Registration

Player Name: *

Player's Date of Birth *

Emergency Contact Full Name *

Email *

Release of Waver of Liability *

I, the above noted parent/guardian, do herby knowingly, freely and voluntarily assume all risk and liability for any damages or injuries that may occur as a result of my dependents participation in the recreation hockey and agree to release, waive, discharge and convent not to sue Treasure Coast Hockey and/or Martin County, its officers, agent, employees and volunteers from any and all liability or claims that may be sustained by me or a third party directly or indirectly in connection with or arising from my dependent’s participation whether caused in whole or in part by negligence of Martin County and/or Treasure Coast Hockey or otherwise. I consent to have my child's picture taken during the hockey season. I, the parent/guardian, have read this form, fully understand its terms and understand that I, on behalf of my dependents, have given substantial rights by agreeing and agreeing freely and without inducement of assurance or assurance of any nature and intend it to be a complete and unconditional release of any and all liability to the greatest extent allowed by law and agree that if any portion of this contract is held to be invalid, the balance notwithstanding shall continue full legal force and effect.

Parent/Guardian Full Name *

Parent/Guardian Phone *

Emergency Contact Phone *

Address *

Player School/Grade: *

Player's Age *