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ACKNOWLEDGEMENT AND ASSUMPTION OF RISK

I UNDERSTAND AND AGREE that there is potential risk for injury involved in the training and participation of any physical activity.

I further understand and agree that participating in hockey is a potentially dangerous activity. Bumps, bruises, scrapes, scratches and soreness are commonplace, and most participants will encounter this sort of minor injury from time to time. More serious injuries are possible, including sprains, strains, twists, cramps, fractured bones, broken bones, torn ligaments and injuries of similar magnitude. Participation also includes possible exposure to and illness from infectious and communicable viruses and diseases including influenza and COVID-19. While particular rules and guidelines may reduce the risk associated with participation, the risk of serious illness and death does exist.

I am also aware that I should discuss my participation in any CARHA Hockey activity with my physician to determine the effect on my current health. It is my right and responsibility as a participant to immediately remove myself from participation in the program and notify the nearest official, if at any time I sense any unusual hazard or unsafe condition or if I feel that I am physically, emotionally, or mentally unfit for continued participation in the program.

I acknowledge my responsibility to ensure adequate medical personal health, dental and accident insurance coverage, as well as protection of my personal possessions.

I FREELY ACCEPT AND FULLY ACKNOWLEDGE ALL SUCH RISKS, DANGERS AND HAZARDS, RESULTING FROM MY PARTICIPATION IN ANY EVENT HOSTED OR SPONSORED BY CARHA HOCKEY AND HAVE READ AND UNDERSTAND THE ABOVE STATEMENT OF RISK. I ASSUME RESPONSIBILITY FOR MY OWN SAFETY, AND I UNDERSTAND AND ACCEPT THE RISKS INVOLVED WITH MY PARTICIPATION.

RELEASE OF LIABILITY AND WAIVER OF CLAIMS

I hereby agree as follows:

TO INDEMNIFY, DEFEND AND SAVE HARMLESS the Canadian Adult Recreational Hockey Association, its coaches, officials, members, directors, officers, employees and representatives from and against any and all losses, claims, actions, damages, liability, costs, or expenses of whatsoever kind or nature, arising from any accident, injury, accidental death or damage to property that is caused or results from my participation in any Canadian Adult Recreational Hockey Association insured activity that is hosted or sponsored by the Canadian Adult Recreational Hockey Association.

TO RELEASE, REMISE, WAIVE AND FOREVER DISCHARGE the Canadian Adult Recreational Hockey Association and its coaches, officials, members, agents, directors, officers, employees and representatives from any and all past, present and future losses, claims, actions, damages, liability, costs, or expenses of whatsoever kind or nature, arising from any accident, injury, accidental death or damage to property that is caused or results from my participation in any Canadian Adult Recreational Hockey Association insured activity that is hosted or sponsored by the Canadian Adult Recreational Hockey Association.

TO USE WITHOUT COMPENSATION, of my name and/or likeness, biographical material and/or voice in publicity and advertising concerning the Games in any and all media and/or promotion throughout the world.

I HAVE READ AND UNDERSTOOD THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS OR ASSIGNS MAY HAVE AGAINST THE RELEASEE. ANY PRIOR WAIVER SIGNED BY ME RELATING TO MY PARTICIPATION IN A CANADIAN ADULT RECREATIONAL HOCKEY ASSOCIATION INSURED ACTIVITY THAT IS HOSTED OR SPONSORED BY THE CANADIAN RECREATIONAL HOCKEY ASSOCIATION IS HEREBY REVOKED.

 

November 30, 2021

 

First Players Name

First Name*

Last Name*
First Players Date of Birth*
First Players Signature*
Second Players Name

First Name*

Last Name*
Second Players Date of Birth*
Third Players Name

First Name*

Last Name*
Third Players Date of Birth*
Fourth Players Name

First Name*

Last Name*
Fourth Players Date of Birth*
Fifth Players Name

First Name*

Last Name*
Fifth Players Date of Birth*
Sixth Players Name

First Name*

Last Name*
Sixth Players Date of Birth*
Seventh Players Name

First Name*

Last Name*
Seventh Players Date of Birth*
Eighth Players Name

First Name*

Last Name*
Eighth Players Date of Birth*
Ninth Players Name

First Name*

Last Name*
Ninth Players Date of Birth*
Tenth Players Name

First Name*

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

Email*

Confirm Email*
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*

Relationship*
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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