E.R.M. Goaltending Goalie Camp
Please read and sign this waiver for participation in the 4-day ice hockey goalie camp. This form is required for insurance purposes and confirms you cannot pursue legal action for any incidents.
Participant Name
*
Date of Birth
*
Parent/Guardian Name
*
Emergency Contact Name & Phone
*
Section 1: Liability Waiver / Consent to Participate
I acknowledge the risks of participation and release E.R.M. Goaltending, its director, coaches, staff, and the Moorhead Sports Center from liability for injuries, accidents, or damages.
*
I acknowledge and agree
Initials
*
Section 2: Insurance Confirmation
I confirm that the participant has active health/medical insurance.
*
I confirm
Insurance Provider
*
Policy Number
*
Section 3: Parental Consent
I am the parent/guardian of the participant and give permission for my child to participate fully in all camp activities.
*
I give permission
Section 4: Photo / Media Release
Photo / Media Release
Allow photos/videos for promotional use
Do not allow photos/videos for promotional use
Section 5: Signature
Parent/Guardian Signature
*
Date
*
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Month
-
Day
Year
Date
Submit Waiver
Submit Waiver
Should be Empty: