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Required Zip/Postal Code:* Zip/Postal Code is Required Birth Date:* Birth Date is Required Gender:* Gender is Required -------------------------MaleFemale Phone Number:* Phone Number is Required Club:* Club is Required --------------------------Ares PentathlonNova PentathlonCentral Alberta PentathlonPentathlon AlbertaOther Emergency Contact Name:* Emergency Contact Name is Required Emergency Contact Phone:* Emergency Contact Phone is Required Emergency Contact Relation to Athlete:* Emergency Contact Relation to Athlete is Required Review TERMS and CONDITIONS: Review TERMS and CONDITIONS is not valid <p style="text-align: center;"><strong>WAIVER</strong></p> <p style="text-align: left;">Know all men by these present that the undersigned hereby releases and forever discharges Pentathlon Alberta Association and any affiliated clubs within the province of Alberta, their members, directors, officers and all persons providing services for Pentathlon activities, from all actions, causes of action, claims, demands, damages or expenses known or unknown, which the undersigned now has or may hereafter have and, the undersigned hereby agrees to indemnify the above-named organizations, their members, directors, officers and all other persons named above from any actions, causes of action, claims, demands, damages, costs or expenses known or unknown by reason of any members of my family (including minors under the age of 18) participating in any activities sponsored by the above organizations or conducted in conjunction with them.</p> <p style="text-align: center;"><strong>CONSENT TO USE OF IMAGE</strong></p> I hereby give Pentathlon Alberta Association (“Pentathlon Alberta”) permission to use images of me (including any motion picture or still photographs made by Pentathlon Alberta of my likeness, poses, acts and appearances or the sound records made by Pentathlon Alberta of my voice) (“Images”) for any purposes in connection with promoting Pentathlon Alberta and its activities (the “Purposes”), which may include advertising, promotion and marketing. Pentathlon Alberta may crop, alter or modify Images of me and combine such Images with other images, text, audio recordings and graphics without notifying me. I understand that my personal information, including Images of me, is being collected pursuant to section 33(c) of the Freedom of Information and Protection of Privacy Act, for the Purposes. I consent to my name and any other information provided by me to Pentathlon Alberta being displayed in connection with the appearance of my Image. I consent to any of my personal Information, including Images of me, being stored, accessed or disclosed outside of Canada. <p style="text-align: center;"><strong>CODE OF CONDUCT</strong></p> I have read and accept the <span style="text-decoration: underline;"><a href="https://pentathlonalberta.ca/wp-content/uploads/2019/11/CODE-OF-CONDUCT_2019.pdf" target="_blank" rel="noopener noreferrer">Pentathlon Alberta Code of Conduct</a></span>. <p style="text-align: center;"><strong>CONCUSSION PROTOCOL</strong></p> I have read and accept the <span style="text-decoration: underline;"><a href="https://pentathlonalberta.ca/wp-content/uploads/2019/11/CONCUSSION-PROTOCOL_2019.pdf" target="_blank" rel="noopener noreferrer">Pentathlon Alberta Concussion Protocol</a></span>. <p style="text-align: center;"><strong>SAFE SPORTING ENVIRONMENT GUIDING PRINCIPLE</strong></p> I have read and accept the <span style="text-decoration: underline;"><a href="https://pentathlonalberta.ca/wp-content/uploads/2019/11/SAFE-SPORTING-ENVIRONMENT-GUIDING-PRINCIPLE_2019.pdf" target="_blank" rel="noopener noreferrer">Pentathlon Alberta Safe Sporting Environment Guiding Principle</a></span>. I have read and understood the above Terms prior to agreeing to abide by these Terms and Conditions and am aware that by agreeing to this document, I am accepting the terms of this document and am thereby affecting the legal rights and liabilities of myself, my family, administrators and assigns in relation to Pentathlon Alberta Association and affiliated clubs. I confirm that I am over the age of majority in my Province. (For those under the age of majority in their Province) I understand that my parent or guardian is required to agree to the above Terms of this document before I can participate in any competitions or training under the auspices of Modern Pentathlon. I have read and agreee to the TERMS and CONDITIONS* Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match I have read and agree to the Terms Of Service (MUST BE CHECKED BY PERSON OVER THE AGE OF MAJORITY)* Check Here to receive Pentathlon Alberta Updates! 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