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Waiver of Liability, Release 
Assumption of Risk & Indemnity Agreement

For and in consideration of participantís registration with USA Hockey, Inc., its Affiliate, Local association and member team (hereafter USAH) and being allowed to participate in USAH events and member team activities, the parent(s) or legal guardian(s) of participants relinquish any and all liability for and cause of action for personal injury, property damage or wrongful death occurring to participant arising out of participating in USAH events, member team activities, the sport of ice hockey, and/or activities incidental hereto, whenever or however they occur and for such period said activities may continue, and by this agreement any such claims, rights, and causes of action that participant may have are hereby relinquished and the participant (or parent(s)/guardian(s)) does(do) so on behalf of my/our and participantís heirs, executors, administrators and assigns.

Participant and/or participantís parent(s)/guardian(s) acknowledge, understand and assume all risks inherent in ice hockey and any member team activities, and understand that said sport and activities involve risks to participantís person including bodily injury, partial or total disability, paralysis, and death, and damages which may arise therefrom and that I/we have full knowledge of said risks. These risks and dangers may be caused by the negligence of the participant or the negligence of others, including the ďreleaseesĒ identified below. It is further acknowledged that there may be risks and dangers not known to us or are not reasonably foreseeable at this time. I/We agree to abide by and be bound under the rules of USA Hockey, including the By-Laws of the corporation and the arbitration clause provisions, as currently published. Copies are available to USA Hockey members upon written request.

Participant and/or participantís parent(s)/guardian(s) acknowledge, understand and assume the risks, if any, arising from the conditions and use of ice hockey rinks and related premises and acknowledges and understands that included within the scope of this waiver and release is any cause of action, arising from the performance, or failure to perform maintenance, inspection, supervision or control of said areas and for the failure to warn of dangerous conditions existing at said rinks, for negligent selection of certain releasees, or negligent supervision or instruction by releasees.

Participant and/or participantís parent(s)/guardian(s) agree if any claim for participantís personal injury or wrongful death is commenced against releasees, he/she shall defend, indemnify and save harmless releasees from any and all claims or causes of action by whomever of wherever made or presented for participantís personal injuries, property damage or wrongful death.

It is the purpose of this agreement to exempt, waive and relieve releasees from liability for personal injury, property damage, and wrongful death caused by negligence, including the negligence, if any, of releasees. ĎReleaseesí include USA Hockey, Inc., its Affiliate Associations, Local Associations, Member teams, event hosts, other participants, coaches, officials, sponsors, advertisers, owners and operators of the premises used to conduct any event and each of them, their officers, directors, agents and employees.

Participant and/or participantís parent(s)/guardian(s) acknowledge that they have been provided and have read the above paragraphs and have not relied upon any representation of releasees, that they are fully advised of the potential dangers of ice hockey and understand these waivers and releases are necessary to allow amateur ice hockey to exist in its present form. Significant exclusions may apply to USA Hockeyís insurance policy, which could affect any coverage under our policy. Read your brochure carefully and contact USA Hockey or a District Risk Manager if you have any questions.
 
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PARTICIPANT SIGNATURE
Age_____  Date Signed_________
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PARTICIPANT NAME (PRINT)
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PARENT OR GUARDIAN SIGNATURE 
(if Participant is 17 years of age or younger)
Date Signed_________

© USA Hockey, Inc.