| Please read this form carefully and be aware in registering yourself for participation in any Functional Hockey programs, you will be waiving and releasing all claims for injuries you might sustain arising from participation in said programs. I recognize and acknowledge that there are certain risks of physical injury to participants in the said programs and I agree to assume the full and entire risk of any injuries, damages or loss, regardless of severity, which I may sustain as a result of participating in any and all activities connected or associated with such programs. I agree to waive and relinquish all claims I may have, as a result of participating in said programs, against The Edge Ice Arena and/or its management, SportSciTek Inc., Functional Hockey, Bruce Turpin, and any of the officers, agents, members, servants, contractors, and/or employees of the mentioned entities. I do hereby fully release and discharge The Edge Ice Arena and/or its management, SportSciTek Inc., Functional Hockey, Bruce Turpin, and any of the officers, agents, members, servants, contractors, and/or employees of the mentioned entities from any and all claims from injuries, damage or claims resulting from loss which I may have or which may accrue to me arising out of, connected with, or in any way associated with the activities of said programs. I further agree to indemnify and hold harmless and defend The Edge Ice Arena and/or its management, SportSciTek Inc., Functional Hockey, Bruce Turpin, and any of the officers, agents, members, servants, contractors, and/or employees of the mentioned entities from any and all civil injuries, damage or losses sustained by me arising out of, connected with, or in any way associated with the activities of said programs. In the event of an emergency, I authorize the Edge Ice Arena officials to secure from any licensed hospital, physician and/or medical personnel any treatment deemed necessary for my immediate care and agree that I will be responsible for payment of any and all medical services rendered. I have read and fully understood the above Program Details, the Waiver of Liability, Release, Assumption of Risk and Indemnity Agreement and Permission to Secure Treatment Participant Name: _____________________________________________ Parent Signature: _____________________________________________ Date: _____________________________________________ |
| FUNCTIONAL HOCKEY'S Summer Camp for Girls Waiver of Liability, Release Assumption of Risk & Indemnity Agreement |
