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U14 Division - Hooray for Hockey Tournament
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Alpha Purple
Hymax Jaguars
Next Level Grey
Warhawks
Team Chesapeake
Freedom 1
Maryland Legacy
Alpha White
Next Level Blue
Koa
Mustangs
Metro HC
Alpha Lime
Rebels
Jackals
Player's First Name:
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Player's Last Name:
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Address:
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School:
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Date of Birth:
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I, the undersigned parent/player, acknowledge, agree and understand that: 1. Voluntarily and of my/my child’s own free will, I elect to participate as a member of the team and league indicated below. 2. I understand that there are certain risks and hazards involved in participating in any sport that may result in injury or death to me or other players, including, but not limited to those hazards associated with weather conditions, playing conditions,equipment and other participants.Further, I, the undersigned parent/player, agree that in consideration for the right to play as a member of the team designated below and in consideration for permission to play on the fields or courts arranged for by the team or league: 1. I voluntarily elect to accept and assume all risks of injury incurred or suffered by my child/me (a) while practicing or playing as a member of the team so designated, (b) while serving in anon-playing capacity as a team member during practice or play by other players on my team, and (c) while on or upon the premises of any and all of the facilities arranged for by my team or league for practice or play. 2. I release, discharge and hold harmless the team and league designated below, the facility owner or other entity designated below, the Howard County Department of Recreation and Parks,Howard County, its officers, agents, associations, employees,or any person or entity connected with the team, league, or facility for any claim, damages, costs or cause of action which I/my child has or may in the future have as a result of injuries or damages sustained or incurred by me from any cause related to my participation as a member of the team. 3. I agree/my child agrees to abide by all rules and regulation of the Howard County Department of Recreation and Parks. 4. I attest that the Howard County Recreation and Parks Concussion,
https://www.howardcountymd.gov/Departments/Recreation-and-Parks/Programs/Sports-Leagues/Concussion-Awareness-for-Sports-Participants-Required-by-Law
, and Sudden Cardiac Arrest,
https://www.howardcountymd.gov/suddencardiacarrest
, information has been received by players and their parents on this roster, and that these players and parents have acknowledged receipt of the Department’s Concussion and Sudden Cardiac Arrest Information. 5. I agree that my family, guests and I (whether a participant, spectator, coach, or official) shall abide by the Recreation & Parks Department’s decisions and/or instructions; rules of conduct; or suspensions from a program, game or practice.
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I AGREE - I, the undersigned parent/player, acknowledge that I have read and that i understand each and every one of the provisions above in this wavier, release of liability and indemnification agreement and agree to abide by them.
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