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Summer Off Ice Training Program Option 1
Player Name
Player First Name
Player Last Name
Player Cell Phone
Birth Year
Birth Year: Year
Year
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Parent Name
Parent First Name
Parent Last Name
Parent Cell Phone
Email
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