3 on 3 TOURNAMENT Registration

Team Name(Required)

Player Name(Required)

Player Phone(Required)

Player Email(Required)

Player DOB (mm/dd/yyyy)(Required)

Are you a Goalie?(Required)

Yes

Player T-shirt Size(Required)

Hidden

Small(Required)

Hidden

Medium(Required)

Hidden

Large(Required)

Hidden

X-Large(Required)

Hidden

XX-Large(Required)

In consideration of being allowed to participate in any way in the 2024 StevieStrong 3 on 3 ice hockey tournament, and/or related events and activities (the “Event”) at Franklin Park Ice Arena, THE UNDERSIGNED ACKNOWLEDGES, UNDERSTANDS AND AGREES THAT:

1. The risk of injury from participating in the activities involved in this Event is significant, including 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 RISKS, both known and unknown, of my participation in the Event, even if arising from the negligent act or omission of the RELEASEES or others, and assume full responsibility and liability for my participation in the Event and for any loss, damage or injury of any nature that I may sustain arising out of my participation; and
3. I willingly agree to comply with the stated and customary terms and conditions for participation in the Event. If, however, I observe any unusual significant hazard during my presence or participation in the Event (or in the participation of the minor participant identified herein), I will remove myself (or minor participant) from participation, and shall 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, DO HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS StevieStrong and Franklin Park Ice Arena, the owner of the premises used to conduct the Event, and their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors and advertisers of the Event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

Consent(Required)

I HAVE READ THIS PARTICIPANT WAIVER AND RELEASE OF LIABILITY, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I AM AGREEING TO GIVE UP AND SURRENDER SUBSTANTIAL RIGHTS, WITHOUT RESERVATION, FREELY, VOLUNTARILY AND WITHOUT ANY INDUCEMENT.

PARTICIPANT’S SIGNATURE(Required)

By typing your name above you agree you are signing and agreeing to the terms of this form

Date Signed(Required)

Age on July 19th 2024(Required)

Please enter a number from 18 to 100.

PRINT PARTICIPANT’S NAME(Required)

PARTICIPANT’S EMAIL(Required)

Are you under 18 years old ’today’?

Yes

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE
(UNDER AGE 18 AT TIME OF REGISTRATION)

Name of Minor Participant(Required)

Age on July 19th 2024(Required)

Please enter a number from 1 to 18.

Consent

I, do hereby certify that I am the parent/guardian with legal responsibility for this participant, and do hereby consent and agree, for myself and for my heirs, assigns, next of kin and Participant, to the complete and perpetual RELEASE and DISCHARGE as provided above of the RELEASEES, for any and all claims, actions or liabilities of any kind whatsoever for personal or bodily injuries, sickness, death or disability, known or unknown, that I or the Participant may have arising out of or in any way connected with the Event, do further forever release and agree to indemnify and hold harmless, to the fullest extent permitted by law, the RELEASEES from any and all liabilities incident to my minor child’s involvement or participation in the Event programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES.

PARENT/GUARDIAN SIGNATURE(Required)

By typing your name above you agree you are signing and agreeing to the terms of this form

Date(Required)

PARENT/GUARDIAN EMAIL ADDRESS:(Required)

EMERGENCY PHONE 1(Required)

EMERGENCY PHONE 2

PAYMENTS:

ZELLE: steviestrong@steviestrong24.org
VENMO: @steviestrong24.org
steviestrong@steviestrong24.org
773-792-0346

Mail a check!
Stevie Strong Foundation
5872 N Leonard Ave.
Chicago, IL 60646

Payment Type(Required)

I’m paying now via Zelle

I’m paying now via Venmo

I’m mailing a check

Capcha

STEVIESTRONG 3 ON 3 HOCKEY & BAGS TOURNAMENT THE EDGE ICE RINK JULY 8, 9, 10 2022 PARTICIPANT WAIVER AND RELEASE

STEVIESTRONG
3 ON 3 HOCKEY & BAGS TOURNAMENT
THE EDGE ICE RINK
JULY 8, 9, 10 2022 PARTICIPANT WAIVER AND RELEASE