2022 Fall Practice Registration - Prior Lake High School Girls Hockey

In order to participate in Fall Practices, you must complete the online registration and waiver acceptance form with an electronic signature.

The cost is $335 per skater and $130 per goalie.

Hockey Player's Name*
First Last
Player's Cell Phone*
Email
Player's Date of Birth*
MM slash DD slash YYYY
Last Year's Team:*
Medical/Liability/Acknowledgement of Risk Waiver and Release of Liability
NOTE: This is a Waiver and Release of Liability – Please read before signing
I/We, the parent(s)/guardian of:
give permission for her to participate in the Girls HS Fall Skate. I/We recognize that the game of hockey is a contact sport and involves the risk of injury. I/We also understand that it is my/our responsibility to outfit my/our daughter with the proper and adequate protective equipment.

I/We verify that my/our daughter is physically fit to participate in all the activities pertaining to this sport. My/Our daughter’s participation in these activities is purely voluntary and no one is forcing her to participate.

I/We agree to assume responsibility for all risks and hazards related and incidental to participation, including, but not limited to, games, organized practices, scrimmages, and transportation to and from the facility related to the Girls HS Fall Skate.

I/We waive, release, and agree to hold harmless and indemnify any and all coaches, organizers, and trainers of the Girls HS Fall Skate for any claim for any reason including negligence, arising from any personal injury, damage to property, and/or wrongful death.

I/We authorize the Girls HS Fall Skate, their coaching staff, organizational staff, together with medical, hospital, or emergency personnel to carry out and/or administer all treatment and diagnosis determined to be necessary. This shall include rendering of emergency care in situations where it is impractical or impossible to obtain additional consent.

I/We either have appropriate insurance or, in its absence, agree to pay all costs of emergency and/or medical services as may be incurred on my/our behalf. The authority hereby given shall remain in effect unless it is withdrawn in writing.
*
- I have read, understand and agree to these terms.
Parent/Guardian Name
First Last
Parent/Guardian Signature*
Date*
MM slash DD slash YYYY
Skater or Goalie Cost*
- Skater $325
- Goalie $120

Medical/Liability/Acknowledgement of Risk Waiver and Release of Liability