2010 MODS Waiver

In consideration of the Manitoba Organization of Disc Sports (M.O.D.S.) members accepting this entry and of the inherent risks associated with this sport/event, I hereby, for myself, my heir, executors and administrators, Waive and Release any and all right and claim of any sort I have against M.O.D.S. members holding this sport/event, their agents, representatives, successors, assigns and sport/event sponsors for any and all damages sustained and any and all injury and loss, including personal and property loss arising from any cause whatsoever, including negligence.

I consent for M.O.D.S. to use my name for the purposes of posting league team rosters online, as well as in connection with my participation in other M.O.D.S. activities, including tournaments and volunteer efforts.

I understand that M.O.D.S. reserves the right to use any picture taken during league or tournament play at a M.O.D.S. event for instructional purposes, advertising or posting on the website.

If you are under 18 years old you MUST have a parent/guardian sign this waiver before you can play in league.

Participant Name (please print) ____________________________________

Date of Birth _______________________

Postal Code ________________________

Participant
Signature ____________________________

Parent / Guardian
Signature ____________________________

Date: ___________________ Email: ________________________________________

Website User Name: _____________________ Password: ________________________

Lost Password Question (Circle one)

First pets name Mother’s maiden name Favourite cartoon character

First job Favourite color City of birth Uncle’s brother’s child

Lost Password Answer: __________________________