new skater forms
Please fill out the following Waiver/ Release form & the Information form & bring them to your first practice.
WAIVER & RELEASE
NORTH COAST SPEEDSKATING CLUB INTRODUCTION TO SPEEDSKATING AND CLUB SPEEDSKATING PRACTICES
LOCATION: ICELAND USA Strongsville, Ohio
NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS PERMITTED TO TAKE PART IN THE INTRODUCTION TO SPEEDSKATING CLINIC AND/OR ALL SPEEDSKATING PRACTICES HELD BY THE NORTH COAST SPEEDSKATING CLUB LOCATED AT ICELAND USA IN STRONGSVILLE, OHIO.
BY SIGNING THIS AGREEMENT, THE PARTICIPANT AFFIRMS HAVING READ IT.
IN CONSIDERATION of my involvement in the sport and activities under the auspices of U.S. Speedskating, I acknowledge, appreciate and agree that:
- I RISK BODILY INJURY, INCLUDING PARALYSIS, DISMEMBERMENT, DISABILITY AND DEATH, AND while particular rules of my sport, equipment and personal training and discipline may reduce this risk, THIS RISK OF INJURY DOES EXIST, AS WELL AS THE RISK OF DAMAGE TO OR LOSS OF PROPERTY.
- I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS; both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERS;
- I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual or unnecessary hazard during my presence or participation, I will bring such to the attention of the speedskating practice coach; and,
- I, FOR MYSELF, AND ON BEHALF OF MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES, and NEXT OF KIN, HEREBY RELEASE, HOLD HARMLESS and PROMISE NOT TO SUE U.S. SPEEDSKATING, NORTH COAST SPEEDSKATING CLUB, ICELAND USA, THE OHIO SPEEDSKATING ASSOCIATION, THE UNITED STATES OLYMPIC COMMITTEE OR OTHER SPONSORING ORGANIZATIONS, THEIR OFFICERS, VOLUNTEERS, STAFF, SPONSORS AND/OR AGENTS, (“RELEASEES”) WITH RESPECT TO ANY AND ALL INJURY AND LOSS ARISING FROM MY PARTICIPATION, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, EXCEPT THAT WHICH IS THE RESULT OF GROSS NEGLIGENCE OR WANTON MISCONDUCT.
I have read this Release of Liability and Waiver Agreement, fully understand its terms and sign it freely and voluntarily.
Participant’s Signature __________________________________________________
Participant’s Name (printed) ______________________________Date ___________
FOR PARTICIPANTS OF MINORITY AGE
(Under Age 18 at the Time of Registration)
Parent/ Legal Guardian Signature __________________________Date___________
Parent/Legal Guardian Name (printed) _____________________________________