Winter 2015 Intramurals Registration Form Last name: First name: Cell #: Office # Email: Gender Emergency Contact Name: Emergency Contact #: Please circle Student Staff Associate Alumni one: Intramural Day and Time Date Location Cost Please Register me in Badminton Saturday 8am-4pm January 24th North and South Gym $10.00 Hockey Saturday 8am-4pm February 7th North and South Gym $10.00 3on3 Saturday 8am-4pm March 21st North and South Gym $10.00 Basketball Total GST Total Cost Please complete this form and take it to The Ox of The Mercantile for payment. Prices DO NOT include GST. The Student Association will keep this form and stamp with "Paid". Please keep your original receipt. Intramurals Cancellation Policy Full refund will be granted if you cancel seven days prior to the event. No refund will be granted if cancellation occurs after the start date with the exception due to medical reasons (requires a doctors note). Intramurals maybe cancelled in the event of low registration. If this occurs a refund will be issued for the full amount. Equipment: Equipment will be provided if necessary by Recreation Services. Informed Consent I am requesting registration for the above Intramural Sessions offered at Red River College by the Recreation Services Department. I hereby affirm that I am in good physical condition and do not suffer from any disability which would prevent me or limit my participation in a session. In consideration of my participation in the session I release Red River College and Red River College employees from any claims, demands, and causes of action arising from my participation in the Recreation Department Intramural sessions. I fully understand that I may injure myself as a result of my participation, and I, hereby release Red River College from any liability now or in the future including, but not limited to heart attacks, muscle strain, pulls or tears, broken bones, shin splints, heat prostration, knee/lower back/foot injuries and any other illness, soreness or injury however caused, occurring during, or after my participation in the intramurals. I hereby affirm that I have read and fully understand the above. Date: Print Name: Signature: Please Fill Out the Following to Your Specific Intramural Sport(s)
Winter 2015 Intramurals Registration Form Last name: First name: Cell #: Office # Email: Gender Emergency Contact Name: Emergency Contact #: Please circle one: Student Staff Associate Alumni Intramural Day and Time Date Location Cost Please Register me in Badminton Saturday 8am-4pm January 24th North and South Gym $10.00 Hockey Saturday 8am-4pm February 7th North and South Gym $10.00 3on3 Basketball Saturday 8am-4pm March 21st North and South Gym $10.00 Total GST Total Cost Please complete this form and take it to The Ox of The Mercantile for payment. Prices DO NOT include GST. The Student Association will keep this form and stamp with "Paid". Please keep your original receipt. Intramurals Cancellation Policy Full refund will be granted if you cancel seven days prior to the event. No refund will be granted if cancellation occurs after the start date with the exception due to medical reasons (requires a doctors note). Intramurals maybe cancelled in the event of low registration. If this occurs a refund will be issued for the full amount. Equipment: Equipment will be provided if necessary by Recreation Services. Informed Consent I am requesting registration for the above Intramural Sessions offered at Red River College by the Recreation Services Department. I hereby affirm that I am in good physical condition and do not suffer from any disability which would prevent me or limit my participation in a session. In consideration of my participation in the session I release Red River College and Red River College employees from any claims, demands, and causes of action arising from my participation in the Recreation Department Intramural sessions. I fully understand that I may injure myself as a result of my participation, and I, hereby release Red River College from any liability now or in the future including, but not limited to heart attacks, muscle strain, pulls or tears, broken bones, shin splints, heat prostration, knee/lower back/foot injuries and any other illness, soreness or injury however caused, occurring during, or after my participation in the intramurals. I hereby affirm that I have read and fully understand the above. Date: Print Name: Signature: Please Fill Out the Following to Your Specific Intramural Sport(s)
2015-Winter-Intramurals-Registration-Form.docx