Registration - Jr. Roughneck Summer Academy 2025

Registration Form

Player Information

Player First Name:

Player Last Name:

Player's Birth Year:

Preferred Position:

Does player need a Roughneck jersey?

Jersey Size:

Jersey Number Preference (1st choice): Jersey Number Preference (2nd choice): Jersey Number Preference (3rd choice):

Previous Team:

Previous Year Level of Play:

Interested in Tournaments:

Tournament Location Preference:

Parent/Guardian 1 Information

Parent/Guardian 1 First Name:

Parent/Guardian 1 Last Name:

Email:

Phone Number:

Parent/Guardian 2 Information (Optional)

Parent/Guardian 2 First Name:

Parent/Guardian 2 Last Name:

Email:

Phone Number:

I have read and agree to the Liability Waiver *

Liability Waiver

ROUGHNECK ACADEMY YOUTH HOCKEY PROGRAM
ASSUMPTION OF RISK, RELEASE OF LIABILITY, AND INDEMNITY AGREEMENT

PLEASE READ CAREFULLY – THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS

This Assumption of Risk, Release of Liability, and Indemnity Agreement ("Agreement") is entered into by the undersigned participant (and the undersigned parent or legal guardian if participant is under the age of 18), in favor of Roughneck Academy, its owners, officers, directors, employees, agents, coaches, volunteers, sponsors, affiliates, facility operators, and any other associated individuals or entities (collectively, the "Released Parties").

1. Acknowledgment and Assumption of Risk

I acknowledge that participation in ice hockey and related activities (the "Activities") through Roughneck Academy involves inherent risks, including but not limited to physical contact with other players, collisions with the ice or boards, being struck by equipment (such as pucks or sticks), falls, equipment failure, adverse weather conditions, and the negligent or intentional acts of others. I understand that serious injury, permanent disability, or even death may result from participation in the Activities.

I voluntarily assume all risks associated with participation in the Activities, whether known or unknown, foreseeable or unforeseeable, including those arising out of the negligence of the Released Parties.

2. Release and Waiver of Liability

To the fullest extent permitted by law, I, on behalf of myself, my child (if applicable), and our respective heirs, executors, administrators, and assigns, hereby release, waive, discharge, and covenant not to sue the Released Parties from any and all claims, liabilities, demands, actions, causes of action, damages, losses, or expenses (including attorneys' fees and costs), arising out of or in any way related to participation in the Activities, whether arising from the negligence of the Released Parties or otherwise.

3. Indemnification

I agree to indemnify, defend, and hold harmless the Released Parties from and against any and all claims, demands, damages, losses, liabilities, and expenses (including attorneys' fees and costs) arising out of or related to my or my child's participation in the Activities, including but not limited to any claims brought by third parties or other participants.

4. Medical Treatment

I authorize the Released Parties to secure emergency medical treatment for my child or me if deemed necessary, and I agree to be solely responsible for all associated costs.

5. Compliance with Rules

I agree, and if signing as a parent or guardian, I will ensure that my child agrees, to comply with all Roughneck Academy rules, policies, and instructions provided by coaches and staff.

6. Governing Law and Venue

This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. Any legal action arising out of or relating to this Agreement shall be brought exclusively in the state or federal courts located in King County, Washington.

7. Severability

If any provision of this Agreement is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

8. Acknowledgment of Understanding

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE RELEASED PARTIES, AND I SIGN IT FREELY AND VOLUNTARILY.

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