Clinic Information

Group 1....1996-1997's (Mites)
Group 2....1994-1995's (Squirts)

Player Information

Name:       Date of Birth:       

Address:  City: Zip:   

Home Phone#:    Parent Work#:  Cell#:  

2003-04 Team:            E-Mail:       

Payment Information:     

Payment Method:     Amount:  $350.00

Card/Check Number: Exp Date:

To pre register, make your check made payable to:
Complete Hockey
 Complete and print this form and mail to:

Complete Hockey
 708 Teri Lane
Yorkville, IL 60560

or fax it to 630-553-8992

 

Enrollment Agreement & Release

In consideration to my enrollment and participation in The For Young Guns Camp (hereinafter referred to as CH), I hereby release and discharge CH, together with their agents, employees, officers, owners, volunteers, and all other participants forward on behalf of myself, my children, my parents, my heirs, and assigns as follows:
1.    I acknowledge that the sport of hockey involves known and unknown risks which could result in physical or emotional injury, paralysis, death, or damage to participants, to myself, to property, or to third parties, and that such risks simply cannot be eliminated. To that end, I further acknowledge that CH is not responsible for a participantıs fitness, abilities, or the equipment being used.
2.    I acknowledge and agree to accept and assume any and all of the risks attendant to this activity. My childıs participation in this activity is purely voluntary and I elect to participate not withstanding the risks.
3.    I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless CH from any and all claims, demands, or causes of action which are in any way connected with my childıs participation in this activity or my use of CH equipment or facilities whether "on" or "off" the ice, including any claims which allege negligent acts or omissions on the part of CH.
4.    In the event CH, or anyone acting on their behalf, is required to incur attorneyıs fees and costs to enforce this agreement, I agree to indemnify and hold harmless for all such fees and costs.
5.    I certify that my child has adequate insurance coverage for any injury or damage I may cause or suffer while participating, and I agree to bear any and all costs of such injury or damage. I further certify that my child has no medical or physical conditions which could interfere with my safety in this activity, and I am willing to assume all risks and costs that may result, directly or indirectly, from any such condition.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my childıs participation in this activity, I have waived my rights to maintain a lawsuit against CH.

I have had sufficient opportunity to read this entire document. I understand it and I agree to be bound by its terms.

 

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Participantıs Name (Printed)
 
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Participantıs Signature
 
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Parentıs Signature
 
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Date