OWEN SOUND CROSS COUNTRY SKI CLUB

CROSS COUNTRY CANADA

WAIVER FORM

2010-2011

THIS WAIVER MUST BE COMPLETED WHEN SIGNING FOR CLUB MEMBERSHIP

(*) ALL PARTICIPANTS UNDER THE AGE OF 19 MUST HAVE A PARENT/GUARDIAN SIGN BELOW.

I HEREBY AGREE to abide by all the Rules and Regulations of Cross Country Canada (hereafter called CCC), Southern Ontario Division (hereafter called the Division) and to participate in events, activities and programs sanctioned by CCC and the Division in accordance with the Association’ s Rules, Regulations and Bylaws.

IN CONSIDERATION OF CCC, the Division and the Owen Sound Cross Country Ski Club, acceptance of me as a registered member of the Association, and my being permitted to take part in the Association’s events, activities and programs, I hereby, for myself, my heirs, executors, administrators and assigns, forever release, discharge and hold harmless CCC, the Division and the Owen Sound Cross Country Ski Club, it’s directors, officers, employees, representatives or agents.

Date: ______________________________________________________

Name:______________________________________________________

Address:_____________________________________________________

City: _______________________

Postal Code:__________________

* Signature (Parent/Guardian if applicable): _________________________