ICE HOCKEY PARTICIPANTS

--READ BEFORE SIGNING –

In consideration of being allowed to participate in any way in the __officiating__ program, related events and activities of ___THE LONG ISLAND HOCKEY OFFICIALS, INC._______,   I,

_________________________________the undersigned, 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, of my participation in _____officiating__, 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 in ____officiating ___ .  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 representation and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE LONG ISLAND HOCKEY OFFICIALS, INC., 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 (“Releasees”), 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.      Arbitration:  In further consideration of allowing me to participate in the aforementioned activities, I hereby agree to submit to binding arbitration any and all claims which I believe I may have against the facility arising from my activities at the facility.  The arbitration shall be pursuant to the rules of the America Arbitration Association.  The arbitrators shall apply the Federal Rules of Evidence to all proceedings.

Arbitration shall be commenced within one (1) year from the date on which any alleged claim first arose.  Further, the arbitration shall be held in the town where the Arena is located, unless otherwise mutually agreed to by all the parties.  The submission to the American Arbitration Association shall be unlimited, and the arbitration award may be enforced by any court of competent jurisdiction.

I HAVE READ THIS RELEASE OF LIABILITY AD ASSUMPTION OF RISK AGREEMENT, FULLY UNDERST ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

__________________________________                               __________________            ________

PARTICIPANT’S SIGNATURE                                               DATE                                     AGE

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE

(UNDER 18 AT TIME OF REGISTRATION)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES,  to the fullest extent permitted by law.

________________________________________                ____________________________

PARENT/GUARDIAN SIGNATURE                                                  DATE SIGNED

EMERGENCY PHONE # (s) __________