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Women SUMMER 2008 INFORMATION
All Players MUST be USA Hockey insured by registering at www.usahockey.com and must provide proper proof. USA Insurance will expire August 31, 2008. PLEASE PRINT CLEARLY NAME: _______________________________________________________________BIRTH DATE____________________________________ ADDRESS:__________________________________________CITY________________________________ST________ZIP________________ HOME PHONE :__________________________________________ WORK PHONE:____________________________________ CELL PHONE: _____________________________________ E-MAIL: _______________________________________ LEVEL________________________________TEAM NAME_________________________________________________________________ Women Division: SUMMER 2008 ÿ PLAN I - PAYMENT IN FULL - $300.00 ÿ VISA ÿ M /C
CC #________________________________________ ÿ PLAN II- INSTALLMENT PLAN_ - $350.00 To be paid in 2 payments as follows: Exp. Date________________________ Down payment: By Registration $ 200.00 2nd Payment: By June 15th , 2008 + $ 150.00 $ 350.00 Amount $ ________________________
Signature ____________________________________ ÿ GOALIE SPECIAL DISCOUNT PRICE - $200.00
DUES COVER: l 14 Regular Season Games + 2 Playoffs Guaranteed for everyone! l 16 games total l Awards to championship team members only
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______________________________________ |
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