MIC Women Health & Fitness Program
Event Timing:  6:30 - 7:30 PM
Event Address: St. Albert of Jerusalem School, Mississauga
Contact at (416) 628-4668
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Waiver and Release of Liability:                                  This is a binding legal agreement and as a participant or a representative to the participant in the programs and / or activities of the Meadowvale Islamic Centre Inc. (MIC), I acknowledge the undersigned and agree to the following terms. The Organization, defined by the Meadowvale Islamic Centre Inc, directors, officers, members, employees, coaches, volunteers, officials, participants, sponsors, owners/operators, and representatives of the Centre are not responsible for any injury, damage, or loss of any kind suffered by a participant during, or as a result of, any program, activity or event within or outside the Centre premises, caused in any manner whatsoever including, but not limited to, the negligence of the Centre. I hereby acknowledge that I am aware of the risks and hazards associated with or related to this activity. The risks and hazards include, but are not limited to:• Injuries from executing strenuous and demanding physical techniques in basketball, soccer,  football or any other sport;• Injuries from grass, turf and other surfaces including bacterial infections and rashes;• Injuries resulting from falls to the ground due to uneven or irregular terrain or surfaces;• Injuries from collisions with walls and/or any sport equipment;• Injuries resulting from failure to properly use any piece of equipment or  the mechanical failure of the equipment;• Spinal cord injuries which may render me permanently paralyzed;• Injuries from extreme weather conditions which may result in heatstroke, sunstroke or hypothermia;• Injuries from contact, colliding or being struck by other participants, spectators, equipment or vehicles;• Injuries resulting from vigorous physical exertion and strenuous cardiovascular workouts;• Travel to and from competitive events and associated non-competitive events which are an integral part of the organization’s activities.• Injuries sustained in basketball, soccer, football or any other sport can be severe;• Participant may experience anxiety while challenging oneself during the activities;• Participant may come into close contact with others, including the possibility of accidental and unexpected contact;• Risk of injury is reduced if participant follow all rules established; and • Risk of injury increases as participant becomes fatigued. By participating voluntarily in these events, I am exposed to these risks and hazards. I agree to accept them and be responsible for any injury or other loss which I might receive while participating in these events, activities and programs. If something happens to me or my child, I release the organizers of responsibility for any claims, demands, actions and costs which might arise out of my participation. In this agreement I understand “organization” as mentioned earlier. I have read and understood the terms and conditions of this agreement, and by signing it voluntarily, I am agreeing to abide by these terms.  That this is a ladies only Women Health & Fitness program & requires Registration. Rules may apply to follow the Islamic Etiquettes and Obligations & all participants will need to adhere.                                                                   “By signing this form you will be part of Mic email list and if at any time you wish to withdraw you can automatically unsubscribe “                                                                                                    
I have read and understood the above terms and conditions of this agreement, and by signing it voluntarily, I am agreeing to abide by these                                               *
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Meadowvale Islamic Centre, Inc.                                                   6508 Winston Churchill, Mississauga, ON L5N 3W4.                (905)824-2604                                                                http://www.mici.org                                           info@mici.org
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