ALL MIDDLE SCHOOL, JUNIOR AND SENIOR GIRLS

BASKETBALL COACHES

South Vancouver Island Basketball Association (SVIBA)

Girls Spring Basketball League

Register your players to play as a team this spring!!

Details of this Spring League are as follows:

-league will run six weeks and will use both gyms at Belmont or Spectrum School

-all games will be played Wednesday nights starting April 12

-games will be two 25-minute running-time halves

-can accommodate 4-6 teams per division, possible separate middle school, junior, senior

and open women divisions

Registration Fee = $650 per team

Registration deadline – April 6

-association referee for all games, scorekeepers for each game

-fee includes set of up to 12 league t-shirts to use as uniforms

-teams must provide their own coach for their team

-coaches must complete and pay their own club registration

To register your team, complete the form below and email or mail the form back to Brett Westcott before the registration deadline. If you have any questions or if you require any additional information, please contact Brett Westcott c/o EMAIL: westcott@shaw.ca or H: 250-388- 9807.

SVIBA Run and Gun Spring Basketball–Open Women, Middle/Junior/Senior Girls

TEAM NAME:_______________________________ -DIVISION:_______________

COACH NAME:_____________ -HOME PHONE:_________ EMAIL:__________

-Please register my team in the High-School Spring League – Middle. _____

-Please register my team in the High-School Spring League – Juniors. _____

-Please register my team in the High-School Spring League – Seniors. _____

-Please register my team in the Open Women Division Spring League. _____

-Email form to: Brett Westcott, c/o westcott@shaw.ca.

-Mail form and fee to: SVIBA, c/o #441-40 Gorge Road West, Victoria, V9A-1L8

-All Cheques made payable to South Vancouver Island Basketball Association

WAIVER AND CONSENT FORM

ASSUMPTION OF RISK

RELEASE OF WAIVER LIABILITY INDEMNITY AGREEMENT

THIS ASSUMPTION AND RELEASE OF LIABILITY WAIVER FORM MUST BE SIGNED BY ALL PARTICIPANTS (WHETHER MEMBER OR NON-MEMBER) BEFORE THEY MAY PARTICIPATE IN ANY OF OUR ACTIVITIES.

IN CONSIDERATION, of allowing me to participate in related events and activities of the South Vancouver

Island Basketball Association also known as “SVIBA.”

I WARRANTY TO YOU THAT:

1. I have adequate EXTRA personal and accidental injury insurance.

2. I am familiar with the risk of injury that may occur to any participant in basketball activities such as clinics, practices, camps, tournaments, jamborees and leagues.

3. I believe I am physically, emotionally and mentally able to participate in the basketball activities as outlined in #1.

4. I understand all applicable rules for participation must be followed and that at all times the sole responsibility for personal safety remains with me.

5. I will immediately remove myself from participation and notify the nearest SVIBA coach or official if at any time I sense or observe any unusual hazard or unsafe condition or I feel that I have experienced any deterioration in my physical, emotional or mental fitness to continue as a participant.

I UNDERSTAND AND AGREE, on behalf of myself, my heirs, my assigns , my personal representatives and next of kin, which my participation in this sport and execution of this document constitutes:

1. AN UNQUALIFIED ASSUMPTION OF ALL RISKS associated with participation in this sport by me even if arising from negligence, or gross negligence, including any compounding or aggravation of injuries caused by negligent rescue operations or procedures of the SVIBA organizer and any other persons associated therewith.

2. FULL AND FINAL RELEASE AND WAIVER OF LIABILITY of the SVIBA organizer and all persons and organizations associated with it, including its officers, directors, coaches, agents, employees, other participants, sponsors, advertisers and owners/lessors of the property used to conduct SVIBA programs, medical or rescue personnel with respect to all injury, disability, death or loss or damage to person or property whether arising from negligence or rescue of.

3. UNDERSTANDING NOT TO SUE SVIBA for any injury, costs or damages of any form or type, howsoever caused or arising and whether directly or indirectly from the participation of any minor.

AGREEMENT TO INDEMNIFY AND TO SAVE AND HOLD HARMLESS SVI from any litigation expenses, legal fees, liability, damage award or cost of any form or type whatsoever they may incur due to any claim made against them, whether the claim is based on the negligence or the gross negligence of SVIBA.

I HAVE READ THIS DOCUMENT THOROUGHLY. I UNDERSTAND THE ORGANIZER IS RELYING UPON MY WARRANTIES, ASSUMPTIONS, WAIVER AND RELEASE, UNDERTAKINGS AND AGREEMENTS WHEN ACCEPTING MY PARTICIPATION IN THIS PROGRAM.

SIGNATURE OF PARTICIPANT or ____________________________________________________

PARENT GUARDIAN (if participant is under the age of 18 years old)

PRINTED NAME OF PARTICIPANT: __________________________ GRADE: ______________

DATE OF BIRTH: ___________________ EMAIL ADDRESS: ______________________________

SIGNATURE OF WITNESS: __________________________________________________________

PRINTED NAME OF WITNESS: Brett Westcott, SVIBA

DATE: March / April _________, 2017