NYHA April 3, 2026 Waiver of Liability

RELEASE OF LIABILITY AND WAIVER OF ALL CLAIMS
Name of Event: End of Season Party

Date of Event: April 3, 2026

Location: Nashoba Valley Olympia, 34 Massachusetts Ave., Boxborough, MA 01719
Participant Name*

First NameLast Name
Participant Date of Birth*

MonthDayYear
Date
Parent/Guardian Name (if participant under 18)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Format: (000) 000-0000.
Email*
example@example.com
Emergency Contact Name*
Phone*
Format: (000) 000-0000.
In consideration of being allowed to participate in the above-named event (hereafter "Event") sponsored by the Nashoba Youth Hockey Association, Inc. (hereafter "NYHA") or related events and activities of any event sponsored by NYHA, I, the undersigned, understand the acknowledge, appreciate, and agree that:

1. The risk of injury from 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 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 in the Event. 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, INDEMNIFY, AND HOLD HARMLESS the Nashoba Youth Hockey Association, Inc., their officers, officials, agents and/or employees/volunteers, 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, 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.

5. In the event of an emergency, I authorize NYHA representatives to obtain emergency medical treatment for me if necessary. I agree to be responsible for any and all medical expenses incurred as a result of such treatment.

6. I understand that NYHA may photograph or record participants during the Event and grant permission for NYHA to use such images or recordings for promotional, educational, or informational purposes in print, social media, or other media without compensation.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT
Participant's Signature*

Clear
Printed Name of Participant*
Date*

MonthDayYear
Date
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
Parent/Guardian Signature

Clear
Printed Name of Parent/Guardian
Date

MonthDayYear
Date
Should be Empty:

RELEASE OF LIABILITY AND WAIVER OF ALL CLAIMS

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