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Required Player Medical & Flight Information

Emergency Contact Person

Medical Information

I give permission to The following:

  1. Allow Canada Inline Staff and the host organization of any roller sports sanctioned event to provide, through a medical staff of its choice, customary medical/athletic training attention, transportation and emergency medical services if warranted and as needed in the course of my participation.
  2. I am fully aware of and appreciate the risks (including the risk of catastrophic injury) associated with participation in competitive roller skating events.  I further agree that Canada Inline, the host organization and the sponsors of Canada Inline shall not be liable for any losses or damages occurring as a result of my participation in any event of this sport.  As a member of Team Canada, I agree to submit to the authority and acknowledge the responsibilities of the Team Coach, Team Leader, Team General Manager or Team Doctor/Medical Representative in matters that pertain to training for and the conduct of the Team’s participation in these international championships.  This agreement shall remain effective as long as I am a member in good standing of the Canadian World Championships Team.

 

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I agree to the above terms and acknowledge that the information provide is as accurate as possible.

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