Waivers & Consent Forms
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Name of player *
Name of parent / guardian *
Parent / guardian phone number *
Does your child have any medical conditions that CSHD should be aware of? For example, asthma or heart conditions, etc. *
Participation Waiver 

I understand that the participant, named on this registration, is voluntarily participating in physical activities such as ball hockey, ice hockey, and / or dry land development sessions with Cross Surface Hockey Development Ltd. (CSHD). I understand that there is risk to such activities, and I hereby release, discharge, and hold harmless CSHD, its directors, officers, organizers, employees, representatives and agents, from and against all claims, actions, causes of loss or damage sustained by the named participant to his/her person or property, however caused arising out of or in connection with the participation in this event. Notwithstanding is the same which may have been caused or contributed to by the negligence of Cross Surface Hockey Development (CSHD), its directors, officers, organizers, employees, representatives and agents. By clicking “I agree” below, I understand the directives of the above participation waiver.
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Media Acknowledgement

The following is a media acknowledgement for Cross Surface Hockey Development Ltd. (CSHD). CSHD and people acting on behalf of CSHD will actively take photos and videos of participants during the association’s publicly held events. The associations, or people acting on behalf of the associations will and may interview, photograph, videography, and / or audio record participants and spectators to use and edit, without compensation to myself or the participant listed on this application, for the purpose of media and / or advertising on CSHD’s social media, website, brochures, and other platforms, and for the ultimate purpose of promoting the sport of ball and ice hockey development with the community.

Note: CSHD takes personal information very seriously, especially for youth participants. No use of names or other personal information will be used without the explicit and written consent of the participant's legal guardian(s). This acknowledgement gives consent only for the use of visual content.
 
By clicking “I agree” below, I consent to the use of my participant, listed on this registration form, for the purpose of advertising for Cross Surface Hockey Development Ltd. (CSHD).
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