Group Training Pods Registration
WAIT FOR THIS TO LOAD AND PLEASE READ THE BELOW IN FULL!!!

Location: Sarnia Evangelical Missionary Church (707 Talfourd St, Sarnia, ON N7T 1S1)
Start Date: July 11th - September 2nd
Duration: 8 weeks
Length of Session: 1 hour
Price: $200 per Athlete
Registration Deadline: July 4th
Age Groups: Grades 3 - 12 *At the time of May 2022*

Instructions for signing up:
1. Sign up using the form below
2. Make payment of $200 by e transfer to roccabasketballacademy@gmail.com. Please add the name of the child you are registering in the message when sending the e transfer. Have this name match the form below.

Additional Information:
1. If you miss the registration deadline you can still contact us and we will try our best to accommodate.
2. If we need to cancel a session due to unforeseen circumstances we will notify you via email no later than 1 day before the workout. Any cancelled workouts will extend the programming another week to accommodate the guaranteed the 8 weeks as promised.
3. Every athlete will need there own basketball and water
4. HAVE FUN!!!

Send us an email at roccabasketballacademy@gmail.com if you have any questions regarding the form.
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Email *
Athlete First & Last Name *
Parent Contact First & Last Name *
Parent Cell Phone Number *
What Club Team / High School do you Play for? *
What Year Were You Born? *
Please Select Your Pod Below *
What is your T-Shirt Size? *
Authorization 1 - Please read carefully *
I recognize the risk of injury or potential health risk that may be involved in participation in the Rocca Elite Basketball Academy. I hereby willingly assume such risk of injury or health risk for the above-named child for whom I am in law responsible and assume full responsibility during his/her participation in the program/activity. In consideration of an acceptance of my application and the permission to participate in the program/activity, I, for myself, my heirs, executors, administrators; successors and assigns HEREBY RELEASE, WAIVE, AND FOREVER DISCHARGE Rocca Elite Basketball Academy, all other organizations, associations, companies associated with any of the programs offered by Rocca Basketball Academy, and all their respective agents, employees, officials, servants, contractors, representatives, elected and appointed officials, successors and assigns OF AND FROM ALL claims, demands, damage costs and actions, whatsoever and howsoever caused, arising or to arise by reason of my child’s participation in the program or any of its associated activities. By signing below, parents, guardians and campers agree to abide by all rules, regulations, financial policies and procedures and expectations for behaviour as described in the Rocca Elite Basketball Academy information.
Authorization 2 - Please read carefully *
ASSUMPTION OF RISK, RELEASE, WAIVER, CONSENT AND INDEMNITYI hereby agree, in return for becoming a member of the Rocca Elite Basketball Academy and my participation or the participation of the child named above in any practices, training, games, events, programs, and/or activities organized, operated, conducted or sanctioned by Rocca Elite Basketball Academy alone or with another organization:-THAT THE World Health Organization has classified the Coronavirus Disease (“COVID-19”) outbreak as a global pandemic and I am aware of the risks of COVID-19, and the risks to personal health, including by the failure to follow physical distancing, flowing from COVID-19;-THAT I AM assuming all health risks and adverse health-related consequences, including without limitation COVID-19, to me and the child named above caused by or arising from engaging in any Rocca Elite Basketball Academy Programs (the “Assumed Risks”);-THAT I AM aware of the RTP Guidelines, that I and the child named above will abide by the RTP Guidelines, and that the RTP Guidelines are subject to all federal, provincial, and municipal laws, regulations, by-laws, and orders as they may exist from time to time;- TO RELEASE the Rocca Elite Basketball Academy, event organization bodies, sanctioning bodies and Rocca Elite Basketball Academy sponsors and their respective directors, officers, employees, agents, volunteers, contractors, representatives, officials from any liability for any loss, damage, injury or expense (collectively “Loss”) that I may suffer arising out of or connected with the Assumed Risks and/or the content or implementation of the RTP Guidelines and/or my participation in and transportation to or from any Rocca Elite Basketball Academy Program, due to any cause, including negligence;- TO WAIVE ANY CLAIM that I have or may have against any or all of the Releasees regarding any matter, including without limitation, any claim arising out of any Rocca Elite Basketball Academy Program or implementation of the RTP Guidelines;- TO INDEMNIFY THE RELEASEES from any and all claims, actions, or Loss resulting in any way from my participation or participation of the child named above in any Rocca Elite Basketball Academy Program or from the implementation of the RTP Guidelines;- THAT I am (or the child named above is) physically fit to participate in any Rocca Elite Basketball Academy Programs;- THAT I am a legal guardian or custodial parent of the child named above;- THAT the Rocca Elite Basketball Academy is authorized to record personal information, images, and audio recordings in any medium of the child named above or me at or in relation to any Rocca Elite Basketball Academy Program for publicity and promotional purposes or regarding the implementation of the RTP Guidelines, and I hereby consent to the collection, use, and disclosure of such personal information about me and/or the child named above;- THIS DOCUMENT SHALL bind my heirs, executors, administrators, assigns, and personal representatives and will have effect throughout my membership in the Rocca Elite Basketball Academy Program and, to the extent reasonably necessary to give it effect, thereafter;BY SUBMITTING THIS APPLICATION, I acknowledge having read the above Assumption of Risk, Release, Waiver, Consent, and Indemnity, and that I understand and agree to the above Assumption of Risk, Release, Waiver, Consent and Indemnity.
A copy of your responses will be emailed to the address you provided.
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