MAINE STYX Field Hockey / The Field Hockey Zone Waiver
Participants registered for any MAINE STYX Field Hockey or The Field Hockey Zone Programs are required to complete the General Liability wavier/release below.
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Parent Name (Last, First) *
Parent Email *
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Parent Phone (xxx-xxx-xxxx) *
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Player Name (Last, First) *
MAINE STYX FIELD HOCKEY, LLC, PARTICIPANT AGREEMENT, RELEASE AND ACKNOWLEDGMENT FORM
In consideration of the services provided by MAINE STYX Field Hockey, LLC (“MAINE STYX” and “The Field Hockey Zone”), its officers, agents, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf, I hereby agree to release and discharge MAINE STYX, on behalf of myself, my children, my parents, my heirs, assigns, personal representatives and estate as follows:
1. I acknowledge that Field Hockey entails known and anticipated risks which could result in physical or emotional injury, paralysis, or damage to me, to property, or to third parties.  I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.
The risks include, but are not limited to, colliding with another player or players, walls, or barriers; falling or tripping onto the floor, barrier or other persons; getting hit by a stick, ball, or person.
Furthermore, MAINE STYX and The Field Hockey Zone and its coaches and employees and volunteers have difficult jobs to perform. They might be ignorant of a participant’s physical fitness or abilities. They may give inadequate warnings or instructions, and the equipment being used might malfunction.
2. I expressly agree and promise to accept and assume all the risks existing in this field hockey activity and any related activities.  My participation in this activity is purely voluntary, and I elect to participate in spite of the risks (both known and unknown).
3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless MAINE STYX and The Field Hockey Zone, and its officers, agents, volunteers, employees and all other persons acting in its behalf (each of whom are referred to herein as “Releasees”), from any and all claims, demands, damages, costs, and/or causes of action, which are in any way connected with my participation in the field hockey activity or my use of MAINE STYX equipment or facilities, including any such claims which allege negligent acts or omissions of MAINE STYX and/or any of the Releasees.
4. Should MAINE STYX or The Field Hockey Zone, any of the Releasees, or anyone acting on its behalf be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold harmless them for all such fees and costs.
5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself.  I further certify that I have no medical or physical conditions, which could interfere with my safety in this activity, or else I am willing to assume, and bear the costs of all risks that may be created, directly or indirectly, by any condition.
6. All photographs taken at MAINE STYX or The Field Hockey Zone events are the sole and exclusive property of MAINE STYX and The Field Hockey Zone and I release all claims to their use in field hockey promotional materials.
By signing this document, I acknowledge that if I or anyone else is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit or claim against MAINE STYX or The Field Hockey Zone on the basis from which I have released them herein.
I have had sufficient opportunity to read this entire document.  I have read and understand it, and I agree to be bound by its terms.

In consideration of (minor’s name above) (“Minor”) being permitted by MAINE STYX or The Field Hockey Zone to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless MAINE STYX and The Field Hockey Zone from any and all claims which are brought by, on behalf of Minor, and which are in any way connected with such use or participation by Minor. *
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