2019 Club Registration Form

Please use the form below to register for the 2019 Spring/Summer Club Basketball Season. We're looking forward to a fun season of tournaments and travel and having the correct information for every athlete is very important to us, please submit this info and if any info changes at any point contact us directly to update our records. 

 

Please complete the form below

Please select which age group you are registering for from the list below.
Athlete Name *
Athlete Name
Date of Birth *
Date of Birth
Please Fill In Your Date Of Birth
Athlete Phone Number *
Athlete Phone Number
Please Enter Your Alberta Health Care Number Below.
Please include your emergency contacts phone number.
Parent/Guardian Phone Number *
Parent/Guardian Phone Number
Please list your last school team and what year you played.
Please list your last club team and what year you played.
Please notify us of any additional information that may be important through the time we travel to tournaments and spend with the athletes.
Please select which is your preferred method of payment, payment can be post-dated but must be specified upon registration.
Athlete Participation Waiver *
1. We are the parents or legal guardians of (the “Participant”). 2. We consent to and provide our permission for the Participant to participate in the following sports team offered by GOOD Basketball Corporation ( “GOOD Hoops”) operated by Coaching Staff of GOOD Basketball Corp. (“GBCS”): 3. We confirm that the Participant is in proper physical condition to participate in the designated GOOD Basketball Program. We understand and acknowledge that: a. the Participant’s participation in the designated program could in some circumstances result in physical injury; and b. during the program or event period the Participant may participate in training and activities both on out of town premises and elsewhere in the City of Edmonton and may be a passenger in a vehicle driven by a GOOD Hoops employee or GBCS contractors, which vehicles may or may not be owned, registered or insured, by GOOD Basketball. 4. GOOD Basketball is prepared to allow the Participant to participate in the designated program or events on the express condition and understanding that the GOOD Basketball, GBCS and its employees, officers, agents, volunteers, students, contractors and board members (together with facilities employees, the “Protected Parties”) be absolved from any responsibility, liability or claim for any loss or injury which the Participant may suffer while participating, or traveling to, the designated program activities. 5. We further agree as follows: a. Neither we nor the Participant will sue GOOD Basketball for any harm suffered by the Participant and, in particular, we, and the Participant, through our guardianship and agency, hereby releases, the Protected Parties from any and all liability whatsoever for any injury or loss, including death, or expense that the Participant or we, or any of us, may suffer, incur or be put to in respect of any occurrence or thing occurring to the Participant while engaged in, or while being transported to or from, or while observing, or while being in the vicinity of, the designated program or event even where such injury, loss or expense is wholly or partly attributable to the negligence of the Protected Parties. b. We agree to indemnify and save harmless any of the Protected Parties from and against and or pay to the Protected Parties any and all loss, damage, expense or liability suffered or incurred by any Protected Parties for any and all claims, judgments and costs (including solicitor client legal fees) incurred or suffered by or put forward or obtained against any Protected Parties as a result of any legal action against any Protected Parties (whether directly or by way of third party proceedings) to claim damages or contribution for or in respect of any injury, loss, damage or expense arising from or in any manner connected with the Participant’s attendance at or participation in the designated program or event. We are providing this waiver, release of liability and indemnity in addition to any other waiver, release or indemnity that we have given to the GOOD Basketball Corporation & GBCS in connection with Athletics or any other matter. 6. Where there is only one parent or guardian signing this agreement the plural herein is deemed to include the singular. Where there are two parents or guardians signing this agreement their obligations are joint and several. 7. We recognize that we should read this agreement before signing it, but we agree to be bound by the terms of this document whether we have read it or not. WE ARE AWARE THAT BY CONSENTING TO THIS DOCUMENT WE AND THE PARTICIPANT ARE, AMONG OTHER THINGS, GIVING UP OUR RIGHT TO SUE CERTAIN PERSONS IF THE PARTICIPANT IS INJURED OR SUFFERS SOME OTHER LOSS EVEN WHERE IT IS THAT PERSON’S FAULT. Media Release I HEREBY GRANT TO GOOD BASKETBALL CORPORATION, including its employees, agents, assigns, or other third party as GOOD Basketball Corp. may authorize on its behalf, the nonexclusive right to • Photograph ME • Make recordings of MY VOICE • Make combined audio-visual recordings of ME and MY VOICE • Photograph and make recordings of MY (specify) I CONSENT TO THE USE OF THESE RECORDINGS BY GOOD BASKETBALL CORPORATION for educational materials, publications and websites and other consistent purposes. I hereby assign and transfer to GOOD BASKETBALL CORPORATION all rights to these audio and visual recordings and all benefits and advantages to be derived there from. Editing, publication, distribution, broadcast and use of this material shall be at the sole discretion of GOOD BASKETBALL CORPORATION, worldwide, in perpetuity. I CONSENT TO THE USE OF THESE RECORDINGS BY GOOD BASKETBALL CORPORATION for educational materials, publications and websites and other consistent purposes. I hereby assign and transfer to GOOD BASKETBALL CORPORATION all rights to these audio and visual recordings and all benefits and advantages to be derived there from. Editing, publication, distribution, broadcast and use of this material shall be at the sole discretion of GOOD BASKETBALL CORPORATION, worldwide, in perpetuity. CONSENT TO DISCLOSE IDENTITY Model’s identity, as indicated below, MAY be included in the resources listed below as developed and published in print, electronic, or digital format, including any authorized GOOD Basketball Corporation's website, such as www.goodhoops.ca. Consent takes effect when this agreement is consented to via checkbox on registration online. Protection of Privacy - The personal information requested on this form is collected and protected under the authority of Part 2 of the Alberta Freedom of Information and Protection of Privacy Act. It will be used to administer the Consent, Waiver and Release of Liability. Records generated as part of this process will be securely and confidentially managed according to the Records Management and Information Security Policies of GOOD Basketball Corporation. Direct questions expressly related to the collection and use of this information to: Sunny Sooch, GOOD Hoops Program Director, GOOD Basketball Corporation, 2117 33B Avenue, Edmonton, AB, T6T0H5, Telephone (780) 903-7455.