MANSI SKATING REGISTRATION FORM
Thank you for your interest in participating our Skating Classes. Before starting your first session, kindly complete the form below. If you have any questions, please contact us via info@mansiskating.com
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Student First Name *
Student Last Name *
Student Date of Birth *
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Student Gender *
Address *
City *
Province *
Postal Code *
Name of Parent/Guardian (if Applicable)
Phone Number *
Email *
Emergency Contact Name *
Emergency Contact Number *
Select Program *
Select Location *
Select Age Group: *

I (or Legal Guardian) hereby acknowledge and agree that, in consideration of my participation in skating programs, activities, whether occurring in the near or distant future, organized, operated, or permitted by Mansi Skating Inc.:

1.       To indemnify and hold harmless releasees from all damages or losses because of any claim, demand, cause of action including those involving negligence that may be made or initiated by, or on behalf of my/our child, arising out of my/our child’s Participation.

2.       Skating exposes participants to many risks and hazards (“Risks and Hazards”), some which are foreseeable, some of which are not.

3.       Because of Risks and Hazards, I/we or my/our child as a participant may suffer serious personal injury, even death, as well as property loss.

4.       I freely and voluntarily assume all Risks and Hazards, and that my or my/our child’s Participation is entirely at my/our own risk.

5.       To undertake to skate safely and always wear protective equipment (minimally helmet and wrist guards); no Releasee assumes any responsibility for my safety or the safety of my/our child during Participation.

6.       I have read this document, fully understand it, and am/are voluntarily signing it.

7.       Will be forever prevented from suing or otherwise claiming against any Releasee for any loss or damage connected with any property loss or personal injury I/we sustain during Participation.

8.       have been given the opportunity and encouragement to seek independent legal advice prior to signing this document.

9.       Mansi Skatin Inc. would not permit Participation by me or my/our child unless I signed this document, which need to be brought to attention before participation.

10.   This document is binding on myself, my heirs, my executors, administrators, personal representatives, and assigns.

11.   The use of alcohol and/or drugs prior to or during participation in any skating program or activity is strictly prohibited.

12.   To follow all instructions and rules provided by Mansi Skating Inc., including those related to skating techniques, equipment use, and facility access.

13.   Mansi Skating Inc. reserves the right to suspend or revoke my or my child's participation in skating programs or activities for any violation of the terms and conditions or any other reason deemed appropriate by Mansi Skating Inc.

14.   To promptly report any accidents, injuries, or property damage that occur during my or my child's participation in skating programs or activities to Mansi Skating Inc.

15.   Mansi Skating Inc. may modify or cancel skating programs or activities at any time for any reason.

16.   Any disputes arising out of my or my child's participation in skating programs or activities will be resolved through binding arbitration in accordance with the laws of the state where the program or activity takes place.

17.   To waive my right to a trial by jury and to participate in any class action or collective action lawsuit against Mansi Skating Inc.

18.   This agreement constitutes the entire understanding between me and Mansi Skating Inc. regarding my or my child's participation in skating programs or activities and supersedes all prior agreements and understandings.

19.I hereby authorize the use of any image, photograph or videotape of me (or my child) within the framework of the activities of the courses

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Date of Submit *
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