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RCIC Boys Boxing 2024-2025
October 1, 2024
-
June 19, 2025
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RCIC Quran Academy 2024-2025
Revive: Discovering Our Past, Strengthening Our Future Youth Program
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RCIC Boys Boxing 2024-2025
For enrolment in the RCIC Boys Boxing program, please fill the following form:
Age
(Required)
Please enter a number from
9
to
13
.
Must be between 9 years to 13 years of age.
Student First Name
(Required)
Student Last Name
(Required)
Parent First Name
(Required)
Parent Last Name
(Required)
Email
(Required)
Phone Number
(Required)
Medical conditions
Please list any of the students medical conditions (Leave blank if there are none).
Recurring RCIC Boys Boxing Fee
(Required)
Price:
This amount will be charged monthly, starting in 30 days, for the duration of the RCIC Boys Boxing program.
Address
(Required)
Street Address
City
State / Province / Region
Credit Card
Card Details
Cardholder Name
Consent
(Required)
To the best of my knowledge, I am in good physical condition and fully able to participate in this course. I am fully aware of the risks and hazards connected with the participation in the RCIC Boys Boxing program, including physical injury or even death, and herby elect to voluntarily participate in said event, knowing that the associated physical activity may be hazardous to me and my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or loss or damage to property owned by me, as a result of participation in this course. I further certify that I am at least 18 years of age. If under 18, my parent/guardian has read and agreed to this form.
I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE, Rose City Islamic Center and any of their employees or trainers (hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in physical activity, or while on or upon the premises where the event is being conducted.
It is my expressed intent that this release and hold harmless agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVE, DISCHARGE, and CONVENTION TO SUE the above named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be constructed in accordance with the laws of the the province of Ontario.
In confirming this release, I acknowledge and represent that I HAVE READ THE FOREGOING Waiver of Liability and Hold Harmless Agreement, UNDERSTAND IT AND CONFIRM IT VOLUNTARILY as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreements have been made; and I EXECUTE THIS RELEASE FOR FULL, ADEQUATE AND COMPLETE CONSIDERATION FULLY INTENDING TO BE BOUND BY SAME.
I agree to all outlined in the above Liability waiver.
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Start:
October 1
End:
June 19, 2025
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