Participants Name *

First Name

Last Name

Parent/Guardian Name

Only for parent/guardian registering children for youth sports.

First Name

Last Name

Participants Birth Date *

MM

DD

YYYY

Phone *

Please use parent/guardian email if filling out form for child.

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Sport Sessions *

Please check all sports that you have registered for:

Youth Basketball

Youth Soccer

Adult Volleyball

Pickleball League

Adult Basketball

Badminton League

Youth Ball Training

Adult Soccer

Youth Volleyball

Waiver *

Please check all boxes below indicating that you have read and understand all of the following information.

I understand that LiveWell4Life Inc. has zero tolerance for abusive or aggressive behaviour (including judging, gossiping, inappropriate language, belittling of other patrons, or anything of the same nature). Positive behaviour and encouragement is welcomed. Please respect all facilities, participants, organizers, and maintenance staff. Any misconduct will result in suspension from activities without refund. Play fair and have fun!

I understand the risk of injury from various physical activities and using any exercise equipment may be significant, including the potential for injury or death. I knowingly and freely assume all such risks, both unknown and known. I acknowledge that I may engage in both privately supervised, group supervised or unsupervised activity and I assume all risks of using equipment, movement or exercise routines or props with or without staff present. In addition I acknowledge that the business may include outdoor activities, which may present risks such as slippery surfaces, uneven surfaces, loose rocks/gravel, unseen landscaping issues or more.

I hereby release, indemnify and hold harmless LiveWell4Life Inc., LiveWell4Life Inc. staff members and the owners of this business or any other business that may be associated with this company, with respect to any and all injury, disability, death, loss or damage to person or property that may arise out of connection with this business or any use of it’s products, services or classes.

I expressly agree that this release is intended to be as broad and inclusive as permitted by applicable law and if a portion of this release is held invalid the balance shall remain in full force and effect. This release shall apply to my heirs, assigns, personal representatives and any other next of kin. I understand that this business is relying on this release in agreeing to enter into this agreement.

I have read the release of liability and assumptions of risk agreement and fully understand its terms and that I have given up substantial rights by signing It and I sign it freely and voluntarily without inducement.

I hereby confirm that I am aware and agree to all additional terms and conditions included in this document.

I give permission to Live Well 4 Life Inc. to use my name, biographical information, photographs, videos, images, story and/or testimonial, in whole or in part, and without restriction as to changes or alterations.  The rights granted herein shall extend in perpetuity, unless revoked in writing by me, throughout the world and for any purpose whatsoever, including without limitation for marketing and advertising purposes, and in any and all media, including without limitation to Live Well 4 Life Inc.’s website.  I acknowledge that Live Well4 Life Inc. has no obligation to return any photographs or images to me. By signing this waiver form, I hereby release, waive, and forever discharge any and all claims arising out of, or in connection with, such use by Live Well 4 Life Inc., including without limitation to any and all claims for libel or invasion of privacy.

I understand that COVID-19 is extremely contagious and is believed to spread by person-to-person contact: and, as a result, federal and provincial health agencies recommend taking precautions.  I recognize that all staff and at LiveWell4Life Inc. are closely monitoring this situation and may/will put in place mandatory preventative measures aimed to reduce the spread of COVID-19 at any point. Given the nature of the virus, I understand there is an inherent risk of becoming infected with COVID-19 by virtue of participating in Youth Sports & Rec programs at LIveWell4Life Inc. I hereby acknowledge and assume the risk of becoming infected with COVID-19 through this elective participation, and I give my express permission staff at LiveWell4Life Inc. to proceed with my participation.

Participant OR Parent/Guardian Signature (must be 18 years or older to sign) *

By placing name here you agree that you have read through all above information and understand all of the statements being made.

First Name

Last Name

Date

MM

DD

YYYY