Sudbury u12 Basketball Camp Registration
Event Timing: February 3, 2024  10am to 1pm U12 boys, 2pm to 5pm U12 girls
Event Address: Loellen Park Secondary School - 275 Loachs Rd, Sudbury, ON P3E 2P8
Contact us at (705) 849-6329 or josh.carpenter@iswo.ca
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Athlete's Name
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Emergency contact name and phone number
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What best describes your Indigenous Ancestry?
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If you are First Nation Status What is your community?
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Does your player have any medical conditions we should be aware of?
Media Waiver: I, the undersigned, do hereby consent and agree that Indigenous Sport & Wellness Ontario (ISWO), its employees, or agents have the right to take photographs, videotape, or digital recordings to use these in any and all media, now or hereafter known, and exclusively for the purpose of promotion, exhibition and any other lawful purposes.I further consent that my identity may be revealed therein or by descriptive text or commentary. I do here by release to Indigenous Sport & Wellness Ontario, its agents, and employees all rights to exhibit this work in print and electronic form publicly or privately and to market and sell copies. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used.I understand that there will be no financial or other remuneration for photographs or recordings, either for initial or subsequent transmission or playback. I also understand that ISWO is not responsible for any expense or liability incurred as a result of my participation in this recording, including medical expenses due to any sickness or injury incurred as a result.I hereby give permission to Indigenous Sport & Wellness Ontario to take and use recordings or images of this participant. I have read and understand the foregoing statement, and am competent to execute this agreement.
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