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Player Registration and Fee Structure
Winter INDOOR PROGRAM (includes this year
subsidized FHA membership fee ) = $200.00
Indoor Registration
*
Indicates required field
Player Name
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Birthdate (yyyy/dd/mm)
*
Player Position
*
Forward
Defense
Goalie
Unknown / Varied
Cell Phone Number for Group texts - last minute updates
*
Division to Play in
*
Adult
Warning: Please read this waiver carefully by signing this agreement, you are affecting your legal rights and liabilities. Do not sign this agreement unless you have carefully read this entire Agreement, understand it, and agree with all of its contents.
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF ALL RISKS, & INDEMNITY AGREEMENT
I, the undersigned, agree that in consideration of myself or my child being permitted to enter and use any one of the described lands, buildings, and premises used for Indoor Field Hockey, and for ANY activities including, but not just limited to, Indoor Field Hockey, on behalf of myself, my heirs successors and assignors, DO HEREBY REMISE, RELEASE, IDEMNIFY, SAVE HARMLESS, DISCHARGE, AND FOREVER HOLD HARMLESS (EFHA) (FHA)., any contracted venue, the city, town or municipality, and their directors, employees, volunteers, coaches, instructors, agents, and independent contractors and their heirs, successors, and assignors from any claims whatsoever arising by reason of any disease, deterioration of health, illness or injury to any person, including death, or for damage to, or loss of any of my property resulting from or arising from the use of the lands and premises, from being present on the lands and premises, from participation in any program, from the use of any facilities or equipment located on the lands and premises, from acceptance of the advice of, or from the gross full negligence of the city , town or municipality, arena or venue, (EFHA)., their directors, employees, volunteers, coaches, instructors, agents, independent contractors or any other persons using the lands and premises. The activities that I will be participating in will be inherently dangerous, and I will be exposed to risk of serious injury, disability, death, and risk of damage to or loss of property. I acknowledge that there may not be prompt access to medical assistance or treatment when participating in any activities, and I assume and accept any risk relating to the access to medical assistance and/or treatment. By signing this document I acknowledge that I have read, understand and accept the conditions of this waiver form and are waiving certain legal rights, including the right to sue.
Fees and legal costs
I AGREE that I will be responsible for all fees and fines that are due and payable to (EFHA) and its affiliates. I further acknowledge that I am responsible for all collections and/or legal costs incurred by (EFHA) and its affiliates in order to see any due fees or fines paid in full. (EFHA) and I agree that (EFHA) can and will void any contract or membership agreement should non-payment or terms of payment not been met. 2% per month interest will be charged on any overdue fees or fines over 30 days. A $35 dollar charge will be given for any NSF cheques.
Privacy Consent
I, the undersigned, do hereby consent to the collection and use of my personal information (including first and last name, address, phone number, postal code, email address, date of birth,), personal image, athletic results and awards, prizes received and verbal quotes, by posting on the website, or affiliated websites, of EFHA, FHA, FHC., the city, town, or municipality in which I play, and/or by publishing in the newsletters of (EFHA) ad its affiliates. I understand and agree that this information will not be sold to anyone without my prior written consent. I understand that my personal information can be viewed by anyone who accesses the (EFHA) Websites or any of the above mentioned websites or publications, and that my consent can be withdrawn at any time, upon adequate prior written notice. I give this consent voluntarily and with the understanding that any of this information may be used in newspapers or magazine stories, posted on websites, and to verify my identity and registration with, EFHA (Edmonton Field Hockey Association), AFHA (Alberta Field Hockey Association), and FHC (Field Hockey Canada).
By clicking AGREE, this will act as a signature that I/We understand and agree with all of the contents of the Agreement on this page
*
Yes
Today's Date - Month
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February
March
April
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June
July
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November
December
Day
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Year
*
2016-2017 Winter Indoor Season
2017-2018 Winter Indoor Season
2018-2019 Winter Indoor Season
Submit / Register Player
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