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Rage in the Cage 22
IntergalactiCON
Home
About
Corporate Partners
The Ultimate Assist
Meetings & Events
LiveBarn Game Streaming
Lattimore Physical Therapy
Iceplex Fitness
Press & Media
Press Releases
Media Coverage
Visitor Center
Play
Public Skating
Public Skating Refunds
Birthday Parties
Group Outings
Learn
Learn to Ice Skate
Learn to Play Hockey
Hockey 101
Never Ever League
I-League
Learn to Figure Skate
Zamboni Experience
Train
Skate & Shoot
Adult Skate & Shoot
Youth Skate & Shoot
Stick & Puck
NewEdge Hockey Development
Compete
The Iceplex Adult Hockey League
Youth Spring Hockey League
Youth Summer Hockey League
Facility Schedule
Tickets
Stick & Puck
Skate & Shoot
Public Ice Skating
Rage in the Cage 22
IntergalactiCON
PARTICIPANT WAIVER
This waiver must be filled out in entirety for each participant prior to arrival to the Iceplex for their respective event.
PARTICIPANT INFORMATION
*
Indicates required field
Participant's Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
D.O.B (MM/DD/YYYY)
*
Phone Number
*
Phone number of participant, or of their Guardian (if participant is a minor)
Email
*
Email of participant, or of their Guardian (if participant is a minor)
Guardian's Name (if participant is a minor)
*
ACTIVITY INFORMATION
Date of Activity (MM/DD/YYYY)
*
Time of Activity
*
WAIVER
In consideration of being allowed to participate in any way as a ‘Participant and/or Competitor’ in collaboration with Monroe Community Sports Centre Corporation (dba Bill Gray’s Regional Iceplex) and other related events and activities...
I acknowledge, appreciate, and agree that:
The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, also including viral infections, bacterial infections and other communicable diseases and illnesses, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown of my participation in the Third Party (Rental) Hockey Activity, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERS, AND ASSUME FULL RESPONSIBILITY FOR MY PARTICIPATION; AND, I willingly agree to comply with the stated and customary terms and conditions for participation in the Third Party (Rental) Hockey Activity. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, IDEMNIFY, AND HOLD HARMLESS, ‘Monroe Community Sports Centre Corporation, their officers, officials, agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (Releases), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, VIRAL INFECTIONS, BACTERIAL INFECTIONS, AND OTHER COMMUNICABLE DISEASES AND ILLNESSES, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by the law.
Arbitration: In further consideration of allowing me to participate in the aforementioned activities, I hereby agree to submit to bind arbitration any and all claims, which I believe I may have against the facility arising from my activities at the facility. The arbitration shall be pursuant to the rules of the American Arbitration Association. The arbitrators shall apply the Federal Rules of Evidence to all proceedings.
Arbitration shall be commenced within one (1) year from the date on which any alleged claim first arose. Further, the arbitration shall be held in the town where ‘Monroe Community Sports Centre Corporation is located, unless otherwise mutually agreed to by all the parties. The Submission to the American Arbitration Association shall be unlimited and the arbitration award may be enforced by any court of competent jurisdiction.
BY CHECKING YES, I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT AN INDUCEMENT, FOR MYSELF (IF OVER THE AGE OF 18), OR AS THE LEGAL GUARDIAN (IF PARTICIPANT/PLAYER IS A MINOR).
*
YES
Submit