2019-2020 CBWRHL Registration Form

PLAYER INFORMATION
MEDICAL/EMERGENCY CONTACT INFORMATION
WAIVER INFORMATION
ALL TEAM MEMBERS / PLAYERS ACKNOWLEDGE THAT THERE WILL BE NO TOLERANCE FOR ABUSE OF OFFICIALS IN THE CROSS-BORDER WOMEN’S RECREATIONAL HOCKEY LEAGUE.
OFFENDERS WILL BE SUSPENDED ACCORDINGLY.

WAIVER OF LIABILITY

BY SIGNING THIS DOCUMENT, YOU WILL BE SURRENDERING CERTAIN LEGAL RIGHTS WHICH YOU HAVE, INCLUDING THE RIGHT TO SUE. PLEASE READ IT CAREFULLY.

I acknowledge that I am aware of the risks, dangers and hazards of the sport of ice hockey, contact or non-contact, including the possible risk of severe or fatal injury to myself or others.
The undersigned and their heirs, executors and personal representatives hereby release, forever discharge, indemnify and hold harmless Cross-Border Women’s Recreational Hockey League their directors, officers, contractors, employees and their respective successors and assigns from any and all loss or damages that may result from any disease, deterioration of health, illness or injury to my person, including death, or the loss of any property resulting from participating in the Cross Border Women’s Recreational Hockey League(LEAGUE).

PARTICIPATION IN THE CROSS-BORDER WOMEN’S RECREATIONAL HOCKEY LEAGUE
The undersigned (the “Participant”) is advised to carry medical insurance. The Participant certifies that he / she has no known medical condition that would prohibit him/her from participating in the sport of ice hockey.
The Participant understands and agrees that he / she may be expelled from the League for any of the following reasons:
Financial delinquency
Failure to abide by League rules
Falsification of registration information.

INSURANCE POLICY
The League has obtained a policy with Archway Insurance


PAYMENT TERMS AND CONDITIONS
Individual Entries: Participant must pay Full Payment of $300 (or $150 for goalies) by September 15th or
$100 (or $50 for goalies) payable by September 1st with registration & followed by $100 ($50 for Goalies) payable by September 30 and a final payment of $100 ($50 for Goalies) payable by November 1..

PRIVACY POLICY
Personal Information Protection: Cross Border Women’s Recreational Hockey League collects and uses personal information only to extent of contact the participant regarding League issue or for Insurance purposes. The information will not be shared or sold to anyone outside the League. By providing us with your information you consent to the Cross Border Women’s Recreational Hockey League use of the information in providing you with products or services and / or information.

ACCEPTANCE OF Cross-Border Women’s Recreational Hockey League TERMS & CONDITIONS
"I have read this agreement thoroughly and understand the terms. No oral representations or statements or inducements have been made to me that change, alter, or modify anything within the written agreement."


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Applicant's Signature of Acceptance to the above Terms and Conditions Date

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Print Name Date

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Staff Witness (signature): Date
 

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