ASSUMPTION OF RISK: Individual

ASSUMPTION OF RISK: Individual
For participants under 18 years of age (as of the date you're completing this form), the person completing this form must be the participant’s parent or legal guardian and have authority to provide consent on their behalf. If the participant is 18 years of age or older, they may complete this form themselves.
Camp Participant's Full Name

First NameLast Name
Participant Age (as of today's date)
Parent/Guardian Full Name (only if participant is under 18)

First NameLast Name
Relationship to the participant

Other
Your Contact Email
example@example.com
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please carefully read the following agreement before signing. By signing electronically below, you confirm that you have read, understood, and agree to all terms contained in this agreement.
In consideration of being permitted to participate in skating, hockey and other ice related activities at the Ice Den Scottsdale, I hereby agree to the following:

Assumption of Risk:
I understand and appreciate that: there are risks of serious personal injury in connection with participating in skating, ice hockey and other ice related activities and voluntarily assume and accept those risks, including the risk of illness from exposure to COVID-19 and other viruses. I unconditionally release, waive and covenant not to sue Coyotes Ice, LLC (“ Ice Den Scottsdale”) and any of their affiliates and subsidiaries, their promotional sponsors and advertisers, and their agents, servants and employees from any and all suits, claims and demands of any kind for personal injuries, property damage, including but not limited to lost, stolen or damaged goods, that I may sustain while participating in hockey, skating and all related activities at the Ice Den Scottsdale.

Consent to Treat:
I certify that, as participant, or as parent/guardian of said participant, I give my consent to Ice Den Scottsdale and staff to obtain medical care from any licensed physician, hospital, or clinic for myself/said participant, for any injury that could arise from participation in any activities at Ice Den Scottsdale.

Consent to Use of Image:
I hereby give my consent to Coyotes Ice, LLC and Coyotes Ice 2, LLC to use my image/likeness (or in the case of a child - my child’s image/likeness) for the purpose of inclusion in any publications or videos related to Ice Den Scottsdale or Ice Den Chandler.

This signatory will indemnify, defend and hold harmless Licensor; it’s officers, agents and employees from any claim by signatory’s negligence.

Coyotes Ice, LLC dba Ice Den Scottsdale (Licensor)
Type the camp participant's full name:
Signatory (must be 18+ or have parent/guardian sign)
Signatory (must be 18+ or have parent/guardian sign)
Signatory's name
(Full name of the person who signed above)
Event:
Date

MonthDayYear
Date
Should be Empty:

ASSUMPTION OF RISK: Individual

Please carefully read the following agreement before signing. By signing electronically below, you confirm that you have read, understood, and agree to all terms contained in this agreement.