Group Lessons Series 2 Registration Form

Player Information (Fields marked with a * are required)

First Name *

Last Name *

Date of Birth *

Gender
Male Female

Email Address

Confirm Email Address

Telephone

Street Address

City

Province / State

Postal / Zip Code

Parent / Guardian Information

Name

Email

Confirm Email Address

Home Phone

Mobile Phone

Payment Options:
Pay Total: $160.00
Pay Deposit: $160.00

AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY - In consideration of being allowed to participate in any way in the Sport-O-Rama Ice Hockey Program, and all future programs and related events and activities, the undersigned: 1. Acknowledge and fully understand that each participant will be engaging in activities that involve risks of serious injury including death or paralysis which might result from their own actions, inaction’s or negligence of others, the rules of play, or the condition of the premises or any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time. 2. Assume all of the foregoing risks and accept personal responsibility for the damages following such injury. 3. Release, waive, discharge, agree to hold harmless and covenant not to sue Ramapo Ice Rinks, Inc., Sport-O-Rama Ice Hockey Program, Ramapo Youth Hockey Association, Inc., its affiliated Clubs, their respective administrators, directors, agents, coaches, and other employees of the Organizations, other participants, sponsors, and if applicable, owners and lessees of the premises used to conduct the event, all of which are hereinafter referred to as “releasees”, from demands, losses or damages on account of injury caused or alleged to be caused in whole or in part by the ordinary negligence of the releasees or otherwise. I agree that if any portion of this waiver & release is held invalid, the balance shall, notwithstanding, continue in full legal force & effect. 4. I consent to pictures being taken of me by Ramapo Ice Rinks and understand that such pictures will become the property of Ramapo Ice Rinks. Ramapo Ice Rinks may use them for promotional purposes without the payment of fees or other compensation to me.

THE UNDERSIGNED HAS READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT THEY HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.

I understand that there can be NO REFUND FOR ANY REASON and the Total fee is due even if I (my youngster) withdraws or is unable to complete the season for any reason.

Please check if you agree to the above terms.

(Fields marked with a * are required)