EmailMe Form - Ocean Athletics Trial Session Application 2024

Membership Status: *

Trial Application Only

Athlete Name *

First Last

Birth Date: *

MM / DD / YYYY

Gender *

Male

Female

Primary Email *

Primary Phone *

### - ### - ####

Address *

Street Address City State / Province / Region Postal / Zip Code

Parent/Guardian's Name

First Last

Parent/Guardian's Name

First Last

Select Trial Program *

Please list any medical conditions or protocols that Ocean Athletics Track & Field Club should be aware of (if nothing, type n/a): *

MEDICAL DECLARATION

To the best of my knowledge, the athlete is in good health and the medical information provided above is accurate. I will inform an Ocean Athletics Track & Field Club representative immediately of any significant health changes. *

I have read, understood and agree to the Medical Declaration.

OCEAN ATHLETICS TRACK & FIELD CLUB WAIVER

In consideration of your accepting my or my child’s application for a 1-session trial membership in Ocean Athletics Track & Field Club (the "Club"), I forever release and discharge the Club, its directors, officers, coaches, employees and agents (collectively the ‘Participants’) from any and all actions, damages, claims, demands, costs and expenses whatsoever which might arise by reason of travelling to or from or participating in training session or competitions whether or not incurred by the negligence of a Participant, and I agree to indemnify and save harmless the Participants, their personal representatives, successors and assignees, against and from all damages, claims, demands, costs and expenses which may hereafter be brought or made against them by or on behalf of myself/my child because of travelling to or from or participating in training sessions or competitions whether or not incurred by the negligence or any of the Participants, except to the extent and amount covered by accident or liability insurance or both. *

I have read, understood and agree to the Ocean Athletics Track & Field Club Waiver.

ADHERENCE TO BC ATHLETICS & OCEAN ATHLETICS TRACK & FIELD CLUB POLICIES

As a prospective member of Ocean Athletics Track & Field Club, BC Athletics and Athletics Canada, I agree to abide by the rules and expectations set out by these organizations with respect to safety, athlete conduct, respect, adherence to anti-drug policies, and nonuse of tobacco, alcohol and non-medicinal drugs during any and all Ocean Athletics Track & Field Club sponsored activities including training sessions, competitions and camps. *

I have read, understood and agree to the Adherence to Ocean Athletics Track & Field Club, BC Athletics and Athletics Canada Policies.

SAFETY / ACKNOWLEDGEMENT OF RISK

The responsibility for sport safety must be shared by all. I, the undersigned, am aware that there is a certain risk of injury involved in my own or my child's participation in sport, either while travelling to or from the event; or while attending or participating in the programs or activities of the events which are sanctioned/approved by BC Athletics, its Divisions, its Member Clubs or recognized organizing societies. It is understood by me that signing of this document is intended that on behalf of myself and/or my child I assume the shared responsibility and acknowledge the risk of injury by so participating. *

I have read, understood and agree to the Safety / Acknowledgement of Risk.

To the best of my knowledge, the information provided in this application is truthful and accurate. I will inform an Ocean Athletics Track & Field Club representative immediately should I discover otherwise. I acknowledge that my membership with Ocean Athletics Track & Field Club could be terminated by providing false information.

SIGNATURE (Guardian signature if under 18): *

Clear