Serdachny Powerskating & Hockey Participant Waiver
All players parents and Guardians must carefully read and complete this waiver prior to any participation.
In Consideration of Steve Serdachny Consulting Inc. O/A, AAA Serdachnys Power Skating & Hockey International and/or Steve Serdachny Consulting Inc. and/or Steve Serdachny.
Power Skating & Hockey USA, AAA Team Alberta and the South Edmonton Blades Skating Club, accepting as a participant in this Powerskating & Hockey programs, I (Parent/Guardian) hereby for myself, my heirs, executors, administrators and assigns, forever release and discharge Steve Serdachny Consulting Inc O/A Serdachny Powerskating & Hockey International, Steve Serdachny Powerskating & Hockey USA, AAA Team Alberta, Serdachny's Power Skating and Hockey International and/or South Edmonton Blades Skating Club their Instructors, Administrators, servants, agents, sponsors, employees or volunteers from any claims, demands, costs (including solicitor and client costs on a full indemnity basis) actions, causes of action, proceedings arising out of or as a consequence of any loss, injury or damage however caused by attending and participating in any program, school or Tournament and/or Steve Serdachny Consulting Inc. programs.
I declare that (Player's) physical condition, to the best of my knowledge, is such that it will enable him/her to participate safely in the tournament and or skating and hockey related programs and that no physician or other qualified individual has advised him/her against participating in this or similar programs and further assume all responsibility with him/her not obtaining such an examination. The sport and sporting activity of hockey, powerskating and off ice warmup and/or dryland sporting activities has inherent physical risks that may result in serious damage/personal injury. I agree to fully supervise my player off ice in the facility and accept all responsibility. The participant knowingly and freely assumes all risks.
I ALSO UNDERSTAND THAT:
- Full and properly certified protective equipment including helmet must be worn.
- The administration reserves the right to remove from the program, camp, tournament or event, any participant, if in the opinion of the staff or tournament committee or administrators, the participant is not acting in an acceptable manner.
- The sport of hockey, skating and dry land sporting activities has inherent risks that may result in serious damage/personal injury. I knowingly and freely assume all risks. Medical insurance is the full responsibility of the participants.
- Photography, cameras, videos are prohibited.
- You also consent to receiving instructional feedback, planning and future camp and school information electronically.
- Due to some circumstances beyond our control we reserve the right to adjust pprogram times facilities and/or game times.
- Photos and videos taken during the camp may be used for promotional, iinstructional purposes and are the sole property of Steve Serdachny.
WAIVER OF LIABILITY AGREEMENT: All Programs
DISCLAIMER:
Steve Serdachny Consulting Inc. O/A Serdachny Powerskating & Hockey International it’s consultants, employees, instructors, volunteers, agents, or representatives are not responsible for any death, injury, loss or damage of any kind suffered by any person while participating in any prescribed programming including all on ice programming, games, fitness testing and training protocols and programs, caused in any manner whatsoever including, but not limited to, the negligence of Steve Serdachny Consulting Inc. O/A Serdachny Powerskating & Hockey, Steve Serdachny Powerskating & Hockey USA, AAA Team Alberta and or the South Edmonton Blades Skating Club.
DESCRIPTION OF RISKS:
In consideration of my being permitted to participate in the Powerskating & Hockey training programs designed and operated by Serdachny Powerskating & Hockey, I hereby acknowledge that I am aware of the risks associated with or related to Powerskating, Hockey and training and training program adherence (INCLUDING THE RISK OF SEVERE OR FATAL INJURY TO MYSELF OR OTHERS), which include but are not limited to:
- Injury or illness due to symptoms such as abnormal blood pressure, fainting, lightheadedness, muscle cramps or strain, musculoskeletal injury, nausea, heart rhythm disturbances or heart attack;
- All manner of injury resulting from a fall and hitting a piece of equipment, other people, or physical structures;
- Injuries resulting from failure of equipment;
- Injuries resulting from being hit by falling people and cuts and abrasions from skin contact with any equipment.
RELEASE OF LIABILITY:
In consideration of Steve Serdachny Consulting Inc O/A Serdachny Powerskating & Hockey allowing me to participate in the programs and activities designed and operated by Steve Serdachny Consulting. I agree:
To assume all risks arising out of, associated with or related to my participation in programs or fitness testing procedures, even though such risks may have been caused by the negligence of Steve Serdachny Consulting Inc O/A Serdachny Powerskating & Hockey inc.
To be solely responsible for any injury, loss or damage which I might sustain while participating in any on/ off ice programs, games and testing procedures, even though such injury, loss or damage may have been caused by the negligence of Serdachny Powerskating & Hockey.
To release Steve Serdachny Inc O/A Serdachny Powerskating & Hockey from liability for any and all claims, demands, actions, and costs which may arise out of my participation in any training programs, schools, games even though such claims, demands, actions and costs may have been caused by the negligence of Steve Serdachny Consulting Inc O/A Serdachny Powerskating & Hoxkey as well as all the parties previously mentioned.
COVID-19
COVID-19 Consent Form
I understand the novel coronavirus causes the disease known as COVID-19. I understand the novel coronavirus virus has a long incubation period during which carriers of the virus may not show symptoms and still be contagious.
I understand that I have an elevated risk of contracting the novel coronavirus simply by being in public and participating in group events/activity.
I confirm that I am not presenting any of the following symptoms of COVID-19 identified by my local health authority: Fever > 38C, new cough or worsening chronic cough, sore throat or painful swallowing, new or worsening shortness of breath, difficulty breathing, flu-like symptoms, runny nose.
I confirm I know that there are categories of people who are considered to be high risk: those 65 years of age or older and those with heart disease, lung disease, kidney disease, diabetes or any auto-immune disorder. I am not considered high risk OR I fall into the high risk category and I have agreed to participate in group events/activity regardless.
I confirm that to my knowledge I am not currently positive for or waiting for results of a laboratory test for novel coronavirus.
I understand that any travel from any country outside of my home country, including travel by car, air, bus, boat or train,
significantly increases my risk of contracting and transmitting the novel coronavirus. I verify that I have not returned from any country outside of my home country in the past 14 days.
I understand that my local health authority has asked individuals to maintain physical distancing of at least 2 metres (6 feet) and it is not possible to maintain this distance and participate in group events/activity.
I verify that I have not been identified as a contact of someone who has tested positive for novel coronavirus or been asked to self-isolate by my local health authority, the Communicable Disease Control or any other governmental health agency OR I verify that I am a healthcare worker who has worn appropriate PPE.
I verify the information I have provided on this form is truthful and accurate. I knowingly and willingly consent to participate in group events/activity during the COVID-19 pandemic.
ACKNOWLEDGMENT
I (Parent/Guardian) certify this waiver is being filled out by the parent and legal guardian of the athlete if under the age of 18.
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I ACKNOWLEDGE that I have read this agreement, that I have executed this agreement voluntarily, and that this agreement is to be binding upon myself, my heirs, executors, administrators, coaches, consultants, agents, trainers, therapists, and representatives.
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I CONSENT to have (Player) participate in programs operated by Steve Serdachny Consulting Inc as described above.
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I AGREE to the above waiver, the
returns/refunds policy, and the
website terms of use and privacy policies
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