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Registration fee is $26

Life members will be refunded if they register to play

VICTORIA AND DISTRICT CRICKET ASSOCIATION (‘VDCA’)

2020 WAIVER, RELEASE AND PLAYER REGISTRATION FORM

PLEASE READ CAREFULLY BEFORE SIGNING – ALL FIELDS ARE MANDATORY

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Player Details:
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Emergency Contact Details:

Event: All leagues, competitions and events for 2020 organized by the Victoria & District Cricket Association (‘VDCA’).

 

In consideration of the VDCA accepting me as a playing member of the Association to participate in the Event, I, for myself, my heirs, executors, administrators and assigns WAIVE any claims to which I may become entitled for injury or damage and HEREBY RELEASE THE VDCA and all the participants in the Event and all other organizers, executives, sponsors, representatives, agents, employees and any other person or organization assisting in this Event from any claims for damages or injuries suffered to me as a result of my participation in the Event including conditions of the pitch and the field, whether or not caused by negligence and/or howsoever caused including recklessness or omission of any such parties.

 

I understand that there are inherent and other risks involved in the Event and injuries are a common and ordinary occurrence and I freely assume those risks and accept full responsibility for any and all such damage or injury which may result. I am advised to wear all appropriate clothing and equipment for my protection and safety while playing in the Event and I further state that I am in proper physical condition to participate in this Event and I am aware that my participation could, in some circumstances, result in physical injury.

 

I understand that I am required to maintain valid provincial Medical Services Plan coverage (or similar private medical insurance) to remain eligible for insurance coverage under any policy held by the VDCA. I understand that under the terms of the current insurance policy held by the VDCA, cricket related damage to vehicles belonging to cricketers, both players and officials, shall not be covered during the course of a game or at practices.

 

I confirm that I shall adhere and comply with the Code of Conduct of the VDCA and that I understand the VDCA’s Disciplinary Process. I understand that this Player Registration may be rejected by the VDCA’s Executive Committee for any reason including but, not exclusively, a previous or current suspension in the Province of British Columbia or where data supplied on this form does not comply with the Bylaws or Playing Conditions of the VDCA.

 

I have been recommended to obtain legal advice before signing this WAIVER AND RELEASE.

I, THE UNDERSIGNED, HAVE READ AND UNDERSTOOD THE TERMS OF THE WAIVER AND RELEASE.

Dated in the city of: 

, in the Province of British Columbia, this

day of

2020.

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Signature of Playing Member

Signed, sealed and delivered in the presence of:

Signature of Club Witness

NOTE – Parents / Guardians shall not be allowed to participate in any form of coaching or practicing unless they are specially accredited and invited by the VDCA to participate.

(required if Member is under 19)

Signature of Parent / Guardian

Personal data on this form will be held confidentially by the VDCA. All online payments are deposited into the VDCA Bank Account through a Secure SSL Stripe Canada Payment App.