Injury Waiver Form

I/We the parents of the above-named player and registered participant, give my/our consent for his/her participation in any and all FUSION HOCKEY ice hockey activities. I/we assume all risks, liabilities and incidentals to my/our child including transportation to and from activities; and release and discharge any FUSION HOCKEY, member, director, coach, counselor, participant, affiliated organizations, owners & lessors of the premises used to conduct training, related parties and/or persons with respect to any and all injury, disability, death or loss or damage to person or property, whether arising from the negligence of the releases or others,and assume full participation for my son/daughters participation.

If your child has any special needs, allergies or requires any medication please provide us this information in the form field below.


I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

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