Servasport Registration Membership # _____________________________

CANADIAN GAELIC ATHLETIC ASSOCIATION, hereinafter referred to as the “CGAA”
WAIVER AND FROM LIABILITY AND ASSUMPTION OF RISK, to be signed by all Adults, participating in Gaelic Games in Canada, including CO-ED Recreational Gaelic Games, (Football and Camogie)



Club Name: _______________________________________________Hereinafter referred to as the “Club”
* READ BEFORE SIGNING *
IN CONSIDERATION of my participation in the Gaelic Games, including CO-ED Gaelic Games and related activities and events, I HEREBY WAIVE AND RELEASE, indemnify, hold harmless and forever discharge the CGAA, the Divisional Committees, Club, its members, guests, employees, emergency volunteers, officers, directors, affiliates, successors and assigns (such parties collectively referred to as the “Released Parties”), from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages and liabilities, of any kind and nature, whether known or unknown, in law or equity, that I have or may have, arising from or in any way related to my voluntary participation in Gaelic Games, including CO-ED Gaelic Games and related activities and events, even if arising from the negligence of the released parties; provided, however, that this waiver of liability does not apply to acts of intentional misconduct. I confirm that I am over eighteen (18) years old at time of signing, and I understand and agree that:



1. The risk of injury from activities involving Gaelic Games, including CO-ED Gaelic Games is significant, including the potential for injury, paralysis, fatality and damage to personal property, and while particular skills, equipment, and personal discipline may reduce these risks, the risk of injury does exist; and
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASED PARTIES or others, and I ASSUME FULL RESPONSIBILITY for my participation; and
3. I agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual, significant hazard during participation, I will remove myself from participation and bring such to the attention of the Club administrators

4. I certify that I have no physical or mental condition that would prevent me from safely participating in Gaelic Games, and I will inform the club of any illness or medical condition I may have; and
5. If injury occurs in connection with the event, I agree that anyone who provides medical assistance to me shall not be liable even if they increase the injury or cause additional injury or death; and
6. The CGAA requires the use of mouth guards in Gaelic Football, and requires the use of helmets with full faceguards in Hurling and Camogie. I understand that the use of mouth guards, helmets and faceguards may reduce the likelihood of injuries. Any questions I have asked have been answered to my complete satisfaction. I understand the risks of participation in Gaelic Games, including CO-ED Gaelic Games and related activities and events.



I have read, understand and fully agree to the terms of this waiver and release. I understand and confirm that by signing this waiver and release that I have given up substantial future legal rights and my signature is proof of my intention to execute a complete and unconditional waiver and release of all liability to the full extent of the law. I am signing this waiver and release freely and voluntarily without any inducement and under no duress or threat of duress. I hereby CONSENT to my participation in Gaelic Games, including CO-ED Gaelic Games, activities and related events.


Print Name:


Signature:

Street Address:

City: Province: Postal Code:

Date of Birth (DD/MM/YYY):

Email: Phone #:

Club Secretary Name: ____________________________________________________________________________________

Date: