EDMONTON AND DISTRICT CRICKET LEAGUE

REGISTRATION FORM

Club: Date:
Division: Season:

Player ID Number:
First: Last: Middle Initial:
Address: City: Postal Code:
Contact Phone: Birth Date: (mm/dd/yy) Gender:
E-mail Address:

Release of Liability, Waiver of Claims

Assumption of Risks and Indemnity Agreement
By signing this document you are waiving certain legal rights including the right to sue. Please read carefully.

I _____________________________________________________________________________________(print full name) of

_______________________________________________________________________(print full address) AM OVER THE AGE OF EIGHTEEN YEARS AND I

AGREE THAT, IN CONSIDERATION of my being permitted to enter and use any one or more of the following described lands and premises (including all
facilities and equipment located therein) for any activities including but not limited to Cricket located on the lands and premises being,

a. The lands and premises of the City of Edmonton municipally described as Victoria Park Cricket Ground operated by the Edmonton and District Cricket
league and City of Edmonton by way of home base agreement;
b. The lands and premises of the City of Edmonton municipally described as Millwoods Cricket field operated by the Edmonton and District Cricket league
and City of Edmonton by way of home base agreement;
c. The lands and premises of the City of Edmonton municipally described as Castledowns Cricket field operated by the Edmonton and District Cricket
league and City of Edmonton by way of home base agreement;
d. The lands and premises of the St. Albert Rugby club and PUSHA ground which premises are leased to Edmonton and District Cricket league.

I AGREE that I, the undersigned, on behalf of myself, my heirs, successors and assignors, HEREBY REMISE, RELEASE, INDEMNIFY, DISCHARGE AND
FOREVER HOLD HARMLESS the Edmonton and District Cricket League, the City of Edmonton (“the City”), St. Albert Rugby Club and the
association(s)/league(s) organizing the game or event, their directors, employees, volunteers, coaches, instructors, agents and independent contractors and
their heirs, successors and assignors from any claims whatsoever arising by reason of any disease, deterioration of health, illness or injury to any person,
including death, or for damage to, or loss of any of my property resulting from or arising from use of the lands and premises, from being present on the
lands and premises, from participation in any program, from the use of any facilities or equipment located on the lands and premises, from acceptance of
the advice of, or from the negligence of the Association, the City and the association(s)/league(s) organising the game or event, their directors, employees,
volunteers, coaches instructors , agents, independent contractor or any other persons using the lands and premises.

Consent to Collection, Use and Disclosure of Personal Information

By submitting this registration to participate in our cricket programs and signing below:
a. the registrant; or a
b. if the registrant is under eighteen (18) years of age, a parent or other legal guardian of such registrant;

hereby consents to the collection, use and disclosure of personal information of the registrant and, if the registrant is under eighteen (18) years of age, the
collection, use and disclosure of personal information of the parents or other legal guardian of the registrant, all as may be disclosed to us in this registration
or at a later time (including information on the name, pictures, address, telephone number, birth date, electronic mail address, and cricket participation
history of the registrant and the parents or other legal guardian of such registrant), by us and our affiliated organizations, including the Cricket Alberta and
Cricket Canada, for the following purposes:

c. to permit us and our affiliated organizations to organize, administer and provide programs and activities which allow the registrant to participate in the
sport of cricket;
d. to permit us and our affiliated organizations to conduct fundraising activities; and
e. to permit us and our affiliated organizations to contact the registrant or the parents or other legal guardian of the registrant by mail, telephone or
electronic means;

and such consent shall include consent to the disclosure of personal information to volunteers, employees, and third party fundraisers of us and our affiliated
organizations for their use in association with the purposes set forth above.

DATED at the City of ___________________________________, in the Province of Alberta, this _______________day of __________________(month),
________________(year).

_________________________________________ ______________________________________________
PLAYER SIGNATURE PLAYER PARENT/GUARDIAN (SIGNATURE IF MINOR )

Minor Player Authorization

Must be signed by player’s Parent or Guardian. By signing, I hereby authorize the above player to play in the Edmonton and
District Cricket League. Authorization is valid for current season only.

The Edmonton & District Cricket League is collecting this information under the authority of PIPA. This information may be shared with the Cricket Alberta,
Cricket Canada for the purpose of administering cricket programs. Participant’s names or images may be used by the Edmonton & District Cricket League
for promotional purposes, including display on the Edmonton & District Cricket League’s website. By signing this form, I acknowledge and accept the above
term.
 COMMUNICABLE DISEASES WAIVER/RELEASE FORM – 2021
ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT
In consideration of being allowed to participate on behalf of the Edmonton and District Cricket League (E&DCL)
cricket program and related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1.Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA,
influenza, andCOVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness
and death does exist; and,
2.I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE
NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3.I willingly agree to comply with the stated and all Alberta Health Services (AHS) public health guidelines for
participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant
hazard during my presence or participation, I will remove myself from participation and bring such to the attention
of the nearest AHS official immediately; and,
4.I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND
HOLD HARMLESS Edmonton and District Cricket League (E&DCL), their officers, officials, volunteers, and/or
employees, other participants, sponsors, and if applicable, owners and lessors of premises used to conduct the
event, WITH RESPECT TO ANY AND ALL ILLNESS,DISABILITY, DEATH, or loss or damage to person or property,
WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OROTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS,
UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND
VOLUNTARILY WITHOUT ANY INDUCEMENT.

Name of participant: __________________________

Participant signature: _________________________
Date signed: ____________________

FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)

This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the
provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her
personal responsibilities for adhering to the rules and regulations for protection against communicable diseases.
Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and
child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and
child/ward do release and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to
my minor child’s/ward’s presence or participation in these activities as provided above, EVEN IF ARISING FROM
THEIR NEGLIGENCE, to the fullest extent provided by law.

Name of parent/guardian: ______________________

Parent guardian/signature: ______________________
Date signed: ___________________

The Edmonton & District Cricket League is collecting this information under the authority of PIPA. This information may be shared with the
Cricket Alberta, Cricket Canada for the purpose of administering cricket programs. Participant’s names or images may be used by the Edmonton
& District Cricket League for promotional purposes, including display on the Edmonton & District Cricket League’s website. By signing this form,
I acknowledge and accept the above term.