Waiver Information

I / we,wish to participate in the High Performance Provincial Program which is being offered by Football New Brunswick:

In consideration for the opportunity to have my child participate in the above program and on payment of the registration fee, I / we agree that:

1. I / we and our child will be bound by, and will adhere to, the rules and standards of conduct prescribed for the above program by Football New Brunswick from time to time;

2. I / we hereby release Football New Brunswick, its officers, directors, employees, volunteers and agents from all liability, claims, causes of actions of any kind whatsoever, in respect of damages I / (my child) may suffer as a consequence of my child sustaining personal injury, death or property damage or loss while participating in programs and activities of the Football New Brunswick

3. I / we do hereby agree to indemnify and hold harmless Football New Brunswick, its officers, directors, employees, volunteers and agents from any and all claims, demands, causes of actions of any kind whatsoever, including those involving negligence on the part of Football New Brunswick and/or any of its officers, directors, employees volunteers and/or agents that may be made or initiated by, or on behalf of my child, arising out of or connected with my said child's preparation for or participation in any of the Football New Brunswick programs of activities.

4. Finally, I/we hereby authorize Football New Brunswick, its officers, directors, employees, volunteers and/or agents to collect personal information regarding my child and to make use of that information in circumstances that Football New Brunswick deems, in its discretion, to be appropriate. I/we also understand and agree that photographs and/or video recordings of our child may be taken during Football New Brunswick events, and I/we authorize Football New Brunswick to publish any such photographs and/or video recordings.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY ACCEPTING IT, AND ACCEPT IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Image Consent Form

1. I hereby grant to Football New Brunswick and the Organization (collectively the “Organizations”) on a
worldwide basis, the permission to photograph and/or record the Participant’s image and/or voice on still or
motion picture film and/or audio tape (collectively the “Images”), and to use the Images to promote the
sport and/or the Organizations through traditional media such as newsletters, websites, television, film,
radio, print and/or display form, and through social media such as Instagram, Facebook, YouTube, and
Twitter. I understand that I waive any claim to remuneration for use of audio/visual materials used for these
purposes. This consent will remain in effect in perpetuity.
2. I hereby fully release, discharge, and agree to save harmless the Organizations, for any and all claims,
demands, actions, damages, losses or costs that might arise out of the collection, use or disclosure of the
Images or taking, publication, distortion of the Images, negatives, and masters or any other likeness or
representation of the Participant that may occur or be produced in the taking of said Images or in any
subsequent processing thereof, including without limitation any claims for libel, passing off,
misappropriation of personality or invasion of privacy.
3. I UNDERSTAND AND AGREE, that I have read and understood the terms and conditions of this document. On
behalf of me, my heirs and assigns, I agree that I am signing this document voluntarily and to abide by such
terms and conditions.

Football New Brunswick Inc.

2024 High Performance Programs

U16 (2009-2010)