REGISTRATION FORM Refund Policy Registration Form Full Name(Required) First Date of Birth(Required) MM slash DD slash YYYY Player Cell PhoneEmail(Required) Current or Last Team Played For and Level How did you hear about us? I Am Residing In The Vancouver Area and Requesting An In Person Registering For:(Required) U14 Juniors (2009-2010 Boys) U16 Juniors (2007-2008 Boys) Player Instagram account Player Snapchat account Player Twitter account Father's Name Email Mother's Name Email Player’s Physical AddressAllergies Medical Conditions Injuries Terms & Conditions I authorize my photograph, picture or likeness, and voice to appear in any documentary, promotion (including advertising), television, video, or radio coverage obtained during an Orix Academy training session, match or event without compensation. You must accept the terms & conditions in order to continue with this registration. (Required) By checking the box, I confirm I have read, understood and agree with Terms and Conditions.Player Consent and Liability Waiver I consent and assume all risks and hazards of and incidental to the participation of the above–named child in the activities of Orix Academy, and agree to indemnify the said organization and its staff and members, against all loss from any claim hereafter made against it or them or any of them by or on behalf of the said child and arising directly or indirectly from such participation, including transportation. If my child is selected for an Orix Academy program, I will sign a hard copy parental consent and liability waiver form prior to the first official Orix Academy organized program activity.(Required) By checking the box, I confirm I have read, understood and agree with the Player Consent and Liability Waiver.Covid-19 Consent and Liability Waiver I understand that I and/or my athlete will have the potential to be exposed to the risk of COVID-19 transmission while participating in ORIX ACADEMY training. (Required) By checking the box, I confirm I have read, understood and agree with the Player Covid-19 Consent and Liability Waiver.