2024 NDSC Player Waiver
Please fill out completely. Waivers must be completed prior to the team's first game, otherwise players will not be allowed to play until the waiver is completed. Please contact John Wuitschick at grinders.john@gmail.com with any questions or issues. Thank you!
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Team Name *
Team's Age Division *
Player's Name (First and Last) *
Player's Birthdate *
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Contact 1 Name (First and Last) *
Contact 1 Phone Number *
Contact 1 Email Address *
Contact 2 Name (First and Last) *
Contact 2 Phone Number *
Contact 2 Email Address *
Fargo Grinders Hockey LLC, Hockey WAIVER & RELEASE, October 1, 2023 through September 30, 2024 IMPORTANT INFORMATION: Fargo Grinders Hockey LLC is committed to conducting this camp/game/scrimmage/team in a safe manner and hold the safety of participants in high regard. We will continually strive to reduce risks and insist that all participants follow safety rules and instructions that are designed to protect the participants’ safety. However, participants and parents/guardians of minors registering for this program must recognize that there is an inherent risk of injury when choosing to participate in recreational activities. You are solely responsible for determining if you are physically fit and/or adequately skilled for the activities contemplated by this agreement. It is always advisable, especially if the participant is pregnant, disabled in any way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity. WARNING OF RISK: Hockey is a sport intended to challenge and engage the physical, mental and emotional resources of each participant. Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury, including but not limited to head/brain injury, cervical spine injury (including paralysis) and death. All hazards and dangers cannot be foreseen. The very nature of the game of hockey is hazardous and risky, including but not limited to being tripped, body-checked, cross-checked with the stick, hit with a slash, a high stick, or a thrown stick, going head first into the boards, getting pushed or checked from behind, being cut by a skate blade, colliding with goal posts, being hit by a stick, puck, or other player’s protective equipment, elbowed in the head or face, collisions with other players and stationary objects, lack of officiating, injuries caused by failure to wear adequate protective equipment, inadequate playing conditions, defective equipment, imperfections in the ice, failure in supervision or instruction, unsportsmanlike conduct, and all other circumstances inherent to sport of hockey. In this regard, it is impossible for the renter and arena to guarantee absolute safety. WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK: Please read this form carefully and be aware that in signing up and participating in this program/ activity, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this program/activity. THE FOLLOWING IS THE LIABILITY WAIVER WRITTEN ON BEHALF OF THE SIGNATORY: I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this program against the renters of ice, Fargo Grinders Hockey LLC, you agree that the participant will be registered and current with USA Hockey for the entirety of their involvement in all on-ice activities and off ice activities. All fees are non-refundable. I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims.
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I authorize Fargo Grinders Hockey LLC and any of it's coaches, contractors, or representatives to seek emergency medical care for my child by any licensed medical provider, or first responders.
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