Participant Release of Liability / Assumption of Risk
Agreement
I, ___________________________________
parent / guardian of
____________________________________
Hereby waive and release Prospects Hockey LLC, and
Family Ice Center from liability including, but not limited
to their own negligence in regards to ice hockey and
strength and conditioning training. I realize that by
signing this waiver and release, I expressly and willingly
agree to assume complete responsibility for any risk of
injury or lost or stolen personal property that may arise
from the mentioned activity. On behalf of myself, my
heirs,assigns, and next of kin, I waive all claims for
damages, injuries, and death sustained to participant or
participant’s property that I may have against the above
named released parties relating to such activity. I
understand that the activities provided are inherently
dangerous and may cause serious injuries, including
bodily injury, damage to personal property and/or death.
By this waiver I assume any risk, and take full
responsibility and waive any and all claims of personal
injury, including severe bodily injury, damage to personal
property and death relating to all activities associated
with the released parties named above.
Participant has no physical
limitations,medical ailments or disabilities
that would prevent him/her from
participating in the above-mentioned
activity.
THOSE WHO WANT
TO ACHIEVE AND
WIN
CHAMPIONSHIPS
MOTIVATE
THEMSELVES
2016
PROSPECTS HOCKEY
PRE-SEASON CLINIC
AUGUST 15-18
MATT KING
PROSPECTS HOCKEY LLC
60 LABEL AVE
PORTLAND, ME 04103
Parent/Guardian Signature and Date:
____________________________________
FAMILY ICE CENTER
MITES & SQUIRTS
9-10:15AM
PEEWEE &BANTAM
10:30-11:45AM
CLINIC FOCUS
*HIGH TEMPO SKATING AND SKILLS
*SHOOTING & SCORING
*POSITION SPECIFIC WORK
*BATTLE SKILLS
NAME___________________________________
EMAIL__________________________________
*COMPETITIVE GAMES
PHONE_________________________________
*SMALL AREA GAMES
ADDRESS_______________________________
_________________________________________
LEVEL________________________________
Cost $195
Make Checks Payable ToPROSPECTS HOCKEY LLC
60 Label Ave. Portland ME 04103