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ICEOPLEX ADULT HOCKEY WINTER 2009-10         

                                                                     

ÿ            PLAN I - PAYMENT IN FULL  -       $599.00

                                                                                                            

DOES NOT INCLUDE  USA Membership  PAID IN FULL By:

                                  Visa                M/C                                                        Registration.                                                                       

                                                                                            

                                                                                            

 CC#_______________________________

                                                            

                                                                                             ÿ             PLAN II - INSTALLMENT PLAN

                                                                                                             To be paid in two payments as follows:

Exp. Date___________________________                            

1st payment:               By  Registration                             $375.00            

                                                                                                             Posted dating check:   By NOV 22nd                 +$275.00            

                                                                                                                             DOES NOT INCLUDE - USA Membership        Total:  $650.00

Amount  $___________________________

            NOTE: ALL PLAYERS MUST MAKE EITHER A FULL OR                                     1ST INSTALLMENT PAYMENT PRIOR TO

                                                                                                                         PLAYING THEIR FIRST GAME OR THEY WILL NOT

                                                                                                                         BE ALLOWED ON THE ICE. NO EXCEPTIONS.

Signature_____________________________                                                                                                                                                                                                                                                                                                                                                                                       

?   CHARGE 2ND PAYMENT ON 11/20/08 

GOALIES                                       

?                    SPECIAL DISCOUNT -                               

DOES NOT INCLUDES  – USA Membership             $300.00

                                                              

DUES COVER:

·       20 regular season games                                                  ?          TEAM PAY

·       Playoff games, if team is eligible

·       Awards for Championship Teams                                                   BY  REGISTRATION                                               $6825.00        

                                                                                                                                                                                                                                  

INJURIES: All injuries must be reported to the scorekeeper or League office within 24 hours.  There is a 2 game injury/grace period.   The injured player will remain on the team roster for two subsequent games.  After this "grace" period, it is the responsibility of the player to notify the office in writing if he/she will continue playing or be leaving team due to the injury.

 

PLEASE READ CAREFULLY

WAIVER AND RELEASE OF LIABILITY ICEOPLEX,L.P.,  & ICE SPECIALTY ENTERTAINMENT, INC.

(HEREBY REFERRED TO AS "LEAGUE")

 

             In consideration of being allowed to participate in any way in sports programs and other sponsored activities at or by LEAGUE, the undersigned acknowledges and agrees as follows:

 

1.                I ACKNOWLEDGE AND FULLY UNDERSTAND THAT I WILL BE ENGAGING IN ACTIVITIES THAT INVOLVE RISK OF SERIOUS INJURY, INCLUDING PERMANENT DISABILITY AND DEATH, AND SEVERE SOCIAL AND ECONOMIC LOSSES WHICH MIGHT RESULT NOT ONLY FROM MY OWN ACTIONS, INACTIONS, OR NEGLIGENCE, BUT ALSO FROM THE ACTION, INACTION OR NEGLIGENCE OF OTHERS, THE RULES OF PLAY, OR THE CONDITION OF THE PREMISES OR COMPETITION AREA OR ANY EQUIPMENT USED, FURTHER, THAT THERE MAY BE OTHER RISKS NOT KNOWN TO ME OR NOT REASONABLY FORESEEABLE AT THIS TIME.

 

2.                I AGREE THAT PRIOR TO PARTICIPATING IN ANY ACTIVITY SPONSORED BY LEAGUE,  I WILL INSPECT THE COMPETITION AREA AND ALL EQUIPMENT TO BE USED, AND IF, THROUGH MY INSPECTION, I DETERMINE THAT ANYTHING RELATED TO THAT ACTIVITY I S UNSAFE, I WILL IMMEDIATELY ADVISE MY COACH OR AN OFFICIAL OF LEAGUE OF THIS UNSAFE CONDITION AND WILL NOT PARTICIPATE UNTIL THE CONDITION IS CORRECTED.

 

3.                I ASSUME ALL FOREGOING RISKS AND ACCEPT PERSONAL RESPONSIBILITY FOR THE DAMAGES FOLLOWING SUCH INJURY, PERMANENT DISABILITY, OR DEATH.

 

4.                I RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE LEAGUE,  IT'S AFFILIATED CLUBS, THEIR RESPECTIVE ADMINISTRATORS, DIRECTORS, AGENTS, ATTORNEYS, COACHES, AND OTHER EMPLOYEES OF THE ORGANIZATION, OTHER PARTICIPANTS, SPONSORING AGENCIES, SPONSORS, ADVERTISERS, AND, IF APPLICABLE, OWNERS AND LESSORS OF PREMISES USED TO CONDUCT THE EVENT, ALL OF WHICH ARE HEREINAFTER REFERRED TO AS "RELEASEES", FROM DEMANDS, LOSSES, OR DAMAGES ON ACCOUNT OF INJURY, INCLUDING DEATH OR DAMAGE TO PROPERTY, CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

I HAVE READ THE ABOVE WAIVER AND RELEASE AND UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.  I ALSO AGREE TO ABIDE BY ALL RULES OF THE EASY STREET ADULT HOCKEY LEAGUE  AS OUTLINED IN THE EFFECTIVE CSHL  RULE BOOK.

REFUNDS: There will be no refunds.

 

Date:__________________________                  Players Signature______________________________________

 

Text Box:  

 

 

 


 

     

 

ICEOPLEX ADULT PLAYER INFORMATION – WINTER 2009-10

   Please fill out completely and return this information sheet along with:

1.        Full or 1st payment towards dues by Registration. No Payment, no Play.  (Checks Payable to ESA).

2.        SIGNED waiver form (SEE reverse side at BOTTOM).

3.        Players must registered with USA Hockey online.

PLEASE PRINT CLEARLY     DO NOT FAX APPLICATION IN

NAME:

ADDRESS:

CITY:                                                                                  ST:                          ZIP:

HOME PHONE:

WORK PHONE:

DOB:____________________

                                                                                                                                            

E-MAIL___________________________________________________                                          

POSITION PREFERENCE:               ?  GOALIE            ?   DEFENSE         ?  FORWARD

DESIRED LEVEL OF PLAY (CHECK ONE): 

            

DIVISION I                          ?                         OVER 30                            ?              INVITATIONAL 40+    ?  

DIVISION III A               ?                               DIVISION III B                 ?                       DIVISION IV                 ?

 

            

TEAM NAME:

 

 


 

ARE YOU A TEAM REP? (circle one)              YES         NO         

            

DO YOU REQUEST TO PLAY WITH ANY OTHER MEMBERS?            (Please list)

  

 


 

PLEASE TURN OVER AND SIGN THE WAIVER AT BOTTOM OF PAGE.    

 

Send mail to webmaster@iceoplexsimivalley.com with questions or comments about this web site.
Last modified: 06/10/10