2011-2012
OVER 60 NO-CHECK ICE HOCKEY APPLICATION
(select one)
TEN WEEK
FALL SEASON –
OCT. 16
THRU DEC. 18,
2011
____
TEN WEEK WINTER SEASON - JAN. 8 THRU MAR. 11, 2012 _____
TEN WEEK SPRING SEASON - MAR. 18 THRU MAY 20, 2011 _____
The below named registrant has agreed to pay the registration fee of $180 to participate in the Hockeytown USA, Inc. ten week Over 60 no check ice hockey league. The fall league will begin on Oct 16 and continue thru Dec 18th. Each league will consist of approximately ten games including playoffs Individuals will be selected and placed on teams. Games are to be played on Sundays between 4pm – 6pm. Every effort will be made to balance the talent level of each team by the Commissioner. The league will provide shirts.
Participation agreement, Release of liability, waiver of claims and assumption
of risk.
By signing this
document you may be waiving certain legal rights, including the right to sue the
arena (Hockeytown USA, Inc.) and the league and their owners, officers,
directors, agents, employees and or representatives.
ASSUMPTION OF RISK: I am aware that ice hockey involves certain inherent risks, dangers and hazards, which can result in serious personal injury or death. I am also aware that ice hockey arenas contain potential dangers to the ice hockey public. As such I hereby freely agree to assume and accept any and all known and unknown risks of injury while participation in ice hockey activities. I further recognize and acknowledge that the risks inherent in the sport of ice hockey can be greatly reduced by using common sense. Release and waiver of claims agreement: In consideration of allowing me to participate in the leagues ice hockey activities at the arena, I herby agree as follows:
1.
To waive any and all
claims that I have or may in the future have against the arena and/or league
resulting from the leagues activities at the arena.
2.
To release the arena
from any and all liabilities for any loss, damage, injury or expense that I may
suffer or that my next of kin may suffer as a result of my participation in the
activity described in this agreement. Due to any cause whatsoever, including
negligence of breach of contract on the part of the arena and/or the league in
the operation, supervision, design or maintenance of the arena.
ARBITRATION: In further
consideration of allowing me to participate in the league’s ice hockey
activities in the arena, I herby agree to submit to binding arbitration any and
all claims, which I believe I may have against the arena, and/or league arising
from the leagues activities at the arena. The arbitration shall be pursuant to
the rules of evidence to all proceedings.
Arbitration shall be commenced within (1) year from the date of which any
alleged claim first arose. Further, the arbitration shall be held in the town
where the area is located, unless otherwise mutually agreed to by all the
parties. The submission to the American Arbitration Association shall be
unlimited and the arbitration award may be enforced by any court of competent
jurisdiction. Binding effect
agreement: In the event of my death or incapacity, this agreement shall be
effective and binding upon by heirs, next of kin, executors, administrators,
assigns and representatives. Entire
agreement: In entering into this agreement, I am not relying upon any oral or
written representation other than what is set forth in this agreement.
I have read and understand this agreement and am aware that by signing
this agreement I am waiving certain rights including the right to sue Hockeytown
USA, Inc and the league, and their owners, officers, directors agents, employees
and/or representatives.
______________________________________________
____________________________________________
STATE
__________ E-MAIL________________________________DATE OF
BIRTH_____________________
Home
phone ___________________Work phone_________________ Mobile
phone________________________
Comments
&
Requests___________________________________________________________________________
_______________________________________________________________________________________________
FOR OFFICE USE
ONLY:
RECEIPT
______________ DATE______________AMOUNT
PAID_________________INITIALS____________