Voyager Hockey Clinic HS/PG

Last Team/s*
Level/s*
Hometown, State, Zip Code:*
City, State, Zip Code
Parent/Guardian Name:*
First NameLast Name
Parent/Guardian Cell Phone:*
Area CodePhone Number
Parent/Guardian Email*
Insurance Company*
Policy Number/s
Referred By:
In case of Emergency we should contact:
Name*
First NameLast Name
Cell #*
Area CodePhone Number
Relationship*
Release Waiver, assumption of risk and indemnification:
Upon entering events sponsored by Voyager Hockey, Kris Metea, the owners/members of participating rink facilities, I/We agree to abide by the rules and policies of the game of hockey, the arena, and camp/tournament supervision. I/We understand and appreciate that participation or observation of the sport constitutes a risk to me/us of serious injury, including permanent paralysis, or death. I/We voluntarily and knowingly recognize, accept, and assume this risk for myself/my child and release Voyager Hockey, Kris Metea, volunteers, participating rink facilities, its affiliates, owners, their sponsors or organizers from any liability therefore, and any suits, claims, or demands of any kind for personal injuries, property damage that I or my child may sustain while participating in the hockey program and/or other hockey related activities.
I have read and understand the Release of Liability and agree to terms and conditions specified therein (Must be parent/guardian if student-athlete/player is under the age of 18):
Parent/Guardian Signature
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High School/PG Camp$133.00

High School/PG Camp (2nd/ 3rd Child)$108.00

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