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Rink Services Group
Waiver of Liability, Release
Assumption of Risk & Indemnity Agreement

For and in consideration of participant’s registration with The Keene Ice Arena/Rink Services Group, its affiliates, local association and member team (hereafter “Keene Ice/RSG”) and being allowed to participate in Keene Ice/RSG events and member team activities, the parent(s) or legal guardian(s) of participant relinquish any and all liability for and cause of action for personal injury, property damage or wrongful death occurring to participant arising out of participation in Keene Ice/RSG events, member team activities, ice skating, the sport of hockey, and/or activities incidental thereto, whenever or however they occur and for such period said activities may continue, and by this agreement any such claims, rights, and causes of action that participant may here are hereby relinquished and the participant (or parent(s)/guardian(s) does (do) son on behalf of my/our and participants heirs, executors, administrations and assigns.)

Participant and/or participants parent(s)/guardian(s) acknowledge, understand and freely agree to assume all risks inherent in ice skating, ice hockey and any member team activities, and understand that said sports and activities involve dangers and hazard risks to participant’s person including bodily injury, partial or total disability, paralysis, and death, and damages which may arise therefrom and that I/we have full knowledge of such risks. These risks and dangers may be caused by the negligence of the participant or the negligence of others, including the “releasees” identified below. It is further acknowledged there may be risks and dangers not known to us or are not reasonably foreseeable at this time.

Participant and/or participant’s parent(s) acknowledge, understand and assume the risks, if 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 arising from the performance, or failure to perform, maintenance, inspection, supervision or control of said areas and for failure to warn of dangerous conditions existing at said rinks, for negligent selection of certain releases, or negligent supervision or instruction by releasees.

Participant or participant’s parent(s)/guardian(s) agree if any claim for participant’s personal injury or wrongful death is commenced against releasees, he/she shall defend, indemnify and save harmless releasees from any and all claims or causes of action by whomever of whenever made or presented for participant’s personal injuries, property damage or wrongful death.

It is the purpose of the agreement to exempt, waive and relieve releasees from liability for personal injury, property damage, and wrongful death caused by negligence, including the negligence, if any, of releasees. ‘Releasees’ include Keene Ice/RSG and its affiliates, its affiliate associations, local associations, member teams, event hosts, other participants, coaches, officials, sponsors, advertisers, owners and operators of the premises used to conduct any event and each of them, their members, shareholders, representatives, officers, directors, agents and employees.

Participant and/or participant’s parent(s) guardian(s) acknowledge that they have been provided and have read the above paragraphs and have not relied upon any representations of releasees, that they are fully advised of the potential dangers of ice skating and ice hockey and any member team activities and understand these waivers and releases are necessary to allow amateur ice skating and ice hockey to exist in its present form.

Media Release

I hereby grant Keene Ice Media permission to use my likeness in both photo and video in any and all of its publications, including website entries without payment or any other consideration. I understand and agree that these materials will become the property of Keene Ice Media and will not be returned.

I hereby irrevocably authorize Keene Ice Media to edit, alter, copy, exhibit, publish or distribute these for purposes of publicizing Keene Ice Media programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.

I hereby hold harmless and release and forever discharge Keene Ice Media from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

Date Signed: August 17, 2018

This form is to be retained by Keene Ice Arena

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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