November 19, 2017, 9:25 pm

2017 One Day Permit

Newfoundland and Labrador Athletics Association
P.O. Box 3202, Paradise NL A1L 3W4 
Telephone: (709) 576-1303 Fax: 576-7493

Unsigned forms will be returned. It is a criminal offense to sign someone else´s name. Print or type clearly.
Newfoundland and Labrador Athletics Association is the governing body for cross country running, road running, and track and field in the province of Newfoundland and Labrador. Only full members are allowed to participate in the numerous sanctioned events across the province. However, in some events non-members may compete, provided that they purchase a One Day Permit. The cost of the One Day Permit is $5 ( $1 for pupils participating at designated school competitions). The One Day Permit is:
  •  Valid for one event only
  •  Does not entitle the Applicant to any of the Association´s funding, Team Selection or benefits otherwise available to full members.
The One Day Permit can be applied for at the Newfoundland and Labrador Athletics Association (NLAA) office or will be available at meets at the discretion of the Meet Director. Please forward/submit completed forms and fee to event organizer.
  1. Name of Event (Race/Meet)     Date of Event  
  2. Gender: Male     Female     Year of Birth: 
  3. First Name Initial Last Name
  4. Mailing Address:
    City Province Postal Code
  5. Telephone: Area Code Home Work
  • If my application is accepted, I agree to respect the constitution, by-laws, and rules of the Newfoundland and Labrador Athletics Association and Athletics Canada.
WAIVER
PHOTO RELEASE
I hereby grant the NLAA and event organizers permission to use my image in good taste in promotional materials, posters, Web sites and other merchandise. I release NLAA from all liability of any nature in the use of any electronic or film image and or audio for advertising purposes.

PARTICIPANT CONSENT FOR COLLECTION, USE AND DISCLOSURE OF PERSONAL INFORMATION
The NLAA understands the importance of protecting your personal information and compliance with government regulations. The NLAA collects "public" and "personal" information such as contact information, gender and date of birth to enable us to contact you and maintain communication with you; to provide accurate results and statistics. I agree that the NLAA can collect, use and disclose personal information about myself as set out above.

In consideration of the acceptance of my application for One Day Permit for an Newfoundland and Labrador Athletics Association (NLAA) sanctioned event, I, for myself, my heirs, executors, administrators, successors and assigns HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE the NLAA and its respective agents, officials, employees, contractors, representatives, successors and assigns of and from all claims, demands, damages, costs, expenses, actions and causes of action, whether in law or equity, in respect to death, injury, loss or damage to my person or property HOWSOEVER CAUSED, arising or to arise by reason of my NLAA One Day Permit or my participation in any NLAA sponsored and/or sanctioned event in the 2017 calendar year, whether prior to, during or subsequent to any such event AND NOTWITHSTANDING that same may have been contributed to or occasioned by NEGLIGENCE of any of the aforesaid. IF THIS WAIVER IS ALTERED THE REGISTRATION WILL BE REJECTED.

Signature of Applicant:     Date:      
Legal Guardian Signature (If applicant is under 19 years of age)    To NLAA Forms