2019 - 2020 COACHES and MENTORS Registration form

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Mentor Information

Waiver of Liability, Release
Assumption of Risk & Indemnity Agreement

It is the purpose of this agreement to exempt, waive and relieve releasees
from liability for personal injury, property damage, and wrongful death, including
if caused by negligence, including the negligence, if any, of releasees.
“Releasees” include USA Hockey, Inc., its affiliate associations, local
associations, member teams, event hosts, other participants, coaches, officials,
sponsors, advertisers, and each of them, their officers, directors, agents and
For and in consideration of the undersigned participant’s registration with
USA Hockey, Inc., its affiliates, local associations and member teams (all
referred to together as USAH) and being allowed to participate in USAH events
and member team activities, participant (and the parent(s) or legal guardian(s)
of participant, if applicable) waive, release and relinquish any and all claims for
liability and cause(s) of action, including for personal injury, property damage or
wrongful death occurring to participant, arising out of participation in USAH
events, member team activities, the sport of ice hockey, and/or activities
incidental thereto, 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 (and participant’s parent(s) or legal guardian(s),
if applicable) may have are hereby waived, released and relinquished, and
participant (and parent(s)/guardian(s), if applicable) does(do) so on behalf of
my/our and participant’s heirs, executors, administrators and assigns.
Participant (and participant’s parent(s)/guardian(s), if applicable)
acknowledge, understand and assume all risks relating to ice hockey and any
member team activities, and understand that ice hockey and member team
activities involve risks to participant’s 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 “releasees” identified below. These risks and dangers include, but
are not limited to, those arising from participating with bigger, faster and
stronger participants, and these risks and dangers will increase if participant
participates in ice hockey and member team activities in an age group above
that which participant would normally participate in. I/We further acknowledge
that there may be risks and dangers not known to us or not reasonably
foreseeable at this time. Participant (and participant’s parent(s)/guardian(s), if
applicable) acknowledge, understand and agree that all of the risks and dangers
described throughout this agreement, including those caused by the negligence
of participant and/or others, are included within the waiver, release and
relinquishment described in the preceding paragraph. 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 participant’s parent(s)/guardian(s), if applicable)
acknowledge, understand and assume the risks, if any, arising from the
conditions and use of ice hockey rinks and related premises and acknowledge
and understand that included within the scope of this waiver and release is any
cause of action (including any cause of action based on negligence) 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.
If the law in any controlling jurisdiction renders any part of this agreement
unenforceable, the remainder of this agreement shall nevertheless remain
enforceable to the full extent, if any, allowed by controlling law. This agreement
affects your legal rights, and you may wish to consult an attorney concerning
this agreement.
Participant (and participant’s parent(s)/guardian(s), if applicable) agree if
any claim for participant’s 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 or wherever made or
presented for participant’s personal injuries, property damage or wrongful
Participant (and participant’s parent(s)/guardian(s), if applicable)
acknowledge that they have been provided and have read the above paragraphs
and have not relied upon any representations 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 Hockey’s insurance policies,
which could affect any coverage. For example, there is no liability coverage for
claims of one player against another player. Read your brochure carefully and, if
you have any questions, contact USA Hockey or a District Risk Manager.


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