YDC Open Gym Registration

This is the Registration and Consent Form for the 2024/2025 YDC's Taekwondo Class

Authorization to Retain and Release Information

International Worship Centre Inc. (IWC) and Youth Development Centre (YDC) (the “Organization") is collecting and retaining the Participant’s personal and medical information for the purposes of participating in the YDC Open Gym sports and activities, assigning the Participant to the appropriate activities/groups, informing you of program updates, advertising, and marketing materials, and attending to the Participant in the event of medical or other emergencies. This information will be maintained indefinitely as required by our insurance company and legal counsel. If you wish the Organization to limit the information collected, or to view the Participant’s information, please contact us.

By signing this form, you authorize the Organization, in your capacity as the Participant’s legal guardian(s), to collect, use, or disclose any information with respect to the Participant as the Organization deems necessary and for the purposes set out herein.

By signing this form, you authorize the Organization, in your capacity as the Participant, to collect, use, or disclose any information with respect to you as the Participant as the Organization deems necessary and for the purposes set out herein

Parent/Guardian Information

Participant's Information

Child Information

Address

Emergency Contact Information

Medical Information

Tip: 9-Digit Number

Please immediately advise the Organization of any changes to your child’s
medical information.

Please immediately advise the Organization of any changes to your child’s
medical information.

Informed Consent and Acknowledgement

Release of Liability, Waiver of Claims and Assumption of Risks for YDC Open Gym
 

By clicking "I Accept" below, you will waive certain legal rights, including the right to sue or claim compensation.
 

PLEASE READ CAREFULLY

This Consent and Waiver shall apply at all times during my participation, including, without limitation, travelling to and from the gym or at any place at which activities associated with the gym are conducted.

By participating in the YDC Open Gym provided by International Worship Centre Inc. (the “Organization”) at 1077 St. James, I/we, jointly and severally, acknowledge and agree as follows:

1. I am aware and understand that there are risks related to my participation. I further understand and acknowledge the inherent risks, dangers, and hazards that may occur in connection with or arising out of my participation, which may include, but are not limited to: serious illness and exposure to bacterial and/or viral disease(s), including COVID-19; any bodily injury, including aggravation of existing injury or condition; slip, trip or fall; drowning; adverse weather conditions; burns, minor and major wounds, rashes, and contact with animals, insects, plans and other allergens; and loss, theft or damage to personal property. 

I acknowledge that I voluntarily participate with knowledge of the risk, dangers, and hazards involved. I herby agree to accept and assume all risk of injury, illness, disability, death, or property damage arising from my participation, whether caused by the negligence of the Organization or otherwise.

2. I hereby expressly waive and release any and all claims which I have or may in the future have, against the Organization, and its officers, directors, employees, agents, representatives, affiliates, shareholders, successors, and assigns (collectively, "Releasees"), on account of injury, illness, disability, death, or property damage arising out of or attributable to my child's participation, whether arising out of the negligence of the Organization or any other Releasee or otherwise, including without limitation, breach of contract, or breach of any statutory or other duty of care. I covenant not to make or bring any such claim against the Organization or any other Releasee, and forever release and discharge the Organization and all other Releasees from liability under such claims.

3. I shall defend, indemnify, and hold harmless the Organization and all other Releasees against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including reasonable legal fees, fees, and the costs of enforcing any right to indemnification hereunder, and the cost of pursuing any insurance providers, incurred by/awarded against the Organization or any other Releasees in a final non-appealable judgment, arising out or resulting from ANY claim of a third party related to my participation.

4. This Consent and Waiver constitutes the sole and entire agreement of the Organization and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. If any term or provision of this Consent and Waiver is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Consent and Waiver or invalidate or render unenforceable such term or provision in any other jurisdiction. This Consent and Waiver is binding on and shall inure to the benefit of the Organization and me and our respective successors and assigns. All matters arising out of or relating to this Consent and Waiver shall be governed by and construed in accordance with the laws of the Province of Manitoba and the federal laws of Canada applicable therein.

5. MEDICAL Consent and Acknowledgement: I am aware that the Organization requires a valid health number and completed medical information in the event of a medical emergency. I further acknowledge that I am solely responsible for ensuring that I have sufficient medication, including EpiPens and inhalers, for the entire duration of the camp. I understand that it is my responsibility to consult with an appropriate medical practitioner prior to my participation. I represent and warrant that I have fully disclosed to the Organization any and all conditions or information that may affect my ability to participate, increase my risk of injury, or may have an impact on other participants. 
I hereby authorize the Organization and its representative, staff, or volunteer to provide appropriate emergency first aid and CPR to me in the event of a medical emergency, to sign a consent for medical treatment, and to authorize any physician or hospital to provide medical advice, treatment, and services as the Organization may in its sole and absolute discretion deem necessary for the health and safety of myself.

By clicking "I accept" below, I acknowledge that I have read and understood all of the terms of this agreement and that I am voluntarily giving up substantial legal rights (on my behalf and on behalf of my heirs, executors, administrators, and next-of-kin), including the right to sue the Organization and the Releasees.

Informed Consent and Acknowledgement

Release of Liability, Waiver of Claims and Assumption of Risks for YDC Open Gym

By clicking "I Accept" below, you will waive certain legal rights, including the right to sue or claim compensation.
 

PLEASE READ CAREFULLY

I/We, the parent(s) or legal guardian(s) named below, hereby grant my/our child, the Participant, permission to attend the YDC Open Gym at 1077 St. James. For greater clarity, this Consent and Waiver shall apply at all times during my child’s participation, including, without limitation, travelling to and from the gym or at any place at which activities associated with the gym are conducted

By participating in the YDC Open Gym provided by International Worship Centre Inc. (the “Organization”) at 1077 St. James, I/we, jointly and severally, acknowledge and agree as follows:
 

1. I am aware and understand that there are risks related to my child’s participation. I further understand and acknowledge the inherent risks, dangers, and hazards that may occur in connection with or arising out of my child’s participation, which may include, but are not limited to: serious illness and exposure to bacterial and/or viral disease(s), including COVID-19; any bodily injury, including aggravation of existing injury or condition; slip, trip or fall; drowning; adverse weather conditions; burns, minor and major wounds, rashes, and contact with animals, insects, plans and other allergens; and loss, theft or damage to personal property. 

I acknowledge that I am permitting my child to voluntarily participate with knowledge of the risk, dangers, and hazards involved. I herby agree to accept and assume all risk of injury, illness, disability, death, or property damage arising from my child's participation, whether caused by the negligence of the Organization or otherwise.

2. I hereby expressly waive and release any and all claims which I have or may in the future have, against the Organization, and its officers, directors, employees, agents, representatives, affiliates, shareholders, successors, and assigns (collectively, "Releasees"), on account of injury, illness, disability, death, or property damage arising out of or attributable to my child's participation, whether arising out of the negligence of the Organization or any other Releasee or otherwise, including without limitation, breach of contract, or breach of any statutory or other duty of care. I covenant not to make or bring any such claim against the Organization or any other Releasee, and forever release and discharge the Organization and all other Releasees from liability under such claims.

3. I shall defend, indemnify, and hold harmless the Organization and all other Releasees against any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including reasonable legal fees, fees, and the costs of enforcing any right to indemnification hereunder, and the cost of pursuing any insurance providers, incurred by/awarded against the Organization or any other Releasees in a final non-appealable judgment, arising out or resulting from ANY claim of a third party related to my child's participation.

4. This Consent and Waiver constitutes the sole and entire agreement of the Organization and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. If any term or provision of this Consent and Waiver is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Consent and Waiver or invalidate or render unenforceable such term or provision in any other jurisdiction. This Consent and Waiver is binding on and shall inure to the benefit of the Organization and me and our respective successors and assigns. All matters arising out of or relating to this Consent and Waiver shall be governed by and construed in accordance with the laws of the Province of Manitoba and the federal laws of Canada applicable therein.

5. MEDICAL Consent and Acknowledgement: I am aware that the Organization requires a valid health number and completed medical information in the event of a medical emergency. I further acknowledge that I am solely responsible for ensuring that my child has sufficient medication, including EpiPens and inhalers, for the entire duration of the camp. I understand that it is my responsibility to consult with an appropriate medical practitioner prior to my child’s participation. I represent and warrant that I have fully disclosed to the Organization any and all conditions or information that may affect my child’s ability to participate, increase my child’s risk of injury, or may have an impact on other participants. 
I hereby authorize the Organization and its representative, staff, or volunteer to provide appropriate emergency first aid and CPR to my child in the event of a medical emergency, to sign a consent for medical treatment, and to authorize any physician or hospital to provide medical advice, treatment, and services as the Organization may in its sole and absolute discretion deem necessary for the health and safety of my child.

By clicking "I accept" below, I acknowledge that I have read and understood all of the terms of this agreement and that I am voluntarily giving up substantial legal rights (on my behalf and on behalf of my heirs, executors, administrators, and next-of-kin), including the right to sue the Organization and the Releasees.

Media Release

Photos & Videos are regularly taken and used by YDC and IWC for ministry and promotional purposes.

Witness of Acceptance

We also require that you accept these terms in the presence of a witness. 

By clicking "I accept" below, I, the Witness named above, hereby state that I am a witness to the acceptance of the terms and conditions of this Release of Liability and Waiver of Claims.