CCITC NATIONAL "LIVING HEALTHY"
SENIOR TEAM TENNIS "DOUBLES" TOURNAMENT
ccitc@cromartytennis.ca [Defunct]
PLAYER REGISTRATION AND WAIVER FORMS
(PLEASE PRINT ALL INFORMATION)
Only registered club members are eligible for this tournament
THE NAME OF YOUR TEAM CAPTAIN: _______________________
PROVINCIAL CLUB NAME: __________________________________________
CLUB LOCATION: ___________________________________________________
YOUR LAST NAME: __________________________________________________
YOUR FIRST NAME: ___________________ INITIAL: _____________________
YOUR MAILING ADDRESS: __________________________________________
CITY/TOWN: __________________ PROVINCE/TERRITORY: ______________
POSTAL CODE:_______________________________________________________
HOME PHONE: ___________________ CELL PHONE: ____________________
YOUR E-MAIL: _______________________________________________________
PLAYER'S AGE AS OF NOVEMBER 19, 2014: _______ GENDER: M: ____ F: ____
SELF-IDENTIFIED TENNIS CANADA RATING (3.5 or Greater): _____________
WISH TO COMPETE IN WHICH
GENDER GROUP (Check One Only): Men's: __ Women's: __ Mixed: ___
CHEQUE AMOUNT (See Fee Schedule): ___________ DATE MAILED: _________
* ** 2014 SANCTIONED CANADA 55+ ASSOCIATION PLAYER: Yes: ________ No: _______
* MAKE CHEQUE OUT TO:
CROMARTY COMMUNITY INDOOR TENNIS CENTRE *
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WAIVER OF LIABILITY FORM
(DON'T FORGET TO SIGN THIS FORM AT THE BOTTOM)
NAME OF PLAYER PARTICIPANT: ______________________________________________
IN CONSIDERATION of my
participation as a tennis player or volunteer at the annual CCITC NATIONAL
"LIVING HEALTHY" SENIOR TEAM TENNIS "DOUBLES" TOURNAMENT, CBRM, Cape Breton Island" (hereafter cited as "said CCITC
Tennis Tournament"), and of my use of facilities associated with the tournament,
in addition to the payment of my registration fee, I do hereby waive, release
and forever discharge the CCITC, the Cape Breton Regional Municipality, and all
respective officers, agents, employees, representatives, executors, and all
others from any and all responsibilities or liability for injuries or damages
resulting from my participation in any tennis match in the "said CCITC Tennis
Tournament," or in any related activity, including but not limited to:
practices, competitions, meetings, travel, and social events.
I UNDERSTAND that my participation at the "said CCITC Tennis
Tournament," is strictly voluntary, and that I assume the risk for harm or
injuries caused by such participation. I have been strongly advised that I
should have sufficient insurance coverage.
SINCE PARTICIPATION in Physical activity may involve increased risk or
personal injury, I hereby acknowledge that participation at the "said CCITC
Tennis Tournament," often involve exposure to risks of injury, minor to serious,
including permanent disability a/o death. These type of injures may result from
my own actions or inactions of others, or a combination of both. IT IS
RECOMMENDED that I consult with a physician prior to participating in physical
activity. I do hereby declare myself to be physically sound and suffering from
no condition, impairment, disease, infirmity, or other illness that would
prevent or impair my participation in any activities of the "said CCITC Tennis
Tournament," a/o facilities a/o equipment. I do acknowledge that I have been
informed of the recommendation for a physician's approval prior to my voluntary
participation at the "said CCITC Tennis Tournament." I acknowledge that I have
either had a physical examination and have been given my physicians permission
to participate, or that I have decided to participate without the approval of my
physician and do assume all responsibility for my actions.
MY SIGNATURE certifies that I understand and accept the conditions
required for participation at the "said CCITC Tennis Tournament."
Signature: ______________________________________ Date: ____________________
MAIL TO: Eric Krause, Chair, CCITC, 62 Woodill Street, Sydney, Nova Scotia, B1P 4N9. (Please note: All registration fees are not-refundable if your team is accepted for the tournament).