PARTICIPANT WAIVER
PARTICIPANT - READ BEFORE SIGNING.
In consideration of being allowed to participate in any way in the United Women's Ball Hockey Foundation (UWBHF) program, related events and activities of Hockey, I understand, acknowledge, appreciate, and agree that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown of my participation in Hockey, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation in events run by UWBHF. If however, I observe any usual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest UWBHF official immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and the next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE UWBHF, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event ("Releasees") WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

5. I also understands that the UWBHF events and related activities may be photographed, filmed, or recorded, and consents to RELEASEES’ use and publication of my photograph, audio recordings, or other depictions or publications concerning the UWBHF.

This waiver covers all UWBHF events.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Participant Name *
Your answer
D.O.B. (MM/DD/YR) *
MM
/
DD
/
YYYY
Email Address *
Your answer
Street Address *
Your answer
City *
Your answer
State (2-letter abbreviation) *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
What UWBHF Events do you participate in? (Check all that apply) *
Required
Would you like to receive information about future UWBHF events and ball hockey news? *
FOR PARTICIPANTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION)
This is to certify that I, as a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
Parent/Guardian Full Name (for participants of minority age)
Your answer
I AGREE WITH THE ABOVE STATED
Date Signed: *
MM
/
DD
/
YYYY
By checking this box, you are giving your digital signature that you have read and understand the information above *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Alessandra Design. Report Abuse - Terms of Service - Additional Terms