Drop-In Player Waiver and Payment Form

Drop-In Youth Player Waiver

Must be completed before your child participates for the first time during the Fall 2026 season.
In consideration of being allowed to participate in the event or activity referenced above, I acknowledge, appreciate, and agree that:

1) The risk of injury from the activities involved in this program 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, 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. 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 AND HOLD HARMLESS the Releasees, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, 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) ANY PERSON JOINING THE LEAGUE ACKNOWLEDGES CONSENT TO BE FILMED AND OR PHOTOS TAKEN FOR THE LEAGUE'S USE, AND SHARED ON OUR OFFICIAL SOCIAL MEDIA CHANNELS.

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.
Child's Name

First NameLast Name
Child's Birthdate

MonthDayYear
2nd Child's Name (if applicable)

First NameLast NameSuffix
2nd Child's Birthdate (if applicable)

MonthDayYear
Parent/Guardian Name

First NameLast NameSuffix
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Child's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature

Please type your full name to sign the waiver
Optional: Pay Your Child(ren)'s Drop-in Fee Online Now or in Cash at the Rink. Skip ahead to SUBMIT if you would prefer to pay later.
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NRH Drop-In Player Fee
You may pay your child(ren)'s first drop-in fee online ($11) or in person ($10)

$11 Quantity

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

Drop-In Youth Player Waiver

Optional: Pay Your Child(ren)'s Drop-in Fee Online Now or in Cash at the Rink. Skip ahead to SUBMIT if you would prefer to pay later.

Payment Methods