2009

membership
First Name & Surname: …………………………………………………………………………………………………………
Postal Address: ……………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………Code : ………………
Telephone (w): …………………………………………………… Cell: ………………………………………………………
Telephone (h): ………………………………………………… E-Mail: ……………………………………………………
Division: ……………. Date of Birth (dd-mm-yyyy): …………………………………………………………………

Do you want to receive: e-mail yes no SMS yes no

I hereby formally apply for membership of CNC Mountain Riders Snowboard Club and agree to abide by the
Constitution, Bylaws and rules of CNCMRSC. Furthermore, in consideration of your acceptance of my
application, I hereby release the sponsors, the members or agents and any officials from all liability for injuries
and damages whatsoever arising from my participation in or traveling to events run under the auspices of CNC.

Release is inclusive of photographs and moving pictures and I furthermore agree to co-operate with sponsors in
the promotion of their products whenever and wherever possible to the mutual advantage of all connected.

I also agree to abide by the rules of the contests and fully realize that should I snowboard in the contest area
during the competition I will be disqualified from that particular trial.

Signature of Applicant: ………………………………………………………………

Signature of Parent / Guardian (if U21): ………………………………………

NB: Only paid-up Competitive and Supporters members 14 years of age and older will have voting rights

Social Membership of CNC Mountain Riders Snowboard Club for 2009 will be FREE
Competitive Membership of CNC Mountain Riders Snowboard Club for 2008 will be $30
Supporters Membership of CNC Mountain Riders Snowboard Club for 2008 will be $30

Please fax the completed membership form and proof of payment to 250 563-4481
 2009
indemnity
In consideration for my being able to participate in CNC Mountain Riders Snowboard Club (hereinafter
the "EVENTS"):
I state I am a sufficiently experienced surfer, familiar with all the hazardous conditions which may exist in
connection with snowboarding EVENTS.
I am aware that there are hazards that may exist in connection with my participation in such competitions and I
voluntarily participate in these activities with knowledge of those hazards.
I further state that I hereby assume the risk for any injuries that I may sustain in connection with my participating
in the EVENTS.

I hereby fully release and forever discharge CNC Mountain Riders Snowboard Club) Officials and Directors,
Sponsors of the EVENTS, City, Municipality and Province and where applicable, their respective agents and
employees from all claims, damages, actions, suits or judgments that may result from any type of injury I may
sustain while participating in the EVENTS.
I hereby indemnify and hold harmless Sponsors of the EVENTS, City, Municipality and Province and where
applicable, the sponsors, and their respective agents, employees, successors and assigns from any injury or
death so sustained.
I also assign to the promoters of said, Sponsors of the EVENTS, City, Municipality and Province, where
applicable, the exclusive commercial use of all photographs and photographic reproductions, television
broadcast and motion pictures taken of me during the EVENTS, whether in or out of the water.
I also agree to conduct myself in a professional sportsmanlike manner prior to, during, and after the EVENTS
and while I am in the vicinity of the EVENTS.

I will not engage in any snowboarding activity near the contest area, unless authorized to do so, during the
EVENTS.
I have had an opportunity to be apprised of and reviewed all the rules and regulations applicable to the
competition and understand that any violation of these rules, or any unsportsmanlike conduct, will be cause for
penalties which may take the form of a warning, a fine, or immediate disqualification from the EVENTS. These
decisions will be taken in accordance with the Rules and Regulations and well as the Contest Director.
I also agree to compete and appear in competition attire provided by the sponsors from time of issue until
completion of competition and during awards presentations.
Participating in the EVENTS and thereby indemnifies and holds harmless.

The undersigned verifies his/her agreement to accept any and all risk of injury or death arising out of or related
to the EVENTS by signing this release form.

Knowing and Voluntary Execution

I have carefully read this agreement and fully understand its contents and I am aware that this is a release of
liability and a contract between myself and, Sponsors of the EVENTS, City, Municipality and Province and
where applicable, their respective directors, shareholders, agents, employees, successors, assigns and
affiliated organizations.

I sign this agreement of my own free will.

SIGNATURE: DATE_______________________

The undersigned represents that if he/she is under the age of twenty-one (21) years that he/she has
given the release to his/her parent or legally responsible guardian and that this document sets forth the
signature of said parent or guardian.

GUARDIANS SIGNATURE: (if required) DATE____________________