Athletics Alberta
Informed Consent Agreement

Risk:

I, ______________________ the undersigned understand and acknowledge that participating in Athletics Alberta’s programs and activities might result in personal injury, property damage or loss, and possible death.  I fully understand these risks and hereby agree to participate in programs or activities of events which are sanctioned/approved by Athletics Alberta, its divisions, its member clubs or recognised organising societies (hereafter referred to as "the Association"), voluntarily and at my own risk.

Rules:

I understand that the rules and regulations are designed for the safety and protection of participants and hereby agree to abide by the rules and regulations set down by Athletics Alberta.

Liability:

In consideration of acceptance of my participation in programs or activities of the event which is organized, operated or sanctioned by the Association, I agree that Athletics Alberta, its officers, directors, employees, coaches, volunteers, members, agents and representatives, shall not be liable for any personal injury, property damage or loss arising from or in any way resulting from my participation, unless such injury, loss or damage is caused by the negligence of the Association or its volunteers, sponsors, employees or agents while acting with the scope of their duties.

Each participant (i.e. Athlete, Coach, Official, Administrator) must complete the following:    Please check the appropriate box:
I confirm that I am:  

Under the age of 18, and have my parent/guardian authorization as below.

Of the full age of 18 years, have read, understood and agree to the contents of this Informed Consent Form in its entirety.

___________________                ______________________

Witness                                 Signature of Participant

___________________                ______________________

Print Name of Witness Print Name of Participant

Signed this _____day of _________, ____(yr)

IF UNDER 18:

For each Participant Under the Age of 18, the following must be completed by his/her Parent or Guardian:

I as the parent/guardian of the participant named herein hereby declare that I have read, understood and agree to the contents of the Informed Consent Form in its entirety.  I as the parent/guardian of the participant named herein  hereby agree to assume full responsibility to instruct my child of the risks involved, and to inform him/her of the importance of abiding by the rules, and regulations of Athletics Alberta.

Signature of Parent/Guardian _______________________

Signed this _____ day of _____________, ____(yr)                  ___________________________