Hold
Harmless Agreement
The above applicant agrees to follow the rules and regulations of IceWorks and releases an
holds harmless Iceworks, from any and all injury and all liability, loss or damage.Assumption of Risk Agreement and Release
Upon entering events sponsored by IceWorks and/or its Agents or Affiliates, I/We abide by
the rules of IceWorks as currently published. I/We understand and appreciate that
participation or observation of sports constitutes a risk to me/us of serious injury,
including permanent paralysis or death. I/We voluntarily knowingly recognize, accept, and
assume this risk and release IceWorks, it affiliates, their sponsors, events organizers
and officials from any liability thereof.
Medical Release
The above applicant does hereby authorize IceWorks and its employees and agents to make
any and all decisions in my absence regarding medical emergency treatment of the above
applicant and to sign the necessary hospital release forms in order to obtain medical
attention. In case of emergency I can be reached at the number provided in the above form.
Please select the following button to
indicate your agreement with regard to the above Medical Emergency and Assumption of Risk
statements. Upon submission of this form, user/applicant agrees that he/she is over 18
years of age or is the legal guardian of the person indicated in the "Name"
fields of this form.
|
|
Comments:
Please submit any additional comments that may help us in processing your
application.
If you are registering
online, your credit card will only be charged a $200.00 deposit fee. You will be contacted
to arrange final payment and confirm your placement in the event. Deposit fee is
non-refundable after confirmation.
Mail or Fax:
If you prefer to reserve via US mail, Click Here to Print This Page
or select the Print option from the File menu in the tool bar above. Then complete the
form and mail it along with your Check, Money Order or Credit Card Authorization for $200
to:
IceWorks Skating Complex, 3100 W. Duttons Mill Road Aston, PA 19014
Fax: 610-485-7540; Phone: 610-497-2200
|
