Rec Basketball 2010,2011 and 2012, 2013 and 2014, 2015

IF YOU PLAN TO APPLY FOR FUNDING, PLEASE REGISTER USING THIS COUPON CODE TO BYPASS PAYMENT

• Canadian Tire Jumpstart Program https://jumpstart.canadiantire.ca
•  Coupon Code:  jumpstart

PLEASE READ THE FOLLOWING OBA WAIVER REQUIREMENTS YOU WILL BE ASKED TO AGREE ON THE NEXT PAGE

I hereby agree, in return for becoming a member of the Ontario Basketball Association (OBA):

TO RELEASE THE OBA, event organization bodies, sanctioning bodies and OBA sponsors and their respective directors, officers, employees, agents, volunteers, contractors, representatives, successors or assigns (collectively the “Releasees”) from any liability for any loss, damage, injury or expense (collectively “Loss”) that I may suffer as a result of my participation in and transportation to or from any OBA program, due to any cause, including negligence or breach of contract;

TO WAIVE ANY CLAIM that I have or may have against any or all of the Releasees regarding any matter, including without limitation, any claim arising out of any OBA program;

TO INDEMNIFY THE RELEASEES from any and all claims, actions or Loss resulting in any way from my participation or participation of the child named below in any OBA program;

THIS DOCUMENT SHALL bind my heirs, executors, administrators, assigns and representatives and will have effect throughout my membership in the OBA and, to the extent reasonably necessary to give it effect, thereafter;

THAT I am (or the child named below is) physically fit to participate in any OBA programs; I am a legal guardian or custodial parent of the child named below.

THAT the OBA is authorized to take photos of the child named below or me at its programs for publicity and promotional purposes only.

I hereby acknowledge and agree that OBA may use and disclose the information on this form to enable OBA to provide membership benefits to all OBA members.

I HAVE READ AND UNDERSTAND THIS AGREEMENT. By submitting this application, I acknowledge having read, understood and agree to the above waiver.