Beginners Course @ MUC
Event Venue:          18 February 2023
Event Time:            10:00 - 16:00
Event Address:      Rhenish Girls High School Pool
Contact us at:        0824084533 or playunderwaterhockey@gmail.com
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Bring along
Name & Surname (on certificate) *
Email *
Contact number *
Where are you a club member? *
I understand that I will have to pay R250 before or R300 upon arrival *
Required
Banking details:

PUWHA
FNB
62379485842
200610  

Reference:  
Players   = BCP + Name Surname
Coaches = BCC + Name Surname

Email proof of payment to
playunderwaterhockey@gmail.com
*
Required
Do you have medical aid *
Medical Aid Name, Number and Contact Number
*
I herby grant MUC the right in case of emergency to call my medical aid to assist when needed
*
Indemnity Agreement - In consideration for permission to participate in The Beginners Course for Players and Coaches, I hereby acknowledge the following: 1) I, as player, parent and or guardian, am aware that all Sport Clubs involve risk, and that some are violent contact sports; 2) I am aware that playing or practicing in underwater hockey can be a dangerous activity involving many risks of injury; 3) I know, appreciate and understand that the inherent dangers and risks of participating in underwater hockey include, but are not limited to, injuries ranging from minor scrapes, strains, and bruises to significant injuries to the muscular skeletal system, internal organs, oral-dental area, eye injury or loss, concussion, paralysis, and even death, and may result from my own actions, the actions of others, or a combination of both. 4) I recognize and acknowledge that My Underwater Club (MUC) do not provide or carry accident or health insurance on the participants in the activities. I also realize that sports injuries can be catastrophic for those without medical coverage. 5) I understand and agree that it is my responsibility to know, understand, and comply with all applicable MUC rules for my own safety, regulations, and instructions. I HEREBY RECOGNIZE ALL RISKS ASSOCIATED WITH MY PARTICIPATION IN THE BEGINNERS COURSE FOR PLAYERS AND COACHES PRESENTED BY MUC AND FOR MYSELF, MY HEIRS, EXECUTORS, ADMINISTRATORS AND ASSIGNS, AGREE TO RELEASE, WAIVE, DISCHARGE, RELINQUISH, INDEMNIFY AND HOLD HARMLESS MUC, THE COACHES, AND AGENTS, FROM ANY AND ALL OBLIGATIONS, LIABILITIES, CLAIMS, DEMANDS, COSTS, AND EXPENSES (INCLUDING ATTORNEY’S FEES) WHATSOEVER WHICH MAY ARISE OR IN CONNECTION WITH MY PARTICIPATION IN THE BEGINNERS COURSE FOR PLAYERS AND COACHES ACTIVITIES. By clicking SUBMIT, I have carefully read it and understand that the terms hereof serve as a release and assumption of risk, and that, being at least 18 years of age and fully competent on behalf of myself or as parent guardian for the above mentioned player, sign it voluntarily.
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