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Important: If you were registered with a youth hockey organization
Bantam Major (Bantam Age Players - 94 / 95 Birth Year) Name: ____________________________ Date of Birth: ____________ Address: __________________________ City: ______________________ State: _______ Zip: __________ Evening Phone: ________________ Daytime Phone: _____________ 2007 – 2008 Team: _________________ email: ______________________ Please Read - Waiver I assume all risk and damage incidental to the game of hockey including but not limited to the danger of being injured by puck, hockey stick and other players. I do hereby forever release and discharge all claims, actions, and causes of action against players, coaches, and persons associated with Clifton Park Ice Arena LLC and CP Dynamo Hockey LLC for injuries to life, limb, or property, directly or indirectly arising out of playing hockey. Parent / Guardian: ___________________________ Date: _____________ (Please sign & date) |
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