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ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM 

To: All participants/parents/guardians (collectively the “Participant”)

I, THE PARTICIPANT, HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH Fierce Hockey Camp (Fierce Hockey Inc.), including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

I certify that the participant is physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity. I acknowledge that this Accident Waiver and Release of Liability Form will be used by Fierce Hockey Inc and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity.

In consideration of the participants application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

(A) THE FOLLOWING ENTITIES OR PERSONS: Fierce Hockey Inc and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers;

(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity.

I acknowledge that Fierce Hockey Inc. and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.

I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers.

Acceptance of Policies

Participants not adhering to the Fierce Hockey Inc guidelines and policies may be asked to leave the camp, class or lesson and is at the discretion of Fierce Hockey Staff.

I Agree

I HAVE READ, OR HAD EXPLAINED TO ME, THIS AGREEMENT AND I FULLY UNDERSTAND ITS TERMS, HAVE FULL AUTHORITY TO BIND MYSELF TO THIS AGREEMENT AND UNDERSTAND THAT BY DOING SO I ACCEPT THE RISKS AND RESPONSIBILITIES OUTLINED. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS AGREEMENT AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Date: All participating Fierce Hockey Classes, Camps, Programs in 2024

First Parent or Guardian Name

First Name*

Last Name*
First Parent or Guardian Age Acknowledgment*
First Parent or Guardian Date of Birth*
I certify that I am 18 years of age or older
First Parent or Guardian Signature*
Second Parent or Guardian Name

First Name*

Last Name*
Second Parent or Guardian Date of Birth*
Third Parent or Guardian Name

First Name*

Last Name*
Third Parent or Guardian Date of Birth*
Fourth Parent or Guardian Name

First Name*

Last Name*
Fourth Parent or Guardian Date of Birth*
Fifth Parent or Guardian Name

First Name*

Last Name*
Fifth Parent or Guardian Date of Birth*
Sixth Parent or Guardian Name

First Name*

Last Name*
Sixth Parent or Guardian Date of Birth*
Seventh Parent or Guardian Name

First Name*

Last Name*
Seventh Parent or Guardian Date of Birth*
Eighth Parent or Guardian Name

First Name*

Last Name*
Eighth Parent or Guardian Date of Birth*
Ninth Parent or Guardian Name

First Name*

Last Name*
Ninth Parent or Guardian Date of Birth*
Tenth Parent or Guardian Name

First Name*

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

Email*

Confirm Email*
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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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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