UOIT
INTERCOLLEGIATE ATHLETIC WAIVER FORM
RELEASE, WAIVER AND DISCHARGE
Your
acceptance confirms that you have read, understood and
accepted this release, waiver and discharge. In consideration
on my participation in the UOIT Intercollegiate Athletic
Program and any related tryouts, exhibition, OUA and CIS
participation, I hereby release, waiver and discharge
the Board of Governors of UOIT, OUA and CIS and its officers,
employees and voluntary officials, of and from all claims,
demands, damages, costs, actions, and causes of action,
in respect to death, injury, loss of damage to my person
or property, arising from the participation in the UOIT
Intercollegiate Athletic Program or use of campus facilities.
DECLARATION
Collection
and Use of Personal Information: I hereby, give consent
to UOIT to utilize information gathered from my academic
record and my student file sole for the purpose of assessing
my academic progress and intercollegiate athletic eligibility.
I further acknowledge that any information gathered may
be used for statistical purposes.
Applicants
Declaration: I have given complete and true information.
I have considered, understood and agree to the policies
and procedures of the Athlete Academic Success Program.
I also agree that the Athletics Department may release
my name and sports pictures to the media or use them in
various promotional publications, including the display
of such on website applications for the OUA, CIS and on
campus. Lastly, I agree to return any uniforms, equipment,
etc. issued to me, in the condition that I received them.
In the event that I lose a uniform, etc, I will reimburse
the University the replacement cost.