Player
Information
Last
Name*:
First
Name*: Middle
Initial*:
Current
Address*:
City*:
State*:
Zip*:
Date
of Birth*: Position(s)*:
Attending*:
Parent
Guardian Information
Name*:
Evening
Phone*:
Cell
Phone*:
Daytime
Phone*:
Email:
Waiver
I understand and acknowledge that there is inherent risk in the game of hockey,
and acting on behalf of my child, I agree to assume all risk and damage incidental
to the game of hockey including but not limited to the danger of being injured
by puck(s), hockey stick(s) and/or other players. I do hereby forever release
and discharge all claims, actions, and causes of action against players, coaches,
and persons associated with North Country AAA Hockey, Inc. for injuries to life,
limb, or property, directly or indirectly arising out of playing hockey.
*
