2023-2024 NC Varsity Waiver

Email address *

First name *

Last name *

Sport *

Ex. Men's Soccer

NIAGARA COLLEGE

Intercollegiate Athletic Waiver

Release, Waiver and Discharge

Please read this document carefully before signing where indicated. Your signature confirms that you have read, understood and accepted this release and discharge. In consideration of my participation in the Niagara College Intercollegiate Athletic program and any related tryouts, OCAA and CCAA participation, I hereby release, waiver and discharge the Board of Governors of Niagara College of Applied Arts and Technology, the Ontario Colleges Athletic Association and the Canadian Colleges Athletic Association 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 participating in the Niagara College Intercollegiate Program or use of Campus Athletic facilities.

Participant Signature (Please Print Full Name) *

Declaration and Signature

Collection and Use of Personal Information: I hereby, give consent to Niagara College of Applied Arts and Technology to utilize information gathered from my academic record and my student file solely 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.

Applicant’s 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 Athletic Department may release my name and sports picture to the media or use them in various promotional publications, including the display of such on website applications for the OCAA/CCAA and 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 college the replacement cost.

Participant Signature (Please Print Full Name) *

Date Signed *

Date Picker

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Student-Athletes

2023-2024 NC Varsity Waiver

NIAGARA COLLEGE

Intercollegiate Athletic Waiver

Release, Waiver and Discharge

Declaration and Signature