Player Information Parent/Guardian Information

Player Name:

Name(s): Mother:

Sex: Male ( ) Female ( )

Father: Guardian:

Date of Birth:

Age:

Mailing Address:

Telephone: (H) (W)

The School Board requires that adult supervision be provided at all times that junior members are on school property. The West Carleton Adult Recreational Badminton Club accepts junior members who are children of adult members of the club provided that the sponsoring adult member accepts the responsibility for meeting this supervision requirement at all times. This means that the junior member cannot be in attendance at the club at any time without the adult sponsoring member also being in attendance and providing appropriate supervision. All participants in club activities under the age of 19 must wear approved protective eyewear. I agree to abide by these requirements.

_____________________ _____________________________ _________

Junior Member Adult Sponsoring Member Date

As in all sports activities, participants in badminton are subject to injury. The following release form has been prepared to ensure that all junior members and their parents understand their responsibilities.

The undersigned hereby releases the West Carleton Adult Recreational Badminton Club and its successors and assigns, and the Ottawa-Carleton District School Board, from any and all claims, damages, or causes of action which may arise by reason of the participation of my child in the above program sponsored by the Club. I have read and signed the release on the membership form with respect to my child’s participation in this program.

Signed:_____________________________________________Dated:__________________

Parent or Guardian