2024 Summer Hockey Registration GWHL
2024 Summer Hockey Registration GWHL
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Email *
First Name *
Last Name *
Street address *
Town *
Postal Code *
Phone # *
Date of Birth: *
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Emergency Contact Name *
Emergency Contact Phone # *
Emergency Contact Relationship to participant *
Please list any Medical Conditions: *
Have you played ice hockey before? *
Required
What position do you play? *
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This is a recreational hockey league.  Please rate your hockey skill *
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Special Requests: (Ex. Scheduling/players. Not guaranteed):
GWHL is a non-profit league, full payment is due Apr 12, 2024 and no refunds can be made after that time. *
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READ BEFORE SIGNING  In consideration of being allowed to participate in any way in Georgina Women’s Hockey League, athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:1.The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) from the activities involved in this program are significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and,2.I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,3.I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,4.I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Georgina Women’s Hockey League and the Town of Georgina, their volunteers, officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. *
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A copy of your responses will be emailed to the address you provided.
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