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Club Oxford Hockey Registration

In consideration of being allowed to participate in any way in the Tillsonburg Club Oxford Hockey League games, events, related events, and activities, the undersigned understands, appreciates, acknowledges, and agrees that:

1.         The risk of injury from activities involved in these programs, events, related events, and activities is significant, including but not limited to the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2.         I KNOWINGLY AND FREELY ASSUME ALL SUCH RISK, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3.         I willingly agree to comply with the stated and customary terms and conditions for participation.  If however I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4.         I, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS THE Tillsonburg Club Oxford Hockey League, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

_______________________________________________                                 ________________________

                Participant’s Signature                                                                                     Date Signed

REGISTRATION      2008/09 $100.00*		Name ___________________________________        Age _______
Address
	email
	home  phone                                                            cell
Highest level of hockey  played
Level played last season
Preferred position
Second choice of position
Will you play either division (A or B) ?                       If not please explain

*Players will be able to recover $50 - $60 of the registration fee through ticket sales.

       *Game fees will maintained at $10 per player.