The below named registrant has agreed to pay $720 to participate in the Hockeytown USA, Inc. over 50 no check ice hockey league. A deposit of $240 is required with this signed application with the balanced to be paid in equal payments of $240 on the first of December 2023 and February 2024. The league will consist of approximately thirty games plus playoffs to be played on Tuesday nights starting Sept. 12, 2023 thru the end of May. Games will be played between the hours of 7pm and 11:00pm. Individuals will be selected and placed on teams. Every effort will be made to balance the talent level of each team by the Commissioner. The league will provide shirts.

     Participation agreement, Release of liability, waiver of claims and assumption of risk.

By signing this document you may be waiving certain legal rights, including the right to sue the arena (Hockeytown USA, Inc. and GLS Associates.) and the league and their owners, officers, directors, agents, employees and or representatives.

     ASSUMPTION OF RISK: I am aware that ice hockey involves certain inherent risks, dangers and hazards, which can result in serious personal injury or death. I am also aware that ice hockey arenas contain potential dangers to the ice hockey public. As such I hereby freely agree to assume and accept any and all known and unknown risks of injury while participation in ice hockey activities. I further recognize and acknowledge that the risks inherent in the sport of ice hockey can be greatly reduced by using common sense.  Release and waiver of claims agreement: In consideration of allowing me to participate in the leagues ice hockey activities at the arena, I herby agree as follows:

1.       To waive any and all claims that I have or may in the future have against the arena and/or league resulting from the leagues activities at the arena.                                                                       

2.       To release the arena from any and all liabilities for any loss, damage, injury or expense that I may suffer or that my next of kin may suffer as a result of my participation in the activity described in this agreement. Due to any cause whatsoever, including negligence of breach of contract on the part of the arena and/or the league in the operation, supervision, design or maintenance of the arena.  

       ARBITRATION:  In further consideration of allowing me to participate in the league’s ice hockey activities in the arena, I herby agree to submit to binding arbitration any and all claims, which I believe I may have against the arena, and/or league arising from the leagues activities at the arena. The arbitration shall be pursuant to the rules of evidence to all proceedings.        

       Arbitration shall be commenced within (1) year from the date of which any alleged claim first arose. Further, the arbitration shall be held in the town where the area is located, unless otherwise mutually agreed to by all the parties. The submission to the American Arbitration Association shall be unlimited and the arbitration award may be enforced by any court of competent jurisdiction.  Binding effect agreement: In the event of my death or incapacity, this agreement shall be effective and binding upon by heirs, next of kin, executors, administrators, assigns and representatives.  Entire agreement: In entering into this agreement, I am not relying upon any oral or written representation other than what is set forth in this agreement.

     I have read and understand this agreement and am aware that by signing this agreement I am waiving certain rights including the right to sue Hockeytown USA, Inc and the league, and their owners, officers, directors agents, employees and/or representatives.



______________________________________________   ____________________________________________

      SIGNATURE OF PARTICIPANT                                      PRINT SIGNATURE


ADDRESS __________________________________ CITY_____________________________ ZIP___________


  STATE __________ E-MAIL________________________________DATE OF BIRTH_____________________


  Home phone ___________________Work phone_________________ Mobile phone________________________


  Comments & Requests___________________________________________________________________________



                                                _____ I prefer to play in the East Division (A League)

     Please check one:          _____ I prefer to play in the West Division (B League)



RECEIPT  ______________ DATE______________AMOUNT PAID_________________INITIALS____________





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