Summer Off Ice Training Program Option 1

Player First Name

Player Last Name

Player Cell Phone

Birth Year

Parent First Name

Parent Last Name

Parent Cell Phone

I waive and release Fusion Hockey Inc instructors and players from any liability for any type of injuries that occur during play. I authorize league staff to use their best judgement in an emergency requiring medical attention. I hereby certify that my child medically fit to participate in this camp.

I have read and agree

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

I have read and agree to the above assumption of risk

Sign above