2008 Summer League Registration

First Name*
Last Name*
Player Age*
Address 1*
Address 2
City*
State*
Zip Code*
Work Phone
Cell Phone:*
Home Phone*
Which Phone is Best to Reach You?*
Emergency Contact*
Emergency Contact Phone:*
Player Ability Level*
Email*
Comments - Optional

 

Release and Waiver of Liability for League Participation:  Please Read and Acknowledge Below

By signing this Agreement, I knowingly waive, release and relinquish any and all claims for liability and cause(s) of action, including for personal injury, property damage and wrongful death, even if caused by negligence, if any, of Releasees, "Releasees" include the Pikes Peak Women's Hockey Foundation, its member teams, other participants, coaches, officials, sponsors, advertisers, owners and operators of the premises used to conduct any event and each of them, their officers, directors, agents and employees.

As a Participant (and Participant's parent(s)/guardian(s), if applicable), I acknowledge, understand and assume all risks relating to ice hockey and understand that ice hockey activities involve risks to my person including bodily injury, partial or total disability, paralysis and death, and damages that may arise from participating in ice hockey activities.  I acknowledge understand that included any, arising from the conditions and use of ice hockey rinks and related premises and acknowledge and understand that included within the scope of this waiver and release is any cause of action (including any cause of action based on negligence) arising from the performance, or failure to perform, maintenance, inspection, supervision or control of said areas and for the failure to warn of dangerous conditions existing at said rinks, for negligent selection of certain Releasees, or negligent supervision or instruction by Releasees.  I further acknowledge that I have not relied upon any representations of Releasees and that I am fully advised of the potential dangers of ice hockey and understand these waivers and releases are necessary to allow amateur ice hockey to exist in its present form. 

Digital Signature - Enter Name* I Acknowledge
Date Signed*
If under 18 - Parent Digital Signature
Date Parent Signed