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TEAM REGISTRATION

I understand the risks of injury inherent in the game of ice hockey, and by this application, acknowledge my willingness to accept those risks, and hereby save the other members of the NITTANY HOCKEY LEAGUE, the OFFICIALS, the RINK STAFF, and the PENNSYLVANIA STATE UNIVERSITY harmless from and against any and all, liabilities, costs, damages, suits claims and expenses which may arise in any way through my participation in play in the NITTANY HOCKEY LEAGUE.

PLEASE COMPLETE THE FOLLOWING INFORMATION, SUBMIT TO LEAGUE then PRINT a COPY, SIGN, and SUBMIT SIGNED COPY to COMMISIONER
TEAM NAME:
CAPTAIN(S):

NAME:

Address: Town, State, Zip: E-Mail:

Telephone(s):

Home: Work:

NAME:

Address: Town, State, Zip: E-Mail:

Telephone(s):

Home: Work:

 

JERSEY NUMBER

G *** 1 *** 2 *** 3 *** 4 *** 5 *** 6 *** 7 *** 8 *** 9 *** 10 ** 11 ** 12 ** 13 ** 14 ** 15 ** 16 ** 17 ** 18 ** 19 ** 20 **

 

AGREEMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ROSTER

NAME, ************ E-MAIL ************* BIRTHDAY

, ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , * , ** , *

 

 

 

AGREEMENT

I, (We) agree that as team Captain(s) I, (We) have the authority and the responsibility to organize, administer discipline, assess and collect team fees incurred for the participation in playing of the game of Ice Hockey in the NITTANY HOCKEY LEAGUE. I, (We) shall represent the team as members of the Board of Governors in determining League policy, rules and League decisions, including discipline and suspensions. Each TEAM shall be entitled to one vote.

~ further ~

This agreement is made upon the express condition that the Nittany Hockey League shall be free from all liabilities and claims for damages and/or suits for or by reason of any injury or injuries to any person or persons or property of any kind whatsoever, whether the person or property of the Pennsylvania State University, the Nittany Hockey League, their agents or employees, or any third persons, from any cause or causes whatsoever while participating in Nittany Hockey League activities, in or on the premises or any part thereof, of the Pennsylvania State University's Ice Rink, whether playing hockey, pre-game or post game preparation, or as a spectator, or any other activity in association with the activities of the Nittany Hockey League during the term of this agreement.

I hereby certify that I,(we) as Team Captain(s), will not allow or permit anyone whosoever, to play or otherwise participate in the activities of the Nittany Hockey League who has not completed a copy of this form. Should I, (We) fail in this agreement. I, (We) hereby covenant and agree to indemnify and save harmless the Pennsylvania State University, the Nittany Hockey League, their agents or employees, or any third persons, from all liabilities, charges, expenses (including counsel fees), and costs on account of or by reason of any such injuries, liabilities, claims, suits, or losses however occurring or damages growing out of same.
As evidenced by the signing of this agreement, I, (We) agree to the details specified herein.

NAME: Signature) Date:

NAME: Signature) Date:

 

 

 

 

 

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