DURHAM COLLEGE INTERCOLLEGIATE ATHLETIC WAIVER FORM
RELEASE, WAIVER AND DISCHARGE

Your acceptance confirms that you have read, understood and accepted this release, waiver and discharge. In consideration on my participation in the Durham College Intercollegiate Athletic Program and any related tryouts, exhibition, OCAA and CCAA participation, I hereby release, waiver and discharge the Board of Governors of UOIT and Durham College, Ontario Colleges Athletic Association and the Canadian Colleges Athletic Assocation 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 the participation in the Durham College Intercollegiate Athletic Program or use of campus facilities.

DECLARATION

Collection and Use of Personal Information: I hereby, give consent to UOIT and Durham College to utilize information gathered from my academic record and my student file soley 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.

Applicants 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 Athletics Department may release my name and sports pictures to the media or use them in various promotional publications, including the display of such on website applications for the OUA, CCAA, OCAA and on 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.