Waiver Form

Parent Signature Name

Parent Name *

First

Last

Participant Name *

First

Last

Waiver *

I, the undersigned parent/guardian, hereby give permission for my child to participate in the hockey and recreational activities provided by Muskoka Refresher Hockey Clinic at Humphrey Arena. I understand that participation in hockey involves inherent risks, including but not limited to falls, collisions with other participants, contact with boards, pucks, and equipment, which may result in serious injury. I acknowledge that participation is voluntary and that I assume full responsibility for any injury, illness, or loss that may occur as a result of my child’s participation. I hereby release, waive, and hold harmless the event organizers, coaches, volunteers, staff, affiliated organizations, and facilities from any and all liability, claims, demands, or causes of action arising out of or related to participation in these activities. In the event of an emergency, I authorize event staff to obtain medical treatment for my child if I cannot be reached. I understand that it is my responsibility to ensure my child has appropriate medical and accident insurance coverage.

Signature *

Clear Signature