Hockey Hut Medical Release Waiver
Please fill out a form for your child to participate in activities at the Hockey Hut. If you have multiple children registering, please fill out a form for each child.
Email *
By participating in the Excel Hockey Inc. skating and hockey programs and all related activities, I fully understand that these activities involve risks of serious bodily injury and I fully accept and assume these risks. I hereby waive and agree to hold harmless Excel Hockey Inc.; it’s owners, coaches, instructors, employees, volunteers, and other participants from any and all claims. I have read and fully understand this release and waiver of liability. I also consent to administer first aid and emergency transport to the nearest medical facility. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, also including viral infections, bacterial infections, and other communicable diseases and illnesses, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown of my participation in the Hockey Hut programming, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERS, AND ASSUME FULL RESPONSIBILITY FOR MY PARTICIPATION. *
Parent / Guardian First Name *
Parent / Guardian Last Name *
Participant Name *
Emergency Contact Number *
Events/Program Attending *
Thank you!
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