Manitoba Ball Hockey
145 Pacific Street
Winnipeg, Manitoba
R3B 2Z6
(204) 925-5602
E-mail [email protected]
www.manitobaballhockey.com
Please Print
Last Name
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First Name
Westridge Sponge Hockey Team Name________________________________________
Westridge Spongee - 2016-17 Roster Form and Waiver Agreement - Please read before you sign.
Home Address
Postal
Phone
E-mail address
Birth Date
Signature
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D/M/YR
Upon Signing this roster form and waiver agreement I hereby agree to abide by all the rules, regulations, and decisions of the Manitoba Ball Hockey Association, and Westridge Sponge Hockey League.
For valuable consideration, the receipt whereof is hereby acknowledged, the undersigned does hereby for himself/herself his heirs, executors, administrators, successors and assigns release and forever
discharge the Manitoba Ball Hockey Association & Westridge Sponge Hockey league from any and all actions, causes of action, claims and demands for, upon or by reason of any damage, loss or injury
to person and property which heretofore has been hereafter may be sustained in consequence of the undersigned’s participation as a player in the Manitoba Ball Hockey Association during the 2016-17
season and without limiting the generality hereof,whether sustained in try-out camp,practice,reguler league, playoff, tournament or exhibition games against league or non league teams, and travel to and
from the location of participation. In the event the Sponge Hockey season is halted due to poor ice conditions, the playoff positions will be determined based on the current standings of the league when
play was stopped. There will be No refunds given, and no further charge for any indoor Playoff games. All Playoff Games will be played as a single game elimination. Playoff round played indoors
when an indoor Arena is available.
Dated in the City of Winnipeg, in the province of Manitoba,
This_____ day of ____________, 2016
Signature of Team Captain/Representative___________________________ Print Name ___________________________