MEDICAL CONSENT FORM & PARTICIPANT WAIVER
Dave Stathos Goalie Performance Center as referred to in the below documentation.
Please read carefully!
In consideration of being authorized to participate in all player development programs offered by Dave Stathos Goalie Performance Center agrees that by confirming review of this document you will be assuming injury and certain legal risks. You acknowledge having read, understood and agree to the condition contained in this agreement.
I understand and agree that my participation in the above event is strictly voluntary. I further agree that in the event of personal injury or property loss as a result of my participation in the event, I hereby release, waive and discharge the volunteers, the organizers, Dave Stathos Goalie Performance Center, its governing bodies from any and all actions, causes of action, claims or demands, whether arising at law or in equity, including consequential damages, arising from the undersigned’s participation in the sessions in any manner whatsoever and any other claim, demand or other matter to me by or from my spouse, friends, employers, co-workers, heirs, executors and administrators. I accept full responsibility for my actions and obligations and will not hold any of the aforementioned liable.
I further acknowledge that I carry my own personal injury and long term disability insurance through my employer or other means. I acknowledge that the only insurance coverage I will have is that which I provide for myself. This Release shall be binding upon and ensure to the benefit of each of the undersigned’s successors and assigns.
Dave Stathos Goalie Performance Center will not assume responsibility for any injury incurred while participating in this Dave Stathos Goalie Performance Center Camp(s), both on the ice and during off ice activities. Certain risks are inherent during the participation of a hockey camp and hockey training. Nor will Rink Eye be liable for lost or stolen items during the duration of camp. I, for myself, my heirs and assigns, do hereby release Dave Stathos Goalie Performance Center, employees, instructors, counselors and agents from any and all claims for injury, death, loss or damage I may suffer as a result of my participation in this Dave Stathos Goalie Performance Center Hockey Training Program.