2024 JR RHINO101 4-9 YEAR OLDS SUMMER REGISTRATION 2024 Jr. Rhino101 4-9 year olds Summer Registration First Name * Last Name * Address * City * State * Zip * DOB * Position * Goalie Forward Defense T-SHIRT SIZE * YSYMYLASAMAL Jersey Size * YSYMYLYXLASAMALAXL Mom's Name * Mom's Phone * Mom's Email * Dad's Name * Dad's Phone * Dad's Email * Jr. Rhino SPRING Registration Fee: $199.00 VENMO @Rhino-Hockey Jr. Rhino Gear Rental: Gear Rental Form: Please go to the menu page and click on Hockey Headquarters Equipment Form to rent gear * YES I NEED TO RENT GEAR: ITS $50 TO RENT GEAR WITH A $200 DEPOSIT NO I HAVE MY OWN GEAR Years Playing Hockey * 12345678910+ LAST LEVEL PLAYED * MINI MITES MITES HOUSE SQUIRTS TRAVEL SQUIRTS Photo Release * By checking this box, I grant to Rhino Hockey, LLC the right to take photographs of me in connection with the above-identified organization. I authorize RHLLC, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that RHLLC may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content By checking this box, I DO NOT grant to Rhino Hockey, LLC the right to take photographs of me in connection with the above-identified organization. RHINO HOCKEY WAIVER * By checking this box, I DO NOT grant to Rhino Hockey, LLC the right to take photographs of me in connection with the above-identified organization. SCHEELS ICEPLEX WAIVER * ICEPLEX WAIVER: RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT WITH PARENTAL CONSENT (AGREEMENT) IN CONSIDERATION of being permitted to participate in any way in any ice activity (hereafter referred to as ("ACTIVITY") I, for myself, my personal representatives, assigns, heirs, and next of kin. 1, ACKNOWLEDGE, agree, and represent that I understand the nature of said ACTIVITY and that I am qualified, in good health, and in proper physical condition to participate in such ACTIVITY. I further agree and warrant that if any time I believe conditions to be unsafe, I will immediately discontinue further participation in the ACTIVITY. 2. FULLY UNDERSTAND that: (a) THIS ACITVITY INVOLVES RISKS AND DANGER OF SERIOUS BODILY INJURY, INCLUDIN VIRAL INFECTIONS, BACTERIAL INFECTIONS AND OTHER COMMUNICABLE DESEASES AND ILLNESSES PERMANENT DISABILTY, PARALYSIS, AND DEATH. (hereafter referred to as "RISKS"); (b) these RISKS and dangers may be caused by my own actions or inactions, the actions of inactions of others participating in the ACTIVITY, the condition in which the ACTIVITY takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAME BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incure as a result of my participation or that of the minor in the ACTIVITY. 3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE Ice Sports Association, Inc. dba SCHEELS IcePlex, or its respective administrators, directors, agents, officers, members, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the ACTIVITY takes place, ( each considered one of the "RELEASEES" herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR THERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS: AND I FURTHER AGREE that if, despite this RELEASE ANE WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim. I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THA I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREEELY AND WITHOUT ANY INDUCEMENT OF ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. Parent or Guardian Signature * DATE * If you are human, leave this field blank. Submit
