2012-2013 Season Registration

Valid through August 31, 2013

Enter Information

[ * Indicates required fields ]

AGE REQUIREMENT

I am currently 18 years of age or older.*

You must be 18 or older to complete an online registration for yourself or your child.
If you are not 18 or older, a parent or guardian must complete this registration for you.

REGISTRATION TYPE

Ice Player/Coach

Ice Manager/Volunteer

Ice Official (Referees)

INFORMATION

Please answer the following questions for the person you are registering

Player/Coach

First Name:*

Legal name, not nickname.

Middle Initial

Last Name:*

Birthdate:*

Gender:*

Male

Female

Citizenship:*

USA

CAN

Other

Address

Mailing Address:*

Complete mailing address (includes Suite, Apt.)

Alternate Address:

City:*

State:*

Zip Code:*

Country:*

Canadian Postal Code:

Required for non US residents only.

Contact

USA HOCKEY FOUNDATION

Would you like to donate as little as $5 to the USA Hockey Foundation to support the growth and development
of the game in America? USA Hockey Foundation? *

Yes

No Thanks

WAIVER OF LIABILITY

Please read and accept the Waiver of Liability, Release Assumption of Risk & Indemnity Agreement

Waiver of Liability, Release, Assumption of Risk & Indemnity Agreement 
It is the purpose of this agreement to exempt, waive and relieve releasees from liability for personal injury, property damage, and wrongful death, including if caused by negligence, including the negligence, if any, of releasees. "Releasees" include USA Hockey, Inc. and its affiliate associations, local associations, sanctioned league, sanctioned tournament and their organizers, member teams, event hosts, other participants, coaches, officials, sponsors, advertisers, and each of them, their officers, directors, agents and employees. For and in consideration of the undersigned participant's registration with USA Hockey, Inc., its affiliates, local associations and member teams, sanctioned leagues and tournaments and their organizers, (all referred to together as USAH) and being allowed to participate in USAH events and member team and sanctioned league / sanctioned tournament activities, participant (and the parent(s) or league guardian(s) of participant, if applicable) waive, release 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 USAH events, member team and sanctioned league / sanctioned team activities, the sport of inline hockey, and/or activities incidental thereto, whenever or however they occur and for such a 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. Participant (and participant's parent(s)/guardian(s), if applicable) acknowledge, understand and assume all risks relating to inline hockey and any member team activities, and understand that inline hockey and member team 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 '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 inline hockey and member team 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 negligence of participant and/or others, are included within the waiver, release and relinquishment described in the proceeding paragraph. I/We agree to abide by and be bound under the rules of USA Hockey, including the By-Laws of the corporation and the arbitration clause provisions, as currently published. Copies are available to USA Hockey members upon written request. 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 hockey rinks and their surfaces and related premises and acknowledge and understand that included within the scope of this waiver and release in 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. 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. 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. 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 inline hockey and understand these waivers and releases are necessary to allow amateur inline hockey to exist in its present form. Significant exclusions may apply to USA Hockey's insurance policies, which could affect any coverage. For example, there is no liability coverage for claims of one player against another player. The insurance brochure is available upon request from USA Hockey. You should read the brochure carefully and, if you have any questions, contact USA Hockey. With respect to participants registering as Referees, each such referee understands that, while officiating USA Hockey Sanctioned Games, he or she is acting as an independent contractor and not as an employee of USA Hockey or any sanctioned league, tournament, or event. Rev 7/10

Waiver of Liability, Release
Assumption of Risk & Indemnity Agreement 
It is the purpose of this agreement to exempt, waive and relieve releasees from liability for personal injury, property damage, and wrongful death, includingif caused by negligence, includingthenegligence, if any, ofreleasees. "Releasees" includeUSA Hockey, Inc.,itsaffiliate associations, local associations, member teams, event hosts, other participants, coaches, officials, sponsors, advertisers, and each of them, their officers, directors, agents and employees.
For and in consideration of the undersigned participant's registration with USA Hockey, Inc., its affiliates, local associations and member teams (all referredto togetheras USAH) and beingallowedto participatein USAH events and memberteam activities,participant(and the parent(s) or legal guardian(s) of participant, if applicable) waive, release and relinquish any and all claims for liabilityand cause(s) of action, including for personal injury, property damage or wrongful death occurring to participant, arising out of participation in USAH events, memberteam activities, the sport of ice hockey, and/or activities 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.
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 hockey and member team 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 above. 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 hockey and member team 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. I/We agree to abide by and be bound under the rules of USA Hockey, including the By-Laws of the corporation and the arbitration clause provisions, as currently published. Copies are available to USA Hockey members upon written request.
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 hockey 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.
As further consideration for registration and participation in USAH events and member team activities, participant (and the parent(s) or legal guardian(s) of participant, if applicable), hereby (1) consents and agrees that USAH, its licensees and designees may make video and/or audio recordings of and/or otherwise film, photograph or memorialize some or all of participant's participation in such events and activities, and (2) grants to USAH, its licensees, designees, successors and assigns, a worldwide, perpetual, irrevocable, fully-paid, royalty-free, transferable and sublicenseable right and license to use, copy and disseminate participant's image and personal attributes, and to modify and present same in any form, manner and media, now known or hereafter devised, for any purpose whatsoever.
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.
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.
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 amateur ice hockey to exist in its present form. Significant exclusions may apply to USA Hockey's insurance policies, which could affect any coverage. For example, there is no liability coverage for claims of one player against another player. Read your brochure carefully and, if you have any questions, contact USA Hockey or a District Risk Manager.

I have read and accept the USA Hockey Waiver of Liability.*

Initial here*

Cancel

2012-2013 Season Registration

Enter Information

AGE REQUIREMENT

REGISTRATION TYPE

USA Hockey Registration fee – $40

Ice Managers and Volunteers.

Ice Officials (Referees)

Ice Officials (Referees)

This Registration is for the 2010-2011 Season.

WHO ARE YOU REGISTERING?