IMPORTANT: THIS IS A LEGAL DOCUMENT: RELEASE

Size: px
Start display at page:

Download "IMPORTANT: THIS IS A LEGAL DOCUMENT: RELEASE"

Transcription

1 IMPORTANT: THIS IS A LEGAL DOCUMENT: RELEASE Please read and understand this document before signing. If you have any questions, please ask us or consult an attorney. You are giving up specific legal rights by signing this contract. Belize Diving Services, Ltd., BDS Marketing LLC, DiveGod.com, LLC, Paper Street Soap Company Ltd., and the Bar 88 W Ltd., their employees, agents, directors, officers, sponsors, advertisers, and volunteers, as well as the manufacturers, distributors, and providers of all equipment (hereinafter Dive Services) want you to have a rewarding experience. We wish to inform our guests that scuba diving, cave diving, ocean sports and kayaking (hereinafter Diving) are not risk free. The same elements that contribute to the unique character and fun of Diving, such as the physical exertion or the settings, can cause loss or damage to equipment, injury, illness, or in extreme cases, permanent trauma or death. We do not want to heighten or reduce your enthusiasm for the experience, but we do want you to know in advance what to expect and to be informed of the possible risks. We require that you read this release, sign it and return it to our office. If you are signing as the parent or legal guardian (hereinafter parent) for a child (minor, someone under the age of 18) you agree to read, to have your minor read it, and, if necessary, to explain to the Minor the nature and terms of this agreement, as well as all the risks herein and of the activity. EXPRESS ASSUMPTION OF THE RISK There are risks that accompany all aspects of life as well as Diving. Some of these risks are inherent in the activity; some are changed, increased, or decreased due to the activities of Dive Services. You must understand and accept all the risks of the activity, inherent and others. By understanding these risks, you will enjoy your trip. Scuba: As a trained diver, you are familiar with the risks of Diving. Barotrauma, decompression sickness, nitrogen narcosis, pulmonary embolism and oxygen toxicity are a few that you must understand. Equipment may work differently in an ocean dive, and defective equipment is always a risk. Dehydration and hypothermia are possible when Diving, and both can occur. Dehydration increases your chances of becoming hypothermic and/or having decompression sickness. Drowning is a risk on or around water. A guided dive is to assist you in seeing the wonders of the ocean in this area. Dive masters and other divers are not there to keep you from exceeding your limits or to monitor you or your air. These responsibilities are solely yours. You must create, understand, and follow your own dive plan. You understand that you are expected to follow all prevailing requirements, training, and suggestions for safe Diving practices for your level of training and/or certification. Sea Life: You will encounter new and unusual animals, flora, and fauna in the ocean. You must consider all sea life dangerous while Diving. You are not allowed to touch or bother any sea life according to Belize law. Keep a safe distance from all sea life. Getting too close to any sea life can result in an injury. Take into account any currents or surge when judging your distance from anything, such as sea life, other divers, the boat, or shore. Antiquities: You understand you cannot touch or remove anything from the ocean without the proper permit from the Country of Belize. Air Consumption: You are the sole person responsible for your air consumption and monitoring. Follow your training and monitor your air consumption and make appropriate plans based on your breathing. Gaseous: Nitrox and/or mixed-gas Diving allows greater flexibility and depth in Diving. If you are doing a nitrox or mixed-gas dive, you understand those increased risks of using these gases and performing these types of dives, such as oxygen toxicity or depth-related injuries or drowning. You must use a dive planning table or a dive computer and not exceed your dive decompression limits. Dive Limit: Some dives are to the limit of recreational Diving. If you choose to participate in these dives, you are acknowledging that you are experienced and comfortable with dives to a depth of 30 meters (100 ). You understand that if you exceed 40 meters (130 ), you are exceeding the maximum recreational dive limit and putting yourself at extreme risk for injury or death. The nearest hypobaric chamber (recompression chamber) is 80 miles away and will involve hours of transportation. Dive accordingly. Sea Kayaking: Kayakers can be jolted, bounced, and otherwise shaken about during rides through the surf. It is possible you could be injured if you hit equipment or other objects while upright or upside down. PLEASE READ OTHER SIDE 1

2 Equipment may malfunction or break causing loss of property or injury. Kayaks may turn over in the surf, due to waves, wind or other reasons. Participants may swim or be in the water causing prolonged exposure to cold water leading to hypothermia, injury, or death. Injuries can be sustained after you are in the water from items floating on the water. Participants can be washed or thrown over by waves, which can result in any of the above injuries or death. Winds and currents may make the return to the dive shop difficult or impossible, and you may be lost at sea for hours or days. You understand that rain, and thunderstorms are common in the tropics and that the associated lightening, wind, and rain can cause impaired navigation, discomfort, or death. You can spend some time upside down in your boat, and you will get water in your nose. When you are upside down, you can hit objects with your head or body that are under the water. Never lose your paddle when kayaking. Kayaking requires a large amount of physical exertions and effort. Dehydration, sunburn, and sun-poisoning are some of the potential hazards that you can prevent with common sense. Plan accordingly. As a kayaker, you will be totally responsible for your own movement and safety. This requires a high level of physical exertion as well as emotional and mental stability. You will be primarily responsible for your own rescues. Alcohol & Drug Consumption: Dive Services is not responsible for any alcohol or drugs (legal or illegal) you bring onto the premises, trip, or activity. If you bring alcohol or drugs or consume alcohol or drugs on the premises or trips, you are responsible for yourself and those around you. Drinking alcohol or using drugs can lead to accidents, make you vulnerable and ill, or you may even suffer permanent damage. Drinking or using drugs while Diving is dangerous. Travel: Travel to and from the dive put-in and take out is incidental to the Diving. Accidents can occur during travel to and from the activity site. Heat-sunburn, dehydration, heat exhaustion, heat stroke, heat cramps, wind, rain, being outside, using portable toilet facilities, eating meals outside, and being in the open for the extended length of the trip can be uncomfortable or cause injury. Wetsuits: Wetsuits are available for rental. Wetsuits provide warmth in cold weather or water and provide protection from rocks, coral, jellyfish or other objects if you are in the water. A wetsuit may cut down on your ability to move, and some people have had allergic reactions from wearing a wetsuit. It is also possible to contact diseases from prior wetsuit uses. Dive Services has followed manufacture s recommendations in cleaning and caring for their wetsuits to the best of their ability; however, no one can guarantee the cleanliness of a wetsuit. By signing this agreement, you are stating you have nothing that would contaminate or make another person wearing the wetsuit ill. Please inspect any wetsuit you rent before putting it on, and please clean the wetsuit prior to returning it. Rental Equipment: If you are renting scuba equipment, you must check your equipment and make sure the equipment is suitable for your use, that the equipment fits and the equipment meets the requirements for the dives you are going to undertake. You must check to make sure the equipment meets the best Diving practices' of World Recreational Scuba Training Council (WRSTC) requirements. Before leaving the premises, inspect any tanks you are renting or have filled to make sure the tanks are full and ready to use. It is your responsibility, if at any time you feel your equipment is not satisfactory for you, to end your dive and ask for replacement equipment, which will be provided free of charge. Personal Equipment: If you are bringing your own dive gear, you agree that you have had your gear inspected, and it meets all necessary requirements for the dives you are going to be undertaking. Your equipment must meet the WRSTC and manufacture servicing requirements. Foreign Travel: In foreign countries, you will be dealing with different cultures and people. Food may be different and water sources may be questionable. You will experience new plants and animals on our trip that may be harmful. You need to be aware of your surroundings at all times and aware of how you are dealing with the environment, the people and their culture. When you leave your home country, you leave the comfort and safety that you have come to expect as well as your system of laws. Practices, laws and regulations in Belize will be different. Traveling in a foreign country is not like traveling in your Home Country. Vehicles are not maintained to the same standards as U.S. passenger transportation vehicles. Roads and bridges are not maintained like U.S. roads. They are dangerous and are in constant need of repair. Travel can occur by vehicle, boat, canoe, donkey, PLEASE READ OTHER SIDE 2

3 or any other system. Delays can occur at any time due to any factors beyond Dive Services control that cause the roads, the vehicles, or the entire transportation system to fail or stop. Foreign Medical Care: Medical care, as you understand it, is not available outside your Home Country. During your dives and other activities, you will be several hours travel by boat or other means from any medical facility. Your guides will probably be the immediate medical care you will have. You understand that divemasters are, at best, trained lay persons and not professional Emergency Medical Personnel. The medical facility you may be treated in will not have the same standards as hospitals or doctor s offices in your Home Country. The medical personnel treating you may not have the same training as medical personnel in your Home Country. Meals & Food Service: Dive Services cannot guarantee that your meal meets any allergy issues. Dive Services meets and/or exceeds all food handling and preparation laws and regulations. Belize does not require any labeling or ingredient identification; safe food-handling requirements are minimal, and no inspections are made. Your food may contain peanut products or other allergy-inducing food or food products. Your food may also contain animal products, animal byproducts, gluten, and other elements of a restricted diet. Guide/Instructor/Dive Master Decisions: Decisions are made by the dive masters, instructors, guides, and participants in a wilderness or open ocean settings based on a variety of perceptions and evaluations which, by their nature, are imprecise and subject to errors in judgment. Guide decisions are based on experience, observation, participant abilities, and numerous other factors at the time. Weather can change and/or participants can tire, and/or abilities are not as stated, which may change the entire situation, placing people at risk. As a participant, you accept these risks and situations based on guide decisions and other factors. It is also possible that some participants would suffer mental anguish or trauma from the experience or their injuries. The above paragraphs are not an exclusive or exhaustive list of possible injuries, trauma, or accidents that may occur while Diving. Most of these injuries are rare, and you are not likely to encounter them. However, they have occurred, and you need to know about them and other possible injuries not mentioned above. These injuries occur more often when the participants are using drugs or alcohol or are not physically able to undertake the activity. You certify that your family members, including minor children and yourself, are fully capable of participating in this Dive program. You state that you have read the above statement on some of the possible risks in this activity. Therefore, you assume full responsibility for yourself, your family, including minors, for bodily injury, death, loss of personal property, and any expenses as a result of your negligence, negligence of your family, negligence of other divers or the negligence of Dive Services. You hereby expressly consent and assume all risks of the activity for yourself and your family, including the risks associated with traveling to and from the activity. You understand that Dive Services reserves the right to refuse any person it judges to be incapable of meeting the rigors and requirements of participating in Diving. Your family and you are in good physical condition and able to undertake this activity. You understand and agree that this is a voluntary activity, and you are doing so for recreational purposes and do so voluntarily. Parents agree to read and to explain to any Minors all posted signs and warnings, including instructions on use of equipment, and the undersigned agrees participants will obey all signs and warnings posted and to follow instructions from staff. You have reviewed this release with your family and informed your family and decedents as to the risk of scuba Diving, and that they are aware that you are participating in this sport with the full knowledge that through the actions of yourself or others, you may be injured or die. CONTRACT, WAIVER, RELEASE, AND INDEMNIFICATION You agree to indemnify and hold harmless Dive Services, their agents, and their employees from all claims, damages, losses, injuries, and expenses arising out of or resulting from your family s or your participation in these activities for all past, present, or future claims, demands, and causes of action. You agree that Dive Services has a subrogation/right to indemnification for your actions based on any permit, grant, contract, or agreement with third parties. You further agree to release, acquit, and covenant not to sue Dive Services, their agents and employees for all action's, causes of action, past, present or future claims or damages, damages in law or remedies in equity of whatever kind, including the negligence of Dive Services, negligence PLEASE READ OTHER SIDE 3

4 of another participant, or your family, yourself, or your heirs, against Dive Services arising out of participation in this program. This agreement covers the incidental transportation to and from the recreation location. In short, you cannot sue Dive Services or anyone else for any reason if you or your family or Minor may receive an injury, and if you do, you cannot collect any money. This release shall not be superseded by any other agreement, whether there is any perceived inconsistency or not. You agree to indemnify, agree to subrogation and to reimburse Dive Services for any damages, costs, fees, or expenses they expend on you or your family's behalf, including the cost of any Search and Rescue, medical evacuation or for any damages you may do to third parties. You understand this means you are the insurer for the Dive Services for any actions or damages that you or your family may incur. You agree to the site of any lawsuit and the law governing any such lawsuit shall be Jefferson County Colorado and governed by Colorado law. The terms of this agreement shall continue and be in effect after the Diving trip has ended. All changes or alterations to this document must be in writing and approved by both parties. No changes to this document are valid. As liquidated damages, you hereby agree that if Dive Services is forced to defend any action, lawsuit, or litigation or for breach of the covenant not to sue or the covenant of good faith and fair dealing, by yourself, your executors, or your heirs, on your family's or your behalf, or behalf of your heirs or executors that you agree to pay Dive Services costs and attorneys fees if they successfully defend such action, lawsuit, or litigation. You understand and agree that you are indemnifying Dive Services for any claim you may bring for any injury you receive and, if you do so, you will be subject to paying Dive Services damages and costs, including attorneys fees. Should any sentence, clause, paragraph, or part of this agreement be declared unenforceable by a court of competent jurisdiction, the remaining parts or paragraphs shall remain in full force and effect. This release is intended to be interpreted as broadly as possible to affect the intent and purpose of the release. You understand that Diving is not a necessity nor required for everyday life. If you do not want to sign this release, you understand you cannot go Diving with Dive Services. If you do not sign this release, you are free to go Diving with other companies. You have adequate health, disability, and life insurance for your family and yourself. You hereby give permission for transportation to any medical facility or hospital, and you authorize for any divemaster, guide, or other personnel to render necessary emergency medical care for you or your family. You hereby authorize the release of any medical information, including information concerning your HIV or AIDs status, in the possession of Dive Services to any medical facility, hospital, ambulance, first aid provider, first aid service, doctor, nurse, or other such person rendering care on your behalf. You hereby waive any action or claim against Dive Services or any health care provider, hospital, doctor, nurse, or first aid provider for the release of this medical information, including your HIV or AIDs status. You understand and acknowledge that the health care you will be receiving is not to the same standard of care as that in your Home Country. This release incorporates herein the information you have provided concerning your dive experience, education, history, and training which you completed accurately and true to the best of your knowledge. You,, of your own free will, for your family, your minor children, your heirs and executors, and yourself, have read, understand, and acknowledge the risks and liability for yourself and your family this day of [ ] By checking this box, you indicate that your family and you have previous Scuba Diving experience and hold a current fill card from a recognized dive training organization and have read all five (5) pages of this release. You acknowledge that you have received a Copy of this Document if you wanted one. You understand that you are signing this document electronically or may be signing this document electronically in the future. You PLEASE READ OTHER SIDE 4

5 understand under U.S. Federal and state law, there is no difference between signing this electronically or in writing. You understand that pursuant to Colorado Revised Statutes , this release is effective in preventing claims or litigation for injuries your child may receive. You Have Read and Understood this Agreement. You are Voluntarily Signing this Agreement. You understand you are giving up certain legal rights. By signing this, you understand you cannot sue for any reason. If you do sue you cannot collect any money. If you sue and lose, you will owe us money. PARTICIPANT SIGNATURE PRINTED NAME ADDRESS SPOUSES SIGNATURE ADDRESS CITY, STATE POSTAL CODE TELEPHONE SPOUSES PRINTED NAME Copyright , James H. Moss, 720 Edit Law, PLEASE READ OTHER SIDE 5

(*WINTER 18*) NUGGET SURF LESSONS / PRACTICE CLUB MEMBERSHIP Participant Agreement and Waiver of Liability

(*WINTER 18*) NUGGET SURF LESSONS / PRACTICE CLUB MEMBERSHIP Participant Agreement and Waiver of Liability (*WINTER 18*) NUGGET SURF LESSONS / PRACTICE CLUB MEMBERSHIP Participant Agreement and Waiver of Liability First Name: Last Name: Birthdate / / Gender: Age: Grade: Name of School: Address: City: State:

More information

INSTRUCTIONS AND NOTICE

INSTRUCTIONS AND NOTICE NAME: INSTRUCTOR NAME: ACKNOWLEDGEMENT, ASSUMPTION, INDEMNITY, WAIVER AND RELEASE FOR PURCHASERS, LESSEES, RENTERS AND OTHER ACQUIRERS OR USERS OF CLOSED CIRCUIT REBREATHER COMPONENTS AND/OR A CLOSED CIRCUIT

More information

3R RANCH OUTFITTERS, LLC 2016 HUNTING AGREEMENT

3R RANCH OUTFITTERS, LLC 2016 HUNTING AGREEMENT 3R RANCH OUTFITTERS, LLC 2016 HUNTING AGREEMENT WHEREAS, Client (individually referred to herein as Client ) desires to engage 3R Ranch Outfitters LLC to provide hunting, guiding, camping and related outdoor

More information

I, Date of Birth../../ Home address... City/State/Country Contact address is Australia. Emergency contact name.. Emergency contact phone no...

I, Date of Birth../../ Home address... City/State/Country Contact address is Australia. Emergency contact name.. Emergency contact phone no... XTREME KITES & PADDLE PTY LTD PHONE: 0402 842 944 RELEASE AND WAIVER OF LIABILTY ASSUMPTION OF RISK AND IMDEMNITY AGREEMENT This is an important document which sets out your legal rights and obligations

More information

Freedive Toronto Membership Form

Freedive Toronto Membership Form Freedive Toronto Membership Form Contact Information Name (First, Last) Street Address City Home Phone Work Phone Cell Phone E-Mail Address Prov. Postal Code Please answer Yes or No Are you in good medical

More information

LARRY H. MILLER UTAH SUMMER GAMES SWIMMING

LARRY H. MILLER UTAH SUMMER GAMES SWIMMING DATES: June 21-23, Thursday-Saturday SPORT COORDINATOR: Adam Caldwell Phone: (801)699-3735 Email: adam@binghamsnow.com REGISTRATION FEE: $25.00 This is an annual participation fee per athlete. An additional

More information

3 rd Annual Munster Masters Summer Splash Sunday, June 14, 2015 Hosted by Munster Swim Club Recognized by GRIN for USMS, Inc. #

3 rd Annual Munster Masters Summer Splash Sunday, June 14, 2015 Hosted by Munster Swim Club Recognized by GRIN for USMS, Inc. # 3 rd Annual Munster Masters Summer Splash Sunday, June 14, 2015 Hosted by Munster Swim Club Recognized by GRIN for USMS, Inc. # Location: Facility: Munster HS Aquatic Center 8808 Columbia Ave. Munster,

More information

2018 SILENT DIVING, LLC REBREATHER AGREEMENT

2018 SILENT DIVING, LLC REBREATHER AGREEMENT 2018 com Please fill in the blanks in block capitals, initial each page in black ink, sign, & have it witnessed. Please then return to SD by scanning and e-mailing to: sales@silentdiving.com TM INFORMED

More information

Non-Agency Disclosure and Acknowledgment Agreement

Non-Agency Disclosure and Acknowledgment Agreement Non-Agency Disclosure and Acknowledgment Agreement In European Union and European Free Trade Association countries use alternative form. Please read carefully and fill in all blanks before signing. I understand

More information

2017 ENDLESS SUMMER BEACH SWIM SHORELINE 1 OR 2 MILE O.W.S.

2017 ENDLESS SUMMER BEACH SWIM SHORELINE 1 OR 2 MILE O.W.S. 2017 ENDLESS SUMMER BEACH SWIM SHORELINE 1 OR 2 MILE O.W.S. USMS Sanction #: Welcome to the Munster Masters Association 2017 1 or 2 mile shoreline open water swim! When: Saturday, August 19 th, 2017. POSITIVE

More information

5. Nothing in this Release and Waiver of Liability shall limit or exclude Rapha s liability for:

5. Nothing in this Release and Waiver of Liability shall limit or exclude Rapha s liability for: RAPHA CYCLING CLUB (RCC) BIKE HIRE PROGRAMME LIABILITY AGREEMENT I,, am a current Rapha Cycling Club ( RCC ) member, am over the age of 18, and therefore have the legal capacity to enter into this agreement.

More information

Driftwood Outfitters 1851 Grassy-Narrow C.P. 60, Moffet, Québec JOZ2W0

Driftwood Outfitters 1851 Grassy-Narrow C.P. 60, Moffet, Québec JOZ2W0 Driftwood Outfitters 1851 Grassy-Narrow C.P. 60, Moffet, Québec JOZ2W0 2017 Hunting Agreement WHEREAS, Client #1, Client #2, Client #3 _, and Client #4, (individually referred to herein as Client or collectively

More information

2018 SOUTHERN MASTERS LONG COURSE CHAMPIONSHIPS August 11 & 12, 2018

2018 SOUTHERN MASTERS LONG COURSE CHAMPIONSHIPS August 11 & 12, 2018 2018 SOUTHERN MASTERS LONG COURSE CHAMPIONSHIPS August 11 & 12, 2018 Sponsor: Sanction: Location: Southern Masters Swimming, LMSC Sanctioned by Southern Masters Swimming for USMS, Inc. LSU Natatorium,

More information

2018 ENDLESS SUMMER BEACH SWIM SHORELINE 1.2 OR 2.4 MILE O.W.S.

2018 ENDLESS SUMMER BEACH SWIM SHORELINE 1.2 OR 2.4 MILE O.W.S. 2018 ENDLESS SUMMER BEACH SWIM SHORELINE 1.2 OR 2.4 MILE O.W.S. USMS Sanction #: 168-W001 Welcome to the Munster Masters Association 2018-1.2 or 2.4 mile shoreline open water swim! When: Saturday, August

More information

Player and Parent Commitment Letter for 2016/2017 Season

Player and Parent Commitment Letter for 2016/2017 Season Below The Rim is an organization that is committed to making a positive difference in the lives of youth athletes. Our vision is to provide opportunities for youth to develop their full potential through

More information

2015 OCY Unofficial Masters Team Championships

2015 OCY Unofficial Masters Team Championships Ocean County YMCA Tiger Sharks Swim Team Presents: 2015 OCY Unofficial Masters Team Championships Sunday, February 15, 2015 Ocean County YMCA, 1088 W Whitty Rd, Toms River, NJ Approval: Facility: Purpose:

More information

MIAMI REDFIN MASTERS ANNOUNCE THEIR. Miami University Aquatic Center Oxford, Ohio

MIAMI REDFIN MASTERS ANNOUNCE THEIR. Miami University Aquatic Center Oxford, Ohio MIAMI REDFIN MASTERS ANNOUNCE THEIR 2017 Miami Redfins Long Course Masters Swim Meet Miami University Aquatic Center Oxford, Ohio SATURDAY, June 17, 2017 WARM UPS BEGIN AT 12PM SEE ATTACHED INFORMATION

More information

UMATILLA SPRING TOURNAMENT

UMATILLA SPRING TOURNAMENT UMATILLA SPRING TOURNAMENT Sign up for RANGER CUP and win Saturday, April 2 and Sunday, April 3, 2016 Fees: $225 per team entry fee, $25 Admin fee, $50 Big Fish, $50 Total Weight TOTAL WITH ALL OPTIONS

More information

Alcatraz 2009 Preliminary Information Meeting: Saturday October 18, 2008 DC Ranch Village 6:00-7:00PM N. Thompson Peak Parkway, Scottsdale

Alcatraz 2009 Preliminary Information Meeting: Saturday October 18, 2008 DC Ranch Village 6:00-7:00PM N. Thompson Peak Parkway, Scottsdale Alcatraz 2009 Preliminary Information Meeting: Saturday October 18, 2008 DC Ranch Village 6:00-7:00PM 18501 N. Thompson Peak Parkway, Scottsdale Introduction/history of the event Description of the swims

More information

Lake Decatur Open Water Challenge Hosted by Decatur Swim Club and Millikin University June 20 th, 2009

Lake Decatur Open Water Challenge Hosted by Decatur Swim Club and Millikin University June 20 th, 2009 June 20 th, 2009 Sanctioned by USA Swimming, Inc. and Illinois Swimming, Inc. Sanction Number # OWIL 01 MEET DIRECTOR Paul Yemm ENTRY CHAIRPERSON: Kat Hoefert 1344 W. Riverview 250 N. Water Street - Suite

More information

JACK S DIVING LOCKER

JACK S DIVING LOCKER JACK S DIVING LOCKER JUNIOR CAMP REGISTRATION Camp: Start Date: Student s Name: Age: Birth Date: Address: Home Phone: Email: Mother s Name: Mother s Cell: Mother s Work Phone: Father s Name: Father s Cell:

More information

2018 BROGAN OPEN WATER CLASSIC. 29 th Annual Lake Erie Open Water Races July 14, 2018 RACE DAY TIMELINE:

2018 BROGAN OPEN WATER CLASSIC. 29 th Annual Lake Erie Open Water Races July 14, 2018 RACE DAY TIMELINE: 2018 BROGAN OPEN WATER CLASSIC 29 th Annual Lake Erie Open Water Races July 14, 2018 SPONSORED BY: O*H*I*O Masters Swim Club SANCTIONED BY: Lake Erie LMSC for USMS Inc. SANCTION #188-W001 RACE DAY TIMELINE:

More information

Scuba Training and Technology Inc Kiowa Blvd North, Lake Havasu City, AZ Responsibility Agreement and Liability Release

Scuba Training and Technology Inc Kiowa Blvd North, Lake Havasu City, AZ Responsibility Agreement and Liability Release Page 1 of 4 Scuba Training and Technology Inc. 2150 Kiowa Blvd North, Lake Havasu City, AZ 86403 928-855-9400 I,, by signing this agreement on (Date), acknowledge: 1. That I am a qualified, properly trained,

More information

D-N-D Flyers Tryout Packet

D-N-D Flyers Tryout Packet D-N-D Flyers Tryout Packet 2018-2019 Agreement Forms and Required Paperwork 1903 Capital Drive Tyler, TX 75701 (903) 509-9090 d-n-dflyers.com Candidate Parent Meeting: Tryout Date & Times: Saturday, May

More information

GUN HUB, INC. (DBA GUN HUB USA) RANGE RULES, REGULATIONS AND RELEASE AND INDEMNITY AGREEMENT 3593 COLORADO AVE, SHEFFIELD VILLAGE, OH 44054

GUN HUB, INC. (DBA GUN HUB USA) RANGE RULES, REGULATIONS AND RELEASE AND INDEMNITY AGREEMENT 3593 COLORADO AVE, SHEFFIELD VILLAGE, OH 44054 GUN HUB, INC. (DBA GUN HUB USA) RANGE RULES, REGULATIONS AND RELEASE AND INDEMNITY AGREEMENT 3593 COLORADO AVE, SHEFFIELD VILLAGE, OH 44054 All persons desiring to use any GUN HUB, INC. (DBA GUN HUB USA)

More information

Cedars Kids Club. Choose July or August 4-week Session. Mondays & Wednesdays 9am 12pm (Instruction) Thursdays 4-6pm (Tournament, Play & Prizes)

Cedars Kids Club. Choose July or August 4-week Session. Mondays & Wednesdays 9am 12pm (Instruction) Thursdays 4-6pm (Tournament, Play & Prizes) Cedars Kids Club Have fun while learning the basic skills, techniques and rules of golf. Boys and girls ages 5 15 can register for this exciting and foundation-building summer program. Choose July or August

More information

2016 POLARIS ATV and ACE NEW RACER REIMBURSEMENT PROGRAM

2016 POLARIS ATV and ACE NEW RACER REIMBURSEMENT PROGRAM 2016 POLARIS ATV and ACE NEW RACER REIMBURSEMENT PROGRAM Thank you for your interest in racing Polaris ATVs and ACE. This program was created to provide first-time racers the ability to collect a Reimbursement

More information

Ontario Recreational Canoeing and Kayaking Association

Ontario Recreational Canoeing and Kayaking Association Ontario Recreational Canoeing and Kayaking Association Trip Leader Risk Management Agreement for use with ORCKA Trip Leader Liability Insurance Introduction The ORCKA Trip Leader Risk Management Agreement

More information

Round Denmark Bike Race release and. waiver of liability:

Round Denmark Bike Race release and. waiver of liability: Round Denmark Bike Race release and waiver of liability: For consideration of participation in the Round Denmark Bike Race event to be held beginning on Sunday the 8 th of July, 2018 and ending on Sunday

More information

SWIM THE SUN 14 TH ANNUAL ST. LOUIS AREA MASTERS 5K, +2-MILE AND +1-MILE OPEN WATER SWIM RACES

SWIM THE SUN 14 TH ANNUAL ST. LOUIS AREA MASTERS 5K, +2-MILE AND +1-MILE OPEN WATER SWIM RACES SWIM THE SUN 14 TH ANNUAL ST. LOUIS AREA MASTERS 5K, +2-MILE AND +1-MILE OPEN WATER SWIM RACES at Sunnen Lake (YMCA of the Ozarks), Potosi, Missouri DATE: Sunday, June 14, 2015, Sanctioned by: Ozark LMSC

More information

Youth Diving: Responsibility and Risks Flipchart. Welcome

Youth Diving: Responsibility and Risks Flipchart. Welcome Welcome Exploring the underwater world is both fun and serious. Scuba diving is enjoyed by millions of people all over the world. Scuba Diving requires: Some physical fitness Ability to solve problems

More information

BOOKING FORM & CONDITIONS OCEAN DIVINE LIVEABOARD

BOOKING FORM & CONDITIONS OCEAN DIVINE LIVEABOARD Surname : (as per passport) First name : (as per passport) OCEAN STRIPE PVT LTD H. Noomage, Violet Magu, Male, Republic of Maldives Tel: 778 76 70 / 778 76 02 e-mail: gaelle@ocean-stripe.com BOOKING FORM

More information

Contact 2: Name(s): Phones: (home) (mobile) (office) Contact 3: Name(s): Phones: (home) (mobile) (office)

Contact 2: Name(s):   Phones: (home) (mobile) (office) Contact 3: Name(s):   Phones: (home) (mobile) (office) EMERGENCY CONTACT INFORMATION June 5, 2017 to June 1, 2018 Fencer s Name: Fencer s Student Number: Fencer s Email Fencer s Phone #s: (home) (mobile) Fencer s of Birth: / / Grade: 9th 10th 11th 12 th Fencer

More information

Youth Diving: Responsibility and Risks Flipchart. Welcome

Youth Diving: Responsibility and Risks Flipchart. Welcome Welcome Exploring the underwater world is both fun and serious. Scuba diving is enjoyed by millions of people all over the world. Scuba Diving requires: Some physical fitness Ability to solve problems

More information

45 East Boston Mills Road Boston Heights, OH (330)

45 East Boston Mills Road Boston Heights, OH (330) 45 East Boston Mills Road Boston Heights, OH 44236 (330) 650-4111 MATTHEWS-THOMAS PARK PAVILION POOL MEMBERSHIP SEASON: May 26, 2014 through September 1, 2014 MEMBERSHIP FEE RESIDENT NON-RESIDENT Senior

More information

Pawtucket & Providence Figure Skating Club Associate Membership Application

Pawtucket & Providence Figure Skating Club Associate Membership Application Pawtucket & Providence Figure Skating Club 2018-19 Associate Membership Application This form must be completed and submitted with payment. The membership will not be processed without both. Associate

More information

Have fun while learning the basic skills, techniques and rules of golf. Beginners and Advanced Players ages 5-15

Have fun while learning the basic skills, techniques and rules of golf. Beginners and Advanced Players ages 5-15 Cedars Kids Club Have fun while learning the basic skills, techniques and rules of golf. Beginners and Advanced Players ages 5-15 Ages 10 & Under: Session 1: July 5 to July 31 Session 2: August 2 to August

More information

Date: Applicant Name: Date of Birth: Sex: Position: Faculty / Staff / Post-Doc / Student Employee / Student / Volunteer / Other: Work Address:

Date: Applicant Name: Date of Birth: Sex: Position: Faculty / Staff / Post-Doc / Student Employee / Student / Volunteer / Other: Work Address: Appendix 1 Application for Visiting Scientific Diver Authorization For all visitors except government employees Section 1. Applicant Information Date: Applicant Name: Date of Birth: Sex: Position: Faculty

More information

2018 ALASKA MASTERS SCY STATE CHAMPIONSHIPS Saturday & Sunday, February

2018 ALASKA MASTERS SCY STATE CHAMPIONSHIPS Saturday & Sunday, February 2018 ALASKA MASTERS SCY STATE CHAMPIONSHIPS Saturday & Sunday, February 24-25 2018 Hosted by Stingray Swim Team (FAST Masters) We encourage online entries through the Club Assistant system. Entry information

More information

2005 POLARIS ATV CONTINGENCY PROGRAM

2005 POLARIS ATV CONTINGENCY PROGRAM 2005 POLARIS ATV CONTINGENCY PROGRAM Welcome to the Polaris ATV Contingency Program. For 2005 Polaris is offering an industry leading contingency program for all adult and youth GNCC classes. This program

More information

Pasadena Figure Skating Club www. pasadenafsc. com

Pasadena Figure Skating Club www. pasadenafsc. com Pasadena Figure Skating Club www. pasadenafsc. com Membership Application Form The Club s membership year runs from July 1, 2018 through June 30, 2019. There is NO pro-rating of fees for those who join/renew

More information

Midwest Cheer Elite- Cleveland All-Star Full Travel Cheerleading, Contemporary, Hip Hop & Pom

Midwest Cheer Elite- Cleveland All-Star Full Travel Cheerleading, Contemporary, Hip Hop & Pom Midwest Cheer Elite- Cleveland All-Star Full Travel Cheerleading, Contemporary, Hip Hop & Pom 2018--2019 Welcome to Midwest Cheer Elite Cleveland. We are delighted that you have chosen to become a part

More information

TERMS AND CONDITIONS OF MEMBERSHIP

TERMS AND CONDITIONS OF MEMBERSHIP TERMS AND CONDITIONS OF MEMBERSHIP THIS IS AN IMPORTANT DOCUMENT AND YOU SHOULD READ IT CAREFULLY BEFORE SIGNING IT. UPON SIGNING THIS MEMBERSHIP APPLICATION FORM AND LICENCE CARD, YOU ACKNOWLEDGE THAT

More information

SCUBA DIVING SAFETY MANUAL

SCUBA DIVING SAFETY MANUAL SCUBA DIVING SAFETY MANUAL Revised: 11 July 2017 TABLE OF CONTENTS Preamble... 3 Disclaimer... 3 Abbreviations... 3 Definitions... 3 General Requirements... 4 Additions... 4 CAUS 3.1 Organization Requirements....

More information

USA Water Ski Event Sanction Agreement

USA Water Ski Event Sanction Agreement USA Water Ski Event Sanction Agreement This is a contract (the Agreement ) between USA Water Ski ( USA-WS: ), a New Jersey not-for-profit corporation, the event promoter(s) or director(s) and all other

More information

S KYLINE J UNIORS V OLLEYBALL

S KYLINE J UNIORS V OLLEYBALL S KYLINE J UNIORS V OLLEYBALL 2014-2015 Player Information Athlete s Phone Number: Email Address: Weight: Date of Birth: Current School Attending: Previous Club Experience: Parent(s) or Guardian (Primary

More information

Ft Johnson Estates Swimming Pool Club 2017 Rules, Regulations, & Liability Waiver

Ft Johnson Estates Swimming Pool Club 2017 Rules, Regulations, & Liability Waiver Ft Johnson Estates Swimming Pool Club 2017 Rules, Regulations, & Liability Waiver A. MEMBERS AND GUESTS SWIM AT THEIR OWN RISK Periodically there will be an attendant at the pool, but no lifeguard on duty.

More information

TRIBE Rugby Waiver East County Rugby Football Club (TRIBE Rugby)

TRIBE Rugby Waiver East County Rugby Football Club (TRIBE Rugby) TRIBE Rugby Waiver East County Rugby Football Club (TRIBE Rugby) PERMISSION / ASSUMPTION - MINOR I, the undersigned parent(s) or legal guardian(s) of, hereby grant(s) permission for him/her to participate

More information

Halloween Party and Pumpkin Carving Contest October 31 st, 2015

Halloween Party and Pumpkin Carving Contest October 31 st, 2015 Halloween Party and Pumpkin Carving Contest October 31 st, 2015 National Aquatic Service will be holding our 12th Annual Halloween Party at Lourdes Camp on Skaneateles Lake. A party for the whole family!

More information

DENVER DIVERS SNORKELING

DENVER DIVERS SNORKELING www.denverdivers.com DENVER DIVERS SNORKELING STUDENT S NAME: MALE FEMALE DOB: MINOR* (AGE: ) ADDRESS: CITY: _ STATE: ZIP: TELEPHONE: HOME WORK MOBILE E-MAIL: * Children under 12 years old, Parent/Legal

More information

Tennessee Wildlife Federation s 2019 Youth Hunt. Hold Harmless & Release Agreement

Tennessee Wildlife Federation s 2019 Youth Hunt. Hold Harmless & Release Agreement Tennessee Wildlife Federation s 2019 Youth Hunt Hold Harmless & Release Agreement In consideration of being permitted to participate in the Tennessee Wildlife Federation s Youth Hunt (the Youth Hunt ),

More information

15 th USA Wakeboard Nationals September 27 29, 2013 Lake Wylie at Ebenezer Park - Rock Hill, South Carolina

15 th USA Wakeboard Nationals September 27 29, 2013 Lake Wylie at Ebenezer Park - Rock Hill, South Carolina 15 th USA Wakeboard Nationals September 27 29, 2013 Lake Wylie at Ebenezer Park - Rock Hill, South Carolina (Please check which event(s) you will compete in as of your age on September 26, 2013) Boys (14

More information

USA RUGBY EVENT SANCTION AGREEMENT

USA RUGBY EVENT SANCTION AGREEMENT USA RUGBY EVENT SANCTION AGREEMENT This agreement, entered into and between USA Rugby and (name of Local Organizing Group/club shall be a part of the Sanction Agreement for the Event known as (name of

More information

2018 River Falls Days Parade Registration Form

2018 River Falls Days Parade Registration Form 2018 River Falls Days Parade Registration Form Parade Information: Date and Time: Friday, July 13 Starts at 6:30p Lineup begins at 5p Theme: Keepin it Cool on the Kinni Registration Deadline: $20 late

More information

2015 POLARIS ATV and SxS CONTINGENCY PROGRAM

2015 POLARIS ATV and SxS CONTINGENCY PROGRAM 2015 POLARIS ATV and SxS CONTINGENCY PROGRAM Welcome to the Polaris ATV and SxS Contingency Program. For 2015 Polaris is offering a contingency program for four racing series in North America. This program

More information

Improving the lives of our youth.

Improving the lives of our youth. 2017-2018 PROGRAM WAIVER NATIONAL WINTER ACTIVITIES CENTER. (HEREINAFTER THE CENTER ) PROGRAM FULL AND COMPLETE RELEASE OF LIABILITY AND INDEMNITY AGREEMENT THE CENTER requires wearing helmets for skiing

More information

Dear 8 th grade students and guardians,

Dear 8 th grade students and guardians, THAYER ACADEMY 745 Washington St. Braintree, Massachusetts 02184 (781) 843-3580 Dear 8 th grade students and guardians, May 3, 2018 About thirty 8 th grade students and faculty enjoyed last year s white

More information

2016 Santa Claus Parade Information and Entry Forms RULES AND REGULATIONS

2016 Santa Claus Parade Information and Entry Forms RULES AND REGULATIONS 2016 Santa Claus Parade Information and Entry Forms The Santa Claus Parade, hosted by the City of Yellowknife, is scheduled for Saturday, November 26 at 6:00 p.m. This year s theme is Christmas Around

More information

Association Falls at Green Meadows Community Association, Inc.

Association Falls at Green Meadows Community Association, Inc. RELEASE WAIVER OF LIABILITY ASSUMPTION OF RISKS and INDEMNITY/HOLD HARMLESS AGREEMENT for use of FALLS AT GREEN MEADOWS COMMUNITY ASSOCIATION SWIMMING POOL 1. Defined terms under this Agreement: Association

More information

University of Hawaii Diving Safety Program

University of Hawaii Diving Safety Program University of Hawaii Diving Safety Program Appendix 1 Application for University of Hawaii Scientific Diver Authorization Section 1. Applicant Information Date: Applicant Name: Date of Birth: Sex: Position

More information

SANTA FE CLIMBING CENTER LLC SUMMER CAMP REGISTRATION FORM (Please complete and print legibly)

SANTA FE CLIMBING CENTER LLC SUMMER CAMP REGISTRATION FORM (Please complete and print legibly) SANTA FE CLIMBING CENTER LLC SUMMER CAMP REGISTRATION FORM (Please complete and print legibly) Camper 1 - Last Name: First Name: Middle Name: Camper 2 - Last Name: First Name: Middle Name: Address: Zip:

More information

Land of Lakes Open Judo Tournament - October 13, 2018

Land of Lakes Open Judo Tournament - October 13, 2018 Competition date: Saturday, October 13, 2018 Sanction: USA Judo Inc. (USA Judo sanction #145764) Competition site: ***NEW VENUE*** Eagan Community Center 1501 Central Parkway Eagan, MN 55121 651 675-5550

More information

E Town KY Dolphins Masters Invitational 2015 January 24, 2015 Meet starts 1:30pm

E Town KY Dolphins Masters Invitational 2015 January 24, 2015 Meet starts 1:30pm E Town KY Dolphins Masters Invitational 2015 January 24, 2015 Meet starts 1:30pm SPONSORS SANCTION LOCATION FACILITIES E Town KY Dolphins and Etown Swim and Fitness Center Sanctioned by Kentucky Masters

More information

Matthews Thomas Park Pool Membership 6737 Olde Eight Rd Boston Heights, OH (330) Boston Heights Village Hall (330)

Matthews Thomas Park Pool Membership 6737 Olde Eight Rd Boston Heights, OH (330) Boston Heights Village Hall (330) Matthews Thomas Park Pool Membership 6737 Olde Eight Rd Boston Heights, OH 44236 (330) 655-5160 Boston Heights Village Hall (330) 650-4111 POOL OPERATING SEASON: SATURDAY, MAY 28, 2011 THROUGH SEPTEMBER

More information

THURSDAY 2018/19 SESSION 1 IMPORTANT INFORMATION FOR IP SESSION 1

THURSDAY 2018/19 SESSION 1 IMPORTANT INFORMATION FOR IP SESSION 1 THURSDAY 2018/19 SESSION 1 IMPORTANT INFORMATION FOR IP SESSION 1 Introduction- These lessons are designed to provide a jumping-off point where skaters can choose whether to pursue a recreational or competitive

More information

TEXAS HOTSHOTS BASKETBALL CLUB

TEXAS HOTSHOTS BASKETBALL CLUB TEXAS HOTSHOTS BASKETBALL CLUB www.texashotshots.us PLAYER REGISTRATION PACKET REGISTRATION FORM Player Name: (First, Middle, Last) Home #: Address: City: Zip: Date of Birth: Grade: Uniform Size: Mother

More information

Welcome. Family Outdoor Day. on Saturday, June 1, 2013 at. Hunting Hills in Dilliner Pennsylvania!

Welcome. Family Outdoor Day. on Saturday, June 1, 2013 at. Hunting Hills in Dilliner Pennsylvania! Welcome TO THE 2013 Cabela s CLUB Family Outdoor Day on Saturday, June 1, 2013 at Hunting Hills in Dilliner Pennsylvania! Get ready for an exciting day full of outdoor activities. Cabela s staff will be

More information

USA RUGBY EVENT SANCTION AGREEMENT

USA RUGBY EVENT SANCTION AGREEMENT USA RUGBY EVENT SANCTION AGREEMENT This agreement, entered into and between USA Rugby and (name of Local Organizing Group/Club) shall be a part of the Sanction Agreement for the Event known as (name of

More information

Pasadena Figure Skating Club www. pasadenafsc. com

Pasadena Figure Skating Club www. pasadenafsc. com Pasadena Figure Skating Club www. pasadenafsc. com Membership Application Form The Club s membership year runs from July 1, 2017 through June 30, 2018. There is NO pro-rating of fees for those who join/renew

More information

MISSISSIPPI DELTA DRAGON BOAT FESTIVAL Schelben Park, Greenville, Mississippi July 28 30, 2016

MISSISSIPPI DELTA DRAGON BOAT FESTIVAL Schelben Park, Greenville, Mississippi July 28 30, 2016 MISSISSIPPI DELTA DRAGON BOAT FESTIVAL Schelben Park, Greenville, Mississippi July 28 30, 2016 WAIVER OF LIABILITY, DISCHARGE, RELEASE INDEMNIFICATION AND HOLD HARMLESS AGREEMENT I, the Undersigned, for

More information

Lesson Program. Thanks again for choosing the Ft. Lauderdale Diving Team!

Lesson Program. Thanks again for choosing the Ft. Lauderdale Diving Team! Lesson Program Welcome to the Ft. Lauderdale Diving Team lesson program. We are pleased you have selected the Ft. Lauderdale Diving Team and we are confident you have chosen the right program. Students

More information

Dive Travel Fact Sheet Liability Waiver & Trip Application Form

Dive Travel Fact Sheet Liability Waiver & Trip Application Form Page 1 of 5 Dive Travel Fact Sheet Liability Waiver & Trip Application Form Thank you for choosing Skin n Scuba for your dive travel. We want this trip to be a great experience for you. Eliminating surprises

More information

CONTESTANT APPLICATION

CONTESTANT APPLICATION CONTESTANT APPLICATION NAME BIRTHDATE AGE ADDRESS CITY ZIP PHONE CELL PHONE E-MAIL ADDRESS EDUCATION HIGH SCHOOL COLLEGE / TECHNICAL SCHOOL / YEARS ATTENDED LIST MAJORS AND ANY DEGREES THAT YOU HOLD SCHOLASTIC

More information

FUNDRAISING AND PARTICIPATION AGREEMENT

FUNDRAISING AND PARTICIPATION AGREEMENT FUNDRAISING AND PARTICIPATION AGREEMENT FUNDRAISING In consideration of the acceptance of my registration to participate as a Rider in Pelotonia, I agree to satisfy the total amount of the minimum fundraising

More information

2014 Save on Foods Nanaimo Dragon Boat Festival

2014 Save on Foods Nanaimo Dragon Boat Festival 2014 Save on Foods Nanaimo Dragon Boat Festival Race Information Package NANAIMO BC, CANADA RACE INFORMATION PACKAGE Tel. 250.658.6333 Email: info@fgpaddle.com www.nanaimodragonboat.com 2014 Save on Foods

More information

2018 Pixie 6 & 8 Under District Tournament Hosted By Galveston Lassie Softball League District 31

2018 Pixie 6 & 8 Under District Tournament Hosted By Galveston Lassie Softball League District 31 2018 Pixie 6 & 8 Under District Tournament Hosted By Galveston Lassie Softball League District 31 DATE: May 11-13, 2018 LOCATION: ENTRY FEE: Galveston Lassie Softball Complex 2820 83 rd St. Galveston,

More information

Lost Lake Nature Park Kayak Rental Policy (08/15/2016) Keep for your records.

Lost Lake Nature Park Kayak Rental Policy (08/15/2016) Keep for your records. Kayak Rental Information Charter Township of Oakland Parks & Recreation Commission 4393 Collins Road Rochester, MI 48306 Phone 248-651-7810 Fax 248-601-0106 www.oaklandtownship.org Lost Lake Nature Park

More information

Gravel Grit You Yangs 2018 Terms and Conditions of Entry

Gravel Grit You Yangs 2018 Terms and Conditions of Entry Gravel Grit You Yangs 2018 Terms and Conditions of Entry These Terms and Conditions of Entry ( Entry Terms ) are designed to enable the Gravel Grit You Yangs on Saturday 1 September 2018 (the Event ) to

More information

SOCCER LEAGUES & TOURNAMENTS

SOCCER LEAGUES & TOURNAMENTS SOCCER LEAGUES & TOURNAMENTS Information Packet General Information Checklist Please read through this packet and make sure that all required documents are completed and returned to Armonk Indoor by mail,

More information

Race Announcement. Tawas Bay Windward/Leeward Race: A handicapped race will be held for traditional

Race Announcement. Tawas Bay Windward/Leeward Race: A handicapped race will be held for traditional Race Announcement Boats: Heritage-23: Mackinaw boats are the primary boats in the races. Heritage-23s, rigged for rowing, require four sweep rowers and a coxswain. When rigged for sailing, a crew of three

More information

Diving History N.C. State University Diving Safety Program Application for Scientific Diving Authorization Section 1. Applicant Information

Diving History N.C. State University Diving Safety Program Application for Scientific Diving Authorization Section 1. Applicant Information N.C. State University Diving Safety Program Application for Scientific Diving Authorization Section 1. Applicant Information Date: Applicant Name: Date of Birth: Social Security No.: Sex: N.C. State Faculty:

More information

The Louisville Invitational

The Louisville Invitational The Louisville Invitational Short Course Meters(SCM) November 11, 2018 Sanctioned by Kentucky Local Masters Swimming Committee for USMS, Inc. Sanction Number 418-S005 Sponsored By: Cardinal Masters Location:

More information

5901 Mt. Gainor Rd Wimberley, Tx HUNT AGREEMENT AND LIABILITY RELEASE

5901 Mt. Gainor Rd Wimberley, Tx HUNT AGREEMENT AND LIABILITY RELEASE HUNT AGREEMENT AND LIABILITY RELEASE This agreement is made by DOUBLE F RANCH hereinafter referred to as the OUTFITTER and (NAME, ADDRESS AND PHONE NUMBER) hereinafter referred to as the CLIENT. This agreement

More information

Welcome to the Lesson Program at Springfield Riding Club.

Welcome to the Lesson Program at Springfield Riding Club. Lesson Program Welcome to the Lesson Program at Springfield Riding Club. The purpose of the Riding Club is to create a world class equestrian center facilitating learning, connection, and interaction from

More information

Competitive Cheerleading Parent Packet

Competitive Cheerleading Parent Packet 2018-2019 Competitive Cheerleading Parent Packet Athlete s Name 2018-2019 Cheer Magic Allstars, LLC Competitive Team Contract I certify that I am the parent and/or legal guardian of (the Athlete ). The

More information

QUAD CITIES PICKLEBALL CLUB TOURNAMENT

QUAD CITIES PICKLEBALL CLUB TOURNAMENT QUAD CITIES PICKLEBALL CLUB TOURNAMENT Indoors at Rock Island Fitness and Activities Center, 4303 24 th Street, Rock Island, Il 61201 Three courts available. See club website http://qcpickleball.wordpress.com/

More information

Bayou Wing Chun Waiver APPLICATION FORM

Bayou Wing Chun Waiver APPLICATION FORM Bayou Wing Chun Waiver APPLICATION FORM 1. APPLICANT'S DETAILS: Last Name:... Given Names:... Address:... Postcode:...Ph (home)...ph (work)...... Email:. Mobile-Phone: Occupation:...Date of Birth... Name

More information

Outlined below is the criteria and process a candidate must go through to become an Ocean Rescue Lifeguard.

Outlined below is the criteria and process a candidate must go through to become an Ocean Rescue Lifeguard. Ocean Rescue Lifeguard Candidate, Thank you for your interest in becoming a member of Charleston County Park and Recreation Commission s Ocean Rescue Lifeguard Team. This position requires that you possess

More information

EASTWOOD YOUTH LACROSSE

EASTWOOD YOUTH LACROSSE EASTWOOD YOUTH LACROSSE (Grades 3-8 Instructional and Recreation Program and K-3 Developmental Program) 2014 SUMMER REGISTRATION MAIL-IN AT ANY TIME PRIOR TO MAY 31 Registration Fee: $35.00 (grades 3-8

More information

PRE TRAINING QUESTIONNAIRE

PRE TRAINING QUESTIONNAIRE PRE TRAINING QUESTIONNAIRE Wellbeing Martial Arts collects the information on this form to register and administer enrolments into programs run by Wellbeing Martial Arts. This information will not be disclosed

More information

MIDDLE TENNESSEE STATE UNIVERSITY CHEERLEADING PROGRAM FALL TRYOUT APPLICATION

MIDDLE TENNESSEE STATE UNIVERSITY CHEERLEADING PROGRAM FALL TRYOUT APPLICATION 2018-2019 MIDDLE TENNESSEE STATE UNIVERSITY CHEERLEADING PROGRAM FALL TRYOUT APPLICATION SEPTEMBER 18, 2018 2018-2019 Cheerleading Tryout Application FALL TRYOUT (Tuesday, September 18, 2018) NAME: (Last)

More information

Annual Tournament Texas Judo All Star Event Brown Belt State Championship

Annual Tournament Texas Judo All Star Event Brown Belt State Championship 53rd Annual Tournament 2010 Texas Judo All Star Event Brown Belt State Championship Saturday, April 10, 2010 Sanctioned by Texas Judo, Inc Presented by Denton Jr. Optimist Judo Club http://optimistjudo.org

More information

Climbing Gym Instructor Program Level 1 and 2. Application Package (please specify course dates and location on your application form)

Climbing Gym Instructor Program Level 1 and 2. Application Package (please specify course dates and location on your application form) Association of Canadian Mountain Guides Climbing Gym Instructor Program Level 1 and 2 Application Package (please specify course dates and location on your application form) Cost: Level 1 $295 Level 2

More information

Mail applications to: Richard Imamura 602 W. Princeton Fresno, CA 93705

Mail applications to: Richard Imamura 602 W. Princeton Fresno, CA 93705 2016 Haruo Imamura College Cup HOST: Fresno Judo Club DATE: October 23, 2016 TOURNAMENT START TIME: 1:00PM LOCATION:! Washington Union High School!! 6041 S. Elm!! Fresno/Easton, CA 93706!!!!!! SANCTION:

More information

Payment and Registration must arrive BY the listed date. Early Bird Registration: By March 1, 2012

Payment and Registration must arrive BY the listed date. Early Bird Registration: By March 1, 2012 Feel the power Info package + Registration forms info@allthingscheer.com 1-800-921-0282 (0ATC), Ext. 1 allthingscheer.com It s Show Time! Feel the Power: Sunday, April 15th 2012 Location: Ladner Leisure

More information

Special Angels are a Gift from Heaven

Special Angels are a Gift from Heaven Orange County Special Angels Rodeo Mailing Address: 702 W Division Ave, Orange, Texas 77630 www.specialangelsrodeo.org volunteers@specialangelsrodeo.org Howdy Friends, Plans are currently underway for

More information

Spring Freestyle Ice 2018 Registration Packet

Spring Freestyle Ice 2018 Registration Packet Spring Freestyle Ice 2018 Registration Packet General FS Ice Schedule & Fees Registration Deadline: Monday March 5, 2018 Freestyle ice is available during the fall, winter, spring and summer seasons. Schedules

More information

COWBOY DRESSAGE with Dee Myers

COWBOY DRESSAGE with Dee Myers ORCWDA and Blu Hole Ranch host: COWBOY DRESSAGE with Dee Myers CD Judge and Clinician June 22-24, 2018 Dee is a Recommended Cowboy Dressage Judge and Clinician. She has been sharing her passion for this

More information

DENVILLE RECREATION 2014 SKI & SNOWBOARD PROGRAM

DENVILLE RECREATION 2014 SKI & SNOWBOARD PROGRAM Registration for the Denville Recreation Ski and Snowboard Program is now open. The bottom of this form should be completed for each participant and returned to Don Bogardus, Denville s Recreation Director,

More information

Quaker Cheer Classic. January 23, 2011 at The Palestra. Hosted by

Quaker Cheer Classic. January 23, 2011 at The Palestra. Hosted by Quaker Cheer Classic January 23, 2011 at The Palestra Hosted by Dear Coaches, I would like to invite you and your teams to The Palestra on Sunday, January 23rd for our 14th Annual, University of Pennsylvania

More information