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To sign up for one or more Early Morning Puckers programs or to make a payment, please register below.

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M.I.

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Preferred Position

Shoots

Emergency Contact

First Name

M.I.

Last Name

Address

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City

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Release of Liability

Please read completely before you agree

In consideration for being allowed to participate in any way in the Early Morning Puckers Hockey program, it's related events and activities, I, the undersigned, acknowledge, appreciate and agree that:

1. The risk of injury from activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment and personal discipline may reduce the risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES of others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participants. If, however, I observe any unusual significant hazard during my presence or participating, I will remove myself from participating and bring such to the attention of the team and league officials immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE Early Morning Puckers Hockey program, their officers, officials, agents and/or employees, other participants, sponsoring agencies,  sponsors, advertisers, and, if applicable, owners and leasers of premises used for the activity ("Releases"), WITH RESPECT TO  ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to the person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE  RELEASEES OR OTHERWISE, to the full extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND IT'S TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

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