Toronto Sixers – Registration & Waiver Form

Participant Information

Participant Full Name

Date of Birth

Year

Month

Day

Parent/Guardian Full Name

Phone

Emergency Contact

Emergency Contact Name

Emergency Contact Phone

Relationship to Participant

Medical Information

Does the participant have any medical conditions?

If yes, please describe

WAIVER & CONSENT

I acknowledge that participation in Toronto Sixers basketball programs involves inherent risks, including injury or loss.

I agree (on behalf of myself and/or my child/ward) to assume all risks and waive all claims against Toronto Sixers, its coaches, staff, and representatives for any injury, loss, or damages, including those caused by negligence.

I authorize emergency medical treatment if necessary and confirm that the participant is physically fit to participate.

REQUIRED CHECKBOXES (ALL REQUIRED)

I agree to the Waiver & Release of Liability

I accept the risks of participation

I consent to emergency medical treatment

I confirm the participant is physically fit

I agree to the Payment & Refund Policy

I agree to follow Toronto Sixers rules and code of conduct

I consent to photo/video use

I consent to receive emails and program updates

SIGNATURE

Parent/Guardian Name

By submitting this form, I confirm this acts as my legal signature

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