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* Emergency contact name

* Emergency contact relation to athlete

* Emergency contact number (must be available during training session)

* Please note that our refund policy is: 10% admin fee up until 14 days prior to start of program 20% admin fee after 14 days prior to start of program 35% admin fee once program has started NO REFUNDS after 2 classes. For a full refund policy go to www.maccabicanada.com

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* RELEASE AND WAIVER OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT. BY SIGNING THIS AGREEMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS. PLEASE READ THIS DOCUMENT CAREFULLY I acknowledge and agree that in consideration of being permitted to participate in any Maccabi Canada Programs or Activities arranged, organized, sponsored, conducted, authorized, staged and/or operated by Maccabi Canada: 1. I HEREBY ACKNOWLEDGE AND AGREE THAT: • Maccabi Programs and Activities may be dangerous, exposing participants to many risks and hazards, some of which are inherent in their very nature, others which result from human error and/or negligence on the part of the persons involved in arranging, organizing, sponsoring, authorizing, conducting, staging and/or operating the Maccabi Programs and Activities; • The Maccabi Programs or Activities (including travelling to or from such Program or Activity) can be an extreme test of a person’s physical, emotional and mental limits and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to: actions of other people including, participants, volunteers, spectators, coaches, event officials, event monitors and/or producers of the event; lack of hydration, weather, and/or other natural conditions. I hereby assume all of the risks of participating in any Maccabi Program or Activity; • I certify that I am physically, emotionally and mentally fit and have not been advised otherwise by a qualified medical professional; • I willingly agree to comply with the customary terms and conditions for participation. If however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest Maccabi Canada representative immediately; • I understand that neither Maccabi Canada nor any of its directors, officers, employees, volunteers, sponsors, independent contractors or agents assume any responsibility whatsoever for my safety during the course travelling to and from, or my preparation for or participation in any Maccabi Canada Program or Activity; • I understand that Maccabi Canada does not undertake to provide health, accident, disability, hospitalization, personal property, or other insurance for participants in our programs or activities. I affirm that I have appropriate medical insurance in the event medical attention is needed for me; • I understand that I may be photographed and agree to allow my photo, video, or film likeness to be used for any legitimate purpose by Maccabi Canada; • I hereby consent to receive emergency medical treatment that may be deemed advisable by a medical professional in the event of injury, accident, and/or illness during any Maccabi Program or Activity; • I nevertheless freely and voluntarily assume all the aforesaid risks and hazards, and that, accordingly, including traveling to and from, my preparation for, and participation in any Maccabi Programs and Activities shall be entirely at my own risk; 2. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby to the greatest extent permitted by law, RELEASE, HOLD HARMLESS AND INDEMNIFY Maccabi Canada and its directors, officers, employees, volunteers, sponsors, independent contractors and agents (collectively “the Released Parties”) from all liability, and all recourses, proceedings, claims, and causes of action of any kind whatsoever, present or in the future, in respect of any and all personal injuries or property losses which I may suffer arising out of or connected with travelling to and from or my preparation for, or participation in Maccabi Canada Programs or Activities notwithstanding that such injuries or losses may have been caused solely or partly by the active or passive negligence or breach of duty of Maccabi Canada or any of their directors, officers, employees, volunteers, sponsors, independent contractors or agents. I also recognize and agree that the Released Parties assume no responsibility for any liability, damage, or injury that I might sustain due to the intentional, unintentional or negligent acts or omissions of any other person or organization. 3. Governing Law This Agreement shall be construed, interpreted and enforced in accordance with the laws of the Province of Ontario, Canada. 4. Severability If any provision of this Agreement or its application to any Party or circumstance is determined by a court of competent jurisdiction to be illegal, invalid or unenforceable, it will be ineffective only to the extent of its illegality, invalidity or unenforceability without affecting the validity or the enforceability of the remaining provisions of this Agreement and without affecting its application to other parties or circumstances. 5. Acknowledgement of Understanding I have read this Release Waiver of Liability, Assumption of Risk, and Indemnity Agreement, and fully understand its terms and conditions. This is to certify that I as a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the Releases from any and all liabilities incident to my minor child’s involvement or participation in these programs or activities. BY REGISTERING TO THIS PROGRAM I WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.

I hereby release Maccabi Canada to use my photograph/video footage for marketing purposes.