2017 Elite Camp

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Highest USFS Test Passed:
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RELEASE FORM
I hereby give permission for my child to participate in Elite Camp held at LA Kings Icetown Riverside on Monday, June 19 and Tuesday, June 20, 2017.
As the parent/guardian of this child, I recognize that I am responsible for providing appropriate transportation to and from the LA Kings Icetown facility and that I am also responsible for all persons dropping off and/or picking up my child.
I understand that it is my responsibility to provide my child with a snack and lunch each day that they are enrolled in Elite Camp. Camp staff will not be responsible for any money for vending machines and/or purchasing a lunch for my child.

Please list the person(s) who will be dropping off and/or picking up your child during Elite Camp:
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EMERGENCY CONTACT
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1. It is the purpose of this agreement to exempt, waive and relieve from liability for personal injury, property damage, and wrongful death, if caused by negligence, including the negligence, if any, of Dunn Enterprises, Inc., dba Icetown Riverside (“Icetown Riversde”), event hosts, other participants, coaches, officials, sponsors, advertisers, and each of them, their officers, directors, agents and employees (“Releases”).
2. For and in consideration of the undersigned’s being allowed to participate in sporting activities at Icetown Riverside, including, but not limited to, ice hockey, broom ball, figure skating, speed skating, skate dancing and any other sporting activity which participant may participate in while on Icetown Riverside premises (hereinafter referred to as “ice rink activities”), participant (and the parent(s) or legal guardian(s) of participant, if applicable) waive, release Releasees and relinquish any and all claims for liability and cause(s) of action, including for personal injury, property damage or wrongful death occurring to participant, arising out of participation in ICETOWN RIVERSIDE events, ice rink activities (whether team or individual) and any other sporting activity incidental thereto, whenever or however they occur and for such period said activities may continue, and by this agreement any such claims, rights, and causes of action that participant (and participant’s parent(s) or legal guardian(s), if applicable) may have are hereby waived, released and relinquished, and participant (and parent(s)/guardian(s), if applicable) does(do) so on behalf of my/our and participant’s heirs, executors, administrators and assigns.
3. Participant (and participant’s parent(s)/guardian(s), if applicable) acknowledge, understand and assume the risks, if any, arising from the conditions and use of ice rinks and related premises and acknowledge and understand that included within the scope of this waiver and release is any cause of action (including any cause of action based on negligence) arising from the performance, or failure to perform, maintenance, inspection, supervision or control of said areas and for the failure to warn of dangerous conditions existing at said rinks, for negligent selection of certain releasees, or negligent supervision or instruction by releasees.
4. Participant (and participant’s parent(s)/guardian(s), if applicable) acknowledge, understand and assume all risks relating to ice hockey and any member team activities, and understand that Ice rink activities involve risks to participant’s person including bodily injury, partial or total disability, paralysis and death, and damages which may arise therefrom and that I/we have full knowledge of said risks. These risks and dangers may be caused by the negligence of the participant or the negligence of others, including the “releasees” identified below. These risks and dangers include, but are not limited to, those arising from participating with bigger, faster and stronger participants, and these risks and dangers will increase if participant participates in Ice rink activities in an age group above that which participant would normally participate in. I/We further acknowledge that there may be risks and dangers not known to us or not reasonably foreseeable at this time. Participant (and participant’s parent(s)/guardian(s), if applicable) acknowledge, understand and agree that all of the risks and dangers described throughout this agreement, including those caused by the negligence of participant and/or others, are included within the waiver, release and relinquishment described in the preceding paragraph.
5. Participant (and participant’s parent(s)/guardian(s), if applicable) acknowledge that they have been provided and have read the above paragraphs and have not relied upon any representations of releasees, that they are fully advised of the potential dangers of ice hockey and understand these waivers and releases are necessary to allow Ice rink activities to exist in their present form.
6. If the law in any controlling jurisdiction renders any part of this agreement unenforceable, the remainder of this agreement shall nevertheless remain enforceable to the full extent, if any, allowed by controlling law. This agreement affects your legal rights, and you may wish to consult an attorney concerning this agreement.
7. I authorize Icetown Riverside to use photos and or videos of the participants in any marketing or promotional campaign without any compensation.
8. Participant (and participant’s parent(s)/guardian(s), if applicable) agree if any claim for participant’s personal injury or wrongful death is commenced against releasees, he/she shall defend, indemnify and save harmless releasees from any and all claims or causes of action by whomever or wherever made or presented for participant’s personal injuries, property damage or wrongful death.
9. Refund Policy: There are no refunds for this camp or any missed days of camp. The only exception is given if the participant cannot attend due to medical reason. In that case a doctor’s note must be presented to the box office within 72 hours of the day or days that the participant did not attend camp. Icetown Riverside Sport Center must also be notified at least one hour before the start of the camp by email to shammond@icetown.com indicating the name of the participant the reasons that of absence from Camp.
10. Cancellation Policy: This camp can only be cancelled due to medical emergencies and accompanied by a doctor’s note.
Privacy Statement: No personal information is collected or sold to third parties. Icetown Riverside will use your email to contact you solely for the purposes of the event that you signed up for.
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