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| Emergency Contact Information |
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| Allergies |
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If yes, please detail allergies in
'Extra Detail Information' below |
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Select League:
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Waiver and release:
I acknowledge that the sport of hockey has inherit risks of injury. In consideration of enrolling in a program of instruction with Durham Hockey Institute, the undersigned hereby:
1. Releases and discharges Durham Hockey Institute, it’s directors, employees and agents (the “Releasees”) from any and all liability for any injury however occurring, whether from negligence on the part of the Releasees or otherwise: and
2. I hereby agree to indemnify and save harmless the Releasees from any and all causes of action brought against them as a result of any injury however occurring.
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Please select the box
indicating if you have read, understood and accepted the
Waiver and Release |
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<<< Please Check
<<< Waiver Box |
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