Spring Registration & Waiver

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Registration

Player Details






WVBC Reversible must be worn during all sessions.
Address





Medical Information



Parent/ Guardian Contact Details





Payment

Coed Grades 2-3 Session: $155.00 before tax
All Other Coed Grades 4-9 Sessions: $185.00 before tax

* An additional $25 has been added to those ordering a WVBC reversible as requested above.
The total price below includes tax.

$

IMPORTANT: Please print a copy of the following confirmation page for your records.

Waiver

I hereby authorize the participation of my son(s) and/or daughter(s) in the West Vancouver Basketball Club Fall Session 2017. I know of no medical or physical problems which may affect my child’s/ children’s ability to participate safely in this program. I understand that the West Vancouver Basketball Club has the right to deny admission or dismiss any participant from the program who displays inappropriate or unsafe behaviour. I understand that there are certain activities where there is risk of injury and hereby agree to waive and release every such coach of the West Vancouver Basketball Club and the West Vancouver Basketball Club itself from all manner of action suits, losses, damages or injuries however caused by negligence or otherwise arising from my child’s/ children’s participation in this program. As parent or guardian, I hereby authorize the instructor to secure such medical advice and services as may be deemed necessary for the health and safety of my son(s) and/or daughter(s) where all attempts to contact the parent or guardian have failed or where, due to the nature of the emergency, there is insufficient time to contact such parent or guardian, it shall be at the discretion of the instructor as to what steps must be taken for the welfare and safety of the child.

Photography Release: I authorize the use of images taken for use in any promotion of WVBC programs. Information will not be released for solely business or commercial purposes.

Digital Signature

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