiver
RELEASE OF LIABILITY, WAIVER OF CLAIMS,
ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT
(hereinafter referred to as the “Release Agreement”)
ACCEPTANCE OF AGREEMENT BY PARTICIPANT’S PARENT OR GUARDIAN:
FOR PARTICIPANTS YOUNGER THAN 18 YEARS OF AGE
PLEASE READ CAREFULLY!
PARENT/GUARDIAN Initials
CHILD’S NAME
PARENT/GUARDIAN’S NAME
COMPLETE ADDRESS
Including City and Postal code
TELEPHONE HOME OFFICE MOBILE
LU ID # (if applicable) EMAIL
ACTIVITIES, PROGRAMS, EVENTS AND PERSONS COVERED BY THIS RELEASE AGREEMENT
This Release Agreement applies to the use of all facilities, premises and equipment and participation in all activities, programs or events
mentioned on the Lakehead University Website: www.thunderwolves.ca, including all participation in individual use of the facility, activity
classes, aquatics & fitness programs and classes, intramural & campus rec programs and Lakehead Student Sport Clubs (“all of which are
hereinafter collectively referred to as Lakehead Athletics Programs).
This Release Agreement applies to and protects Lakehead University and it’s Board of Governors, officers, directors, employees, agents,
independent contractors, subcontractors, representatives, successors and assigns and all instructors, coaches, managers, volunteers,
sponsors, officials and officers in any way involved or connected with Lakehead Athletics Programs and other Lakehead Athletics members
including all Student Sport Club members while involved in Lakehead Athletics Programs (all of whom are hereinafter collective referred to as
“the Releasees”.
ASSUMPTION OF RISKS
I am aware that participation in Lakehead Athletics Programs involves various risks, dangers and hazards, including but not limited to:
The risk of serious injury or death, abrasions, bruises, and cuts to skin and/or flesh, and injuries, including fractures and
dislocations, to bones, muscles, ligaments, tendons, joints, nerves, eyes, ears, teeth and internal organs, as well as
concussions and/or paralysis caused by injury to the spinal cord or brain resulting from, including but not limited to: stress on
the body due to running, jumping, sudden starting or stopping; slips, falls, wrenching motions, and collisions in consequence
of error or equipment failure. Equipment includes, without limitation, field and track, portable nets and goal posts, divider
net, cardio machines, free weights, and other fitness equipment; reckless behavior of myself and/or others associated with the
facility; and negligence on the part of the Releasees.
This includes failure by the Releasees to take reasonable steps to safeguard or protect my child from injury or from the risks, dangers and
hazards of participation in Lakehead Athletics Programs. Many of the Lakehead Athletics Programs are unsupervised. I understand that it is
my responsibility to learn about and understand the risks, dangers and hazards or participating in Lakehead Athletics Programs and that I
may contact a Lakehead University Athletics Manager or Coordinator if I require more information on this.
I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS INCLUDING THE POSSIBILITY OF PERSONAL INJURY,
DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM.
RELEASE OF LIABILITY AND WAIVER OF CLAIMS
In consideration of the Releasees permitting my participation in Lakehead Athletics Programs, I hereby agree as follows:
1. TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the Releasees arising out of any aspect of my participation
in Lakehead Athletics Programs 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 my suffer during my participation in Lakehead Athletics Programs, DUE TO ANY
CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE,
AS WELL AS ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT, ON THE PART OF THE RELEASEES, AND ALSO
INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE
RISTKS, DANGERS AND HAZARDS REFERRED TO ABOVE;
2. 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 participation in Lakehead Athletics Programs;
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 incapacity;
4. 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 of Ontario and no other jurisdiction; and
5. Any litigation involving the parties to this Release Agreement shall be brought solely within the Province of Ontario and shall be within the
exclusive jurisdiction of the Courts of the Province of Ontario.
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 Lakehead Athletics Programs, other than what is set forth in this Release Agreement.
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. I EXECUTE THIS AGREEMENT VOLUNTARILY.
Signed this _________ day of __________________________________, 20_____
Signature of Participant
Signature of Witness
Print Name Print Name