Spring4on4 U9 & U11

FUNDAMENTALS SPRING 4ON4 (U9 & U11) – 2023

Participant Information

First Name

Last Name

E-mail address

Street Address

City

Province

Postal Code

Home Phone

Emergency Contact Name

Emergency Contact Relationship

Emergency Phone Number

Birth Date

Sex

2022/2023 Category

Current Level

Position

Jersey Size Preference

Jersey Number Preference

Registering In:

Friend/Sibling Request

Medical History

PAUL MANNING FUNDAMENTALS HOCKEY WAIVER, ASSUMPTION AND ACKNOWLEDGEMENT OF RISK FOR MINOR PARTICIPANTS (AGES 6 to 17

MINOR ACKNOWLEDGEMENT AND ASSUMPTION OF RISK

I UNDERSTAND AND AGREE that there is potential risk for injury involved in the participation of any physical activity. I further understand and agree that participating in ice hockey is a potentially dangerous activity. Minor injuries or more serious injuries are possible, including sprains, strains, twists, cramps, fractured or broken bones, and torn ligaments, though most participants do not encounter serious injuries. There remains, despite safety precautions, the remote possibility of crippling or death. I FREELY ACCEPT AND FULLY ACKNOWLEDGE all such risks, dangers and hazards, resulting from my participation in hockey camp.

It is my right and responsibility as a participant to immediately remove myself from participation in the program and notify the nearest official, if at any time I sense any unusual hazard or unsafe condition or if I feel that I am physically, emotionally, or mentally unfit for continued participation in the program.

I have read and understand the above statement of risk. I assume responsibility for my own safety, and I understand and accept the risks involved with ice hockey.

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT FOR

PARENTS OF MINOR PARTICIPANT

In consideration of approval for my minor child to participate in hockey camp, its affiliated provincial/territorial sport-governing bodies, and clubs, I hereby agree as follows:

TO WAIVE ANY AND ALL CLAIMS that I or my minor child have or may in future have against Paul Manning, its officials, members, agents, directors, officers, employees and representatives, and other participants (all of whom are hereinafter collectively referred to as “Releasees”).

I HAVE READ, understood and agree with the statements in the MINOR ACKNOWLEDGEMENT AND ASSUMPTION OF RISK portion of this document, and by assuming and acknowledging this risk, I completely absolve all RELEASEES from any and all liability for loss, damage, injury or expense that my minor child may suffer, that I may suffer, that a third party may suffer, or that my next of kin may suffer as a result of my minor child’s participation in any of the activities and/or programs offered by the Releasees, DUE TO ANY CAUSE WHATSOEVER. I acknowledge my responsibility to ensure adequate medical health of my child, as well as protection of my child’s personal possessions.

IN ENTERING INTO THIS AGREEMENT I am not relying upon any oral or written representations or statements made by the Releasees other than what is set forth in this agreement.

I HAVE READ AND UNDERSTOOD THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS OR ASSIGNS MAY HAVE AGAINST THE RELEASEE.

Signature

Signed this date...

Signature of Participant

Name of Participant

Signature of Parent of Participant

Name of Parent

Witness to Signatures

Witness Name

Camp Refund & Credit Policy

As a condition of registration, the Participant and Parent/Guardian agrees to the following: 

Registered customers must notify Fundamentals Summer Camps by email 30+ days prior to the associated camp start date to receive a refund for paid registration less $50 for processing and administration fees.
Customers who cancel by email notice less than 30 days prior to camp start date are eligible to receive full credit for a future Fundamentals Summer Camps offering. Refunds are not available less than 30 days prior to the respective camp start date.

By agreeing electronically, I acknowledge that I have both read and understood all text presented to me as part of the registration process.

I agree to the Fundamentals Refund Policy as outlined above

I assert that I have reviewed and agree to the Fundamentals Hockey Waiver I selected above by entering my name with this electronic signature:

Electronic Signature

Fundamentals Hockey accepts payment via all major credit cards, etransfer, or cheque.

If paying by etransfer please send payment to pmanning24@hotmail.com

If paying by cheque please mail payment to:  

Fundamentals Hockey
632 Cheriton Crescent
Edmonton, AB T6R 2M5 NW

If paying electronically, please click the "Pay Now" button down below.

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