ContractMembership Registration and Waiver Agreement • November 2nd, 2015
OKOTOKS BMX CLUB MEMBERSHIP REGISTRATION FORM – PLEASE PRINT CLEARLY Last Name: First Name: Gender: M F Mailing Address: Pho ne #: Town/City Province Postal Code Cell #: Birthdate / YEAR MONTH / DAY Age of Dec 31this year Parents Names: E-Mail Address: Alberta Health Care #: Emergency Contact: Phone # Medical Information: (allergies/conditions) Sponsor(s): OKOTOKS BMX CLUB WAIVER WAIVER, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT(WARNING: By signing this agreement, you give up the right to sue for any injury or damage howsoever caused). I, , of , Alberta, hereby sign this ( Participant/Parent or Guardian) Agreement on behalf of myself, my son/daughter , my personal representative, heirs and assigns.1. I agree as a precondition to my son/daughter participation in Okotoks BMX Club and related activities organized and conducted by the Okotoks BMX Club allowing my son/daughter to do so, to be strictly bound by the terms of this Waiver, Assumption of Risk and In
