AIG ONLINE FILLABLE INDIVIDUAL REGISTRATION PAY BY CASH, CHEQUE OR MONEY ORDER

ATHLETE FULL NAME:*

Athletes are allowed to compete in multiple sports however a separate registration form and payment needs to be made for each sport participating in.

Day schedule and location of each of the sports:

Sunday August 11th, 2019

Opening Ceremonies @ 4pm

Rundle Park - 2909 113 Ave NW,

Edmonton, AB T5W-0P3

Monday- Wednesday August 12-14

Canoeing @ Rundle Park

Cross Country @ Rundle Park

Lacrosse @ Tipton Arena

Soccer @ Rundle Park

Volleyball @ Locations TBD

Thursday- Saturday August 15-17th 

Archery @ Location TBD

Ball Hockey @ Tipton Arena

Fastpitch Softball @ John Fry Park

Basketball @ Locations TBD

Friday- Saturday August 16-17th

Athletics (Track & Field) @ Rollie Miles Track (Strathcona High School)

Sports with Dates TBD

Golf @ Rundle Park Golf Course

Beach Volleyball @ Rundle Park Beach Volleyball Pits

Saturday August 17th, 2019

Closing Ceremonies after all events are completed

Rundle Park - 2909 113 Ave NW,

Edmonton, AB T5W-0P3

PLEASE SELECT SPORT & DIVISION: (BASED OFF OF BIRTH YEAR OF ATHLETE)*

Athletics Events are: 100m  – 200m  – 400m –  800m – 1500m  – 3000m – Cross Country  – Long Jump –  High Jump  – Discus –  Javelin – Shot Put

If Registering for Athletics Enter Up to 6 Events Per Athlete Here:
(Divisions are subject to change based off of excess or lack of registrations in any particular sport division)
SELECT GENDER:*
TEAM NAME: (If registering for individual sport then leave blank. If registering for a team sport but don't have a team then leave blank and athlete will be put on a team)
ADDRESS:*
E-MAIL:*
HOME PHONE:
-
CELL PHONE:*
-
BIRTHDATE: (MONTH/DAY/YEAR)*
ALBERTA HEALTH CARE #
ABORIGINAL COMMUNITY YOU COME FROM:*
PARENT OR GUARDIAN NAME: (If you are 18 or older then re-enter your name)*
ADDRESS: (If different than athlete)

WAIVER AND RELEASE OF LIABILITY AGREEMENT EVENT: 2019 Alberta Indigenous Games

NAME OF PARTICIPANT:*
ADDRESS*:*
PHONE:*
-
AGE:*
PARENT OR GUARDIAN NAME: (if you are 18 or older then re-enter your name)*

TO: ENBA Sports and its sponsors, (hereinafter collectively referred to as “the Sponsors”)

I am aware that my participation in the athletic events being held at various locations throughout Edmonton (collectively, the “Event Location”) from August 11 – 17, 2019 (the “Event”) is at my own risk and that there are dangers and risks inherent in the Event’s athletic activities, including, but not limited to, head trauma, broken bones, muscle and ligament sprains/strains and cardiac and respiratory distress. I freely accept and fully assume all such dangers and risks and the possibility of personal injury, death, property damage or loss resulting therefrom.

In consideration of the Sponsors permitting my participation in the Event, I hereby agree as follows:

  1. THAT I knowingly and freely assume all risks of the Event, both known and unknown, even if arising from the negligence of the Releasees (defined below), and assume full responsibility for my participation.
  2. TO WAIVE ANY AND ALL CLAIMS that I may have against the Sponsors and their respective directors, officers, employees, agents and representatives, and any volunteers in any way associated with the Event, (all whom are hereinafter collectively referred to as “the Releasees”);
  3. TO RELEASE THE RELEASEES FROM ANY AND ALL LIABILITY for any loss, damage, injury (including death) or expense that I may suffer or that my next of kin may suffer as a result of my participation in the Event due to any cause whatsoever, INCLUDING ANY NEGLIGENCE ON THE PART OF THE RELEASEES;
  4. TO HOLD HARMLESS AND INDEMNIFY the Releasees from any and all liability for any property damage or personal injury (including death) to any third party, resulting from my participation in the Event; and
  5. THAT this Waiver and Release of Liability shall be effective and binding upon my heirs, next of kin, executors, administrators and assigns in the event of my death.

I have read and understand this Waiver and Release of Liability prior to signing it, and I am aware that by signing this Waiver and Release of Liability I am waiving certain legal rights (including the right to sue) which I or my heirs, next of kin, executors, administrators and assigns may have against the Releasees.

PHOTO RELEASE FORM

I am the legal guardian of the above athlete registering and hereby authorize the Edmonton Native Ball Association (ENBA SPORTS) to potentially use the name/image of the child named above in its public  communication materials. I realize that I may withdraw my consent in writing at any time by contacting the ENBA at ab.ind.games@gmail.com.

I understand that the photograph(s) and or video may be used in a publication, print advertisement, direct-mail piece, electronic media (e.g., video, CD-ROM, internet, World Wide Web, Social Media, etc.) or other form of communication.

In giving my consent via this electronic signature by typing in my name, I hereby release and hold harmless the Edmonton Native Ball Association (ENBA SPORTS) and their agents, employees, officials, representatives and contractors from any and all responsibility or liability for damage of any kind suffered in any manner whatsoever.

I hereby relinquish any and all personal or proprietary rights I may have in connection with such use. I understand that I will receive no compensation should any photograph or video of me and or the above athlete mentioned be used.

DATE FORM COMPLETED:*
WITNESS FULL NAME:*
E-SIGNATURE (type in full name) OF PARTICIPANT OR GUARDIAN WHERE PARTICIPANT IS A MINOR*
Please check payment:
* If another person is paying team registration please provide first and last name of person paying for your team and their phone number.

Mail Cash, Cheque or Money Order to: Alberta Indigenous Games 

3323 107 Street NW, Edmonton, Alberta T6J-3C8

To do "Early Bird Registration" Please register before May 15th, 2019. Starting May 15, 2019 the registration costs will go up to $125 per individual and for team registrations it will be $550. Registration deadline is midnight July 15th, 2019. No refunds after July 31, 2019.

For any questions about registrations email us at ab.ind.games@gmail.com.