Program Inquires/Registration

Player Information

Parent Contact Information

Waiver

As a participant at AKZ Performance Development, I understand that my voluntary participation in soccer and fitness programs and special events including, but not limited to, the use of weights, number of repetitions and use of any and all equipment, all apparatus designed for exercising and the associated facilities shall be the participants sole responsibility during all times of fitness training participation and use. I also understand that participation in any of the events noted above does pose the risk of serious injury or other adverse health consequences, including death. I agree to self-limit my exertion through good judgment and to terminate any physical activity immediately, if it exceeds my personal limitations, whether or not it exceeds the activity level recommended by the staff or prescribed by my physician. I hereby consent to, and permit emergency medical treatment in the event of any injury or illness.

If requested to obtain written consent from a personal physician or other health care practitioner, I verify that a practitioner has evaluated me, and I have been approved to participate in the programs and exercise activities offered at AKZ Performance Development. I understand it is my responsibility to seek and continue to receive medical evaluations from my personal physician and other health care practitioners to determine if there are any medical conditions or injuries that could limit my participation in fitness or health promotion activities. I agree to notify the staff at AKZ Performance Development of changes in health status, physical injuries, pregnancy, hospitalizations, surgery or additional physical and medical limitations, or additions/changes in medication recommended by my physician that may affect my participation in fitness or health promotion activities. I understand that for any new medical conditions or injuries noted above, written consent from my personal physician may be required prior to resuming activities.

If my current fitness or injury status limits my activities, I agree to follow the recommendations for modification as stated by my health care practitioners and/or trainers. These limitations have been fully explained to me, and I understand and assume the risk of injury and other adverse health consequences, including death, if I exceed the exercise and dietary guidelines recommended by my consulting practitioners. I agree that non-compliance may result in the termination of my entitlement to train at AKZ Performance Development.

In full consideration of the above mentioned risks and hazards and in full consideration of the fact that I am willingly and voluntarily participating in the activities made available by AKZ Performance Development, and with my full understanding of all of the above, I hereby waive, release, remise and discharge AKZ Performance Development and its agents, officers, principles, employees and volunteers, of any and all liability, claims, demands, actions or rights of action, or damages of any kind related to, arising from, or in any way connected with, my participation in AKZ Performance Development fitness programs/classes, including but not limited to those 1) my participating in the use of all amenities and equipment in the facility and my participation in any activity, class, program, personal training or instruction; 2) the sudden and unforeseen malfunctioning of any equipment; 3) AKZ Performance Development instruction, training, supervision, or dietary recommendations; 4) my slipping and/or falling while in the building, or on the premises, including adjacent sidewalks and parking areas; 5) contact with other participants or against any of the walls in the premise; (v) allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.

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

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above. I also give full permission for any person connected with AKZ Performance Development to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well-being of the child.
I recognize that there is risk involved in the types of activities offered by AKZ Performance Development. Therefore, I accept financial responsibility for any injury that I, or the participant may cause either to him/herself or to any other participant due to his / her negligence. Should the above-mentioned parties, or any one acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to reimburse them for such fees and costs. I further agree to indemnify and hold harmless AKZ Performance Development, their principles, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by AKZ Performance Development.

COVID-19

I am a participant or the parent/guardian of a child participating at AKZ Performance Development. I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the province of Ontario and many other Public Health authorities still recommend practising social distancing in order to contain the spread of the virus. I acknowledge that although AKZ Performance Development has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19, AKZ Performance Development cannot guarantee that the child that I have registered above or myself will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of the child that I have registered above, myself and others. I voluntarily seek services provided by AKZ Performance Development and acknowledge that the child that I have registered above and myself are increasing our risk to exposure to the Coronavirus/COVID-19 by engaging in these athletic services. I acknowledge that the child that I have registered above and myself must comply with all set procedures to reduce the spread while attending our training sessions. I attest that: * I (or the child I am registering) are not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell. * I (or the child I am registering) have not travelled internationally within the last 14 days. * I (or the child I am registering) have not travelled to a highly impacted area within the United States of America in the last 14 days. * I (or the child I am registering) do not believe to have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. * I (or the child I am registering) have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by the province of Ontario or local public health authorities. * I (or the child I am registering) are following all provincial and local public health authorities and their recommended guidelines as much as possible and limiting our exposure to the Coronavirus/COVID-19. * I (or the child I am registering) are entering AKZ Performance Development voluntarily and of our own free will without any coercion by any person or company and being fully aware that we are in the midst of a COVID-19 virus pandemic and the virus appears to be highly contagious. * I (or the child I am registering) will maintain at least a 6 foot or 2 metres of social distance from all other persons while in or on AKZ Performance Development premises. * I (or the child I am registering) will ensure to wash our hands upon entry and exit from AKZ Performance Development premises while understanding and agreeing that this may still be limited in the effectiveness of preventing viruses or diseases of any kind like the Coronavirus/COVID-19. I hereby release and agree to hold AKZ Performance Development harmless from, and waive on behalf of the child that I have registered above and myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to the child that I have registered above and myself. I understand that this release discharges AKZ Performance Development from any liability or claim that the child that I have registered above and myself, my heirs, or any personal representatives may have against AKZ Performance Development with respect to illness, death, medical treatment, or property damage that may arise from, or in connection to any services received from AKZ Performance Development. This liability waiver and release extends to AKZ Performance Development training facility together with all owners, partners, and employees