EACH PARTICIPANT SHOULD READ THE FOLLOWING PRIOR TO COMPLETING THIS REGISTRATION

I fully understand and acknowledge that there are many risks in participation in any sport or other activity connected with Manitoba Amateur Football Association Inc., (hereafter “Football Manitoba”), including a risk of serious injury, paralysis, death, property damage, or loss due to the nature of the sport of football. In consideration of being permitted to participate in any activities of Football Manitoba and/or any of its member clubs or organizations, I hereby release and expressly waive any right of any claim for myself, and for my heirs, executors, administrators, personal representatives, successors and as against Football Manitoba (and/or any of its member clubs or organizations), their Directors, Officers, Agents, Coaches, Officials, Referees, Trainers, Physiotherapists, Doctors, Managers, any Volunteers, and Employees, and their respective heirs, executors, administrators, personal representatives, successors and assigns (the “Releasees”), jointly and severally of and from any al all claims, demands, rights and causes of actions of whatsoever any kind and nature, arising from or by any reason and for any loss or any death, sickness, or loss or damage to property including loss or theft of personal property incurred by me any time during my participation in any activity connected with Football Manitoba (and/or any of its member clubs or organizations), whether such claims or liability arises from the conduct of any of the said persons organizing, supervising or conducting the activities of Football Manitoba (and/or any of its member clubs or organizations), or any negligence, breach of contract, nuisance, tort or other cause of action whatsoever which may now exist or come into existence at any time in the future, including without limitation, a failure on the part of the Releasees to safeguard or protect me from the risks, dangers and hazards in participating in activities associated with Football Manitoba (and/or any of its member clubs or organizations) and for the same consideration I hereby expressly waive any right of claim in respect of the foregoing.

I hereby irrevocably grant to Football Manitoba (and/or any of its member clubs or organizations) the exclusive right to permit, authorize, any form or corporation to take and make use of any still photographs, motion pictures, or electronic digital or television pictures of me or my likeness as well as the reproduction of my name in connection with my participation in the activities of Football Manitoba (and/or any of its member clubs or organizations) and which may be used, reproduced, distributed, or otherwise disseminated by Football Manitoba directly or indirectly in any manner it desires.

I further represent and warrant that I will not participate in any activity of Football Manitoba (and/or any of its member clubs or organizations) unless I am in good health and have no physical condition that would prevent me from participating in those activities.

I further agree not to make any claim or take proceedings against any other person or corporation who might claim contribution or indemnity under the provisions of The Tortfeasors and Contributing Negligence Act, R.S.M., c.266 and the amendments thereto or any similar law or legislation from any of the parties having the benefit of this release.

I certify to my knowledge that I have not been diagnosed with COVID-19 or, if I have been so diagnosed, that I have been advised by a medical professional that I am no longer contagious. I also certify that, to the best of my belief, I have not been exposed to anyone who has tested positive for COVID-19 or other such infection in the last 14 days and I am not currently suffering from any related symptoms including but not limited to fever, difficulty breathing, pneumonia, cough or loss of smell. I also certify that I will follow any and all directions or instructions from Football Manitoba or other Releasees related to the use of personal protective equipment and other safety measures during my participation in Football Activities.

I acknowledge that I am of the full age of eighteen years, or, if not, I have obtained the consent of my parent or legal guardian to participate in the activities of Football Manitoba (and/or any of its member clubs or organizations).

I acknowledge that I have read this document including the “Code of Conduct” framework as listed in this form before signing it and have had an opportunity to obtain an explanation as to its contents.

DISCLOSURE OF PERSONAL INFORMATION
Personal information will only be collected by the Manitoba Amateur Football Association Inc. (Football Manitoba) to meet and maintain the highest standard of organizing and programming the sport of football and for the following purposes:
• managing insurance coverage and claims
• communicating and promotion of Football Manitoba’s programs, events and activities, including sanctioned events
• NCCP number, education, resumes and experience for database entry at the Coaching Association of Canada to determine level of certification and coaching qualifications
• Football Manitoba does not, and will not, share/sell the information to third parties.

Rural Manitoba Football League

2021 TACKLE COACH/STAFF