Please read carefully before submitting form
I hereby consent and agree to participate in the PYHA Hockey adult league. I acknowledge the potential risk of competitive team play and agree to assume the risks involved, being aware of my health and physical condition, and having knowledge that my participation in any recreational inline hockey program may be injurious to my health, am voluntarily participating in the PYHA Adult recreation hockey league.
Having such knowledge, I hereby release and hold harmless, the PYHA, the city of Prescott, Yavapai County, their officers, agents and/or employees and successors from liability for accidental injury or illness, which I may incur as a result of participating in the Prescott Youth Hockey Association Adult recreational league. I hereby assume all risks connected therewith and consent to participate in said program.
I agree to disclose any physical limitations, disabilities, ailments, or impairments that may affect my ability to participate in said inline hockey program.