Western   Epic/Wild  Challenge  Waiver  Form

Copy and save the below form to Notepad, WordPad, or Word, and fill in your answers. Email your document to  b.serniak@shaw.ca     

 

     Waiver: In consideration of Being allowed to Participate in the  "Western   Epic/Wild  Challenge" hockey tournament and related events and activities, the

undersigned  acknowledge and agrees, on behalf of their attending team that the  "Western   Epic/Wild  Challenge"  hockey Tournament will not be held

responsible for any accident, injury, or loss however caused and hereby releases and holds harmless the  "Western   Epic/Wild  Challenge," their Officers,

directors, officials, Referee's, Coaches, agents, and/or employees, other participants, Arena Officials and Owners, Sponsoring Hotels, and advertisers with 

respect to any and all injury, disability, or loss to person or property, whether caused by the negligence of the releases or otherwise.

 

   The  Team  Representative  that signs/prints his/her name on this Waiver  Page  also acknowledges and states that  the Team He/She Represents carries

Fully Paid Up  "Valid liability insurance" (minimum of $2,000,000) and that the team (players, Parents, Coaches, Manager , trainer, etc.) also   carry  paid 
up  "Medical &  Accident  Insurance." 

 

The  Team  Representative  Signing below also acknowledges that  incidents like  COVID-19  AND other unknown situations can arise and that  if  the  Tournament

has to be postponed, that entry fees cannot be given back, BUT a credit towards the next year's tournament will be given for the following year.

 

Team  Representative  Please  initial that You have read this waiver and form

 

Printed  name ________________________________________ 

Signed __________________________

 

Title ____________________________________      Date ______________________,