2014-2015 OVER 60 NO-CHECK ICE HOCKEY APPLICATION

(select one)

              TEN WEEK        FALL SEASON      OCT. 5        THRU    DEC. 7, 2014     ____

            TEN WEEK  WINTER SEASON  -     DEC. 14        THRU    FEB. 15, 2015    _____

              TEN WEEK   SPRING SEASON   -    FEB.  22        THRU     MAY 3, 2015     _____          

                                                                                         (no games – Easter – April 5)

 The below named registrant has agreed to pay the registration fee of  $200 to participate in the Hockeytown USA, Inc.  ten week Over 60 no check ice hockey league. The fall league will begin on Oct 5 and continue thru Dec 7th. 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 5pm – 8pm.  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.

 

______________________________________________   ____________________________________________

      SIGNATURE OF PARTICIPANT                                      PRINT SIGNATURE

 

ADDRESS __________________________________  CITY_____________________________ ZIP___________

 

  STATE __________ E-MAIL________________________________DATE OF BIRTH_____________________

 

  Home phone ___________________Work phone_________________ Mobile phone________________________

 

  Comments & Requests___________________________________________________________________________

   

     _______________________________________________________________________________________________

 FOR OFFICE USE ONLY:     

 

RECEIPT  ______________ DATE______________AMOUNT PAID_________________INITIALS____________

                                             

 

 

                                            

 

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