Trakkers Cross-Country Ski Club

Membership Application 2016 - 2017

We respect your privacy. We use the information you provide us with below for insurance requirements and club operations only. Please see Privacy Policy for more details.

First Name:
Last Name:
Address:
City:
Postal Code:
Home Phone: - -
Email Address:
Gender: Male Female
Date of birth: mm/dd/yyyy
Membership Fees: $70 - Before September 30
$75 - Before November 30
$80 - After November 30
$50 - After February 15

How did you hear about the Trakkers?

Another Member Newspaper
Recreation Centre Sports Retailer
Library Brochure
Internet Get Out There Magazine
Other

Trakkers is volunteer-run by our members, interested in helping out?

Bus Captain Web Site Media / Internet
Ski School / Ski Instructor Communications Publicity
Membership Sunday Trips Board of Directors

Stay informed - subscribe to receive Trakkers' Broadcast of club updates (approx. monthly)

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CROSS COUNTRY CANADA

INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT

By signing this document you will assume certain risks.

Please read carefully.

  1. This is a binding legal agreement. As a Participant in the sport of cross-country skiing and the programs, activities and events of Cross Country Canada and Canadian Snowsports Association (hereinafter called CCC/CSA), Southern Ontario Division, hereinafter called the Division) and Trakkers Cross Country Ski Club, (hereinafter called Club) which include without limitation cross-country skiing competitions, camps, clinics, and related activities such as roller-skiing, road cycling, running and hiking (hereinafter called the Activities), the Participant (hereinafter called the Parties), acknowledge and agree to the following terms:
  2. Description of Risks

  3. The Participant is participating voluntarily in the Activities. In consideration of the Participant's participation in the Activities sanctioned by one or more of CCC/CSA, the Division and the Club, the Parties hereby acknowledge that they are aware of the risks, dangers and hazards associated with or related to the Activities, and may be exposed to such risks, dangers and hazards. The risks, dangers and hazards include, but are not limited to, injuries from:
    1. training whether indoor or outdoor including strength training, running, hiking, and cycling;
    2. overusing, exerting and stretching various muscle groups and strenuous cardiovascular workouts;
    3. vigorous physical exertion, rapid movements and quick turns and stops;
    4. falling to the ground due to slips, trips or uneven, slippery or irregular terrain or surfaces;
    5. contact,collidingorbeingstruckbyskis,skipoles,equipment,trees, other individuals or other fixed objects;
    6. failing to participate within one's abilities, skill and within designated areas;
    7. becoming lost or separated from the group or the group becoming split up;
    8. failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment;
    9. extremeweatherconditionswhichmayresultinfrostbite,hypothermia, snowstorms, sunstroke or lightning strikes,
    10. encounters with animals or plants including allergic reactions;
    11. travel to and from training, competitive events and associated non-competitive events which are an integral part of Activities; and
    12. other risks normally associated with participation in the Activities.
  4. Furthermore, the Parties are aware:
    1. that injuries sustained may be severe, paralysing or fatal;
    2. that the Participant may experience anxiety or embarrassment while challenging themselves during the activities, events and programs of CCC/CSA, the Division and the Club;
    3. that the risk of injury is reduced if the Participant follows all rules established for participation; and
    4. that the risk of injury increases as the Participant becomes fatigued.
  5. Disclaimer

    In consideration of CCC/CSA, the Division and the Club accepting the Participant's application for membership in the Club or allowing the Participant to participate, the Parties agree that CCC/CSA, the Division and the Club and its respective directors, officers, committee members, members, employees, volunteers, participants, agents and representatives are not responsible for any injury, personal injury, damage, property damage, expense, loss of income or loss of any kind suffered by the Participant during, or as a result of, any of the Activities sanctioned by one or more of CCC/CSA, the Division and the Club, caused by the risks, dangers and hazards associated with the Activities.

  6. Acknowledgement

    The Parties confirm that:

    1. the Participant's physical condition is sufficient to allow participation in the sport of cross-country skiing and the Activities, events and programs of CCC/CSA, the Division and the Club;
    2. they have been provided sufficient information about Activities and the associated risks and hazards so that they are aware of the effect of this agreement;
    3. the Participant agrees to abide by the Rules and Regulations imposed by CCC/CSA, the Division and the Club, in association with the Activities, and to follow the instructions of the officials during the Activities; and
    4. they have read this agreement understand it, have executed this agreement voluntarily, and that this agreement is to be binding upon the Parties, their heirs, executors, administrators and representatives.
  7. Authorization

    In addition, the Parties:

    1. authorize CCC/CSA, the Division and the Club to collect and use personal information about the Parties which relates in any way to the Activities, including without limitation the publication of photographs in newsletters and promotional materials, and the posting of photographs, videos, articles, rosters, statistics, images and results on the CCC/CSA, the Division and the Club websites;
    2. grant permission to CCC/CSA, the Division and the Club to photograph and/or record the Parties image and/or voice, and to use this material to promote CCC/CSA, the Division and the Club through any form of and agree that the audio/visual material and copyright will remain the sole property of CCC/CSA, the Division and the Club and waive any claim to remuneration for use of audio/visual materials used for these purposes; and
    3. understand that they may withdraw such consent at any time by contacting Cross Country Canada at 403-678-6791.

Cross Country Canada will advise the implications of such withdrawal.

*We do not sell or distribute your personal information to any other third party not listed herein.*

The Participant has read and agree to be bound by this agreement.

Member Name
Signature
Dated

Emergency Contact

Name
Phone

Complete the membership form for each person, print and mail, along with your cheque, to:

Trakkers Cross Country Ski Club
P.O. Box 84564
2336 Bloor Street West
Toronto, Ontario
M6S 4Z7

Refunds

Requests for membership refunds must be made in writing to Trakkers Cross Country Ski Club by December 16, 2016. A $20 fee is retained for administrative costs.