Registration – South Shore Lightning Basketball Association

Private Training

One Session - $50.00
Two Sessions - $100.00
Three Sessions - $150.00
Four Sessions - $200.00

Please Select Desired Time Slot

9:00am - 10:00am
10:00am - 11:00am
11:00am - 12:00pm
12:00pm - 1:00pm

Kindly select your preferred time slot for the session. Please note that each session will be limited to three athletes, allocated on a first-come, first-served basis. We will make every effort to accommodate your preferred time slot.

Select Payment Method *

Credit Card
Interac eTransfer
Cash or Cheque

Please pay with cash or cheque in person. Make cheques payable to "Southshore Lightning Basketball Association".

Please send your payment to southshorelightning@gmail.com. Use your 10-digit phone number (no spaces or dashes) as the password.

Credit Card Details *

Card

Name on Card

Player Info

Player's Name *

Birth date *

Health Card *

Does the player have any medical conditions or allergies that the instructors should be aware of?

Guardian Info

Guardian's Name *

First

Last

Guardian's Email *

Phone *

Guardian's Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact Person

Name *

Relationship

Phone *

TO: SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION INFORMED CONSENT, RISK ACKNOWLEDGEMENT, AND INDEMNITY AGREEMENT

WARNING: By signing this document you indicate that you understand the risks associated with the activity(ies), that you are aware that by allowing your child to participate in the activity(ies) you are exposing him/her to the risks identified below. It gives the SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION authority to secure medical assistance for your child for which you agree to be financially responsible. You are agreeing to assume financial responsibility for any damage to third persons or their property caused by your child.

NOTE: Please consult with your child’s physician prior to them: 1) participating in any physical activities, 2) using any equipment, or 3) having any pre-existing conditions which may be affected by their participation in the activity(ies).

ACKNOWLEDGEMENT AND ACCEPTANCE OF RISK, AND CONSENT I have reviewed the description of the SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION Basketball Camp/Training Session/Club Team and feel that I have sufficiently informed myself about the nature of the activities involved. I acknowledge that there are risks, dangers, and hazards associated with my child’s participation in the activities including, but not limited to: impact and collision with other players, instructors, or spectators; impact with objects or equipment used in connection with playing basketball; changes in the type of surface and the condition of each surface, including the playing courts, gymnasium, shower facilities, and change rooms; adverse weather conditions; loss of balance; failure to play safely within one's own ability; failure to play against others of equal stature or ability; Theft, vandalism, damage or loss of personal property; Any manner of harm, injury, illness, death, or property damage suffered by or resulting from the use, misuse, no-use and failure of any equipment. COVID-19 The Government of Nova Scotia declared a province-wide state of emergency under the Emergency Management Act on March 22, 2020, to protect the health and safety of all Nova Scotians and to reduce the spread of the novel coronavirus (“COVID-19”). COVID-19 is easily spread by contact with droplets produced by people who have the virus. SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION has put in place measures to reduce the spread of COVID-19; however, SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION cannot guarantee that any individual attending a SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION session, camp and or club team practice/game at determined location or participating in activities or events organized by SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION will not become infected with COVID-19. Further, at determined location and participating in activities or events organized by the SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION could increase the risk of contracting COVID-19. As a result, SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION and the participant acknowledge that COVID-19 has resulted in uncertainty and risk around public events. Government and SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION Directives to be Followed Participants shall follow COVID-19 directives from Nova Scotia Public Health, the Province of Nova Scotia, and/or the Government of Canada as they pertain to use of the Facility, and participants shall follow any University COVID-19 policies. SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION Vaccination Policy Participants agree to be bound by the SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION vaccination policy. All eligible participants will be required to be fully vaccinated and to provide proof. I also give permission for SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION staff to administer first aid treatment to my child and acknowledge that I will be responsible for any medical or other charges in connection with my child’s treatment. Participants are expected to be respectful and considerate towards other participants, SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION staff including all instructors, and external partner organization instructors. Participants are expected and required to follow the directions of all instructors. I confirm that I have discussed these rules and expectations with my child. I hereby consent to my child’s participation in the SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION Training Sessions/Camps/Club Team on the terms and conditions set out above by signing below. I agree to HOLD HARMLESS AND INDEMNIFY SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION from any and all liability for any damage to the property of, or personal injury to, any third party resulting from my child's participation in the SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION Camps, Training Sessions and Club Teams.

I CONFIRM THAT I HAVE READ AND UNDERSTAND THIS AGREEMENT AND THAT I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM ACCEPTING FINANCIAL RESPONSIBILITY FOR ANY MEDICAL ASSISTANCE SOUTH SHORE LIGHTNING BASKETBALL ASSOCIATION MAY DEEM NECESSARY FOR MY CHILD'S HEALTH AND SAFETY AND ALSO FOR ANY DAMAGE TO THIRD PERSONS OR THEIR PROPERTY THAT MY CHILD MAY CAUSE.

Parent/Guardian *

To submit your electronic signature, enter your full name here

Date *

Your Total

$0.00