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Release, Assumption of Risk & Indemnity Agreement
In consideration of the
enrollment and participation of the participant designated in the signature block
below (“Participant”) in Chris Chelios’ hockey camps, hockey clinics, hockey and skating lessons,
the sport of ice hockey, and/or any on-ice or off-ice activities related or incident
thereto, including without limitation, floor hockey, roller hockey, general conditioning
and physical fitness activities, rugby and other similar sporting activities (collectively
referred to as “Activities”), the Participant and the Participant’s parent or legal
guardian designated in the signature block below, as the case may be (referred to
herein as “Parent”), agree as follows:
1. Release. Participant and Parent
hereby waive, release, relinquish and discharge CCHXtreme Inc., Chris Chelios and
any ice arenas at which the Activities take place, together with their agents, employees,
officers, owners, instructors, promoters, sponsors, other participants, volunteers,
and contractors (“Instructors”), on behalf of the Participant and Parent, and their
children, parents, heirs, executors, administrators and assigns, from and against
any and all claims for liability and causes of action, including for personal injury,
property damage or loss or wrongful death occurring to Participant, arising out
of or related to participation in the Activities, whenever or however they occur
and for such period as the Activities may continue.
2. Assumption of Risk. Participant
and Parent acknowledge, understand and assume all risks relating to the Activities,
and understand that the Activities involve risks to Participant’s person including
bodily injury, partial or total disability, paralysis and death, and associated
damages and that Participant and Parent understand these risks. Participant and
Parent acknowledge that these risks and dangers may be caused by the negligence
of the Participant or the negligence of others, including the Instructors and that
there may be risks and dangers not known or not reasonably foreseeable at this time.
Participant and Parent acknowledge, understand and assume the risks, if any, arising
from the conditions and use of ice hockey rinks and related premises and acknowledge
and understand that they are assuming the risk of and are waiving the right to bring
any cause of action (including any cause of action based on negligence) arising
from the performance, or failure to perform, maintenance, inspection, supervision
or control of such areas and for the failure to warn of dangerous conditions existing
at such rinks, for negligent selection of certain Instructors, or negligent supervision
or instruction by Instructors. Participant and Parent acknowledge, understand and
agree that all of the risks and dangers described throughout this agreement, including
those caused by the negligence of Participant and/or others, are included within
the release set forth in Paragraph 1 above.
3.Indemnification<. Participant and Parent agree that if (i) any claim for
Participant’s personal injuries, property damage or wrongful death is commenced
against Instructors; or (ii) a third party asserts a claim of personal injury, property
damage or wrongful death against Instructors arising from any act or omission of
Participant or Parent; then Participant and Parent shall defend, indemnify and hold
harmless Instructors from and against any and all such claims or causes of action,
by whomever or wherever made or asserted, for damages arising from or related to
Participant’s or such third party’s personal injuries, property damage or wrongful
death and all costs associated with such claims or causes of action, including attorneys
fees.
4. Acknowledgments & Use of Name and Image. Participant and Parent acknowledge and agree that (i) they have been
provided sufficient opportunity to read this agreement; (ii) they understand this
agreement; (iii) they are fully advised of the dangers of the Activities; (iv) participation
in the Activities is voluntary; (v) they agree to be bound by the terms of this
agreement; and (vi) Participant does not have any medical, physical or emotional
condition that may result in injury or harm to Participant or any other party participating
in the Activities. Participant and Parent agree that Participant’s name and image
may be used in perpetuity in photographs, motion picture films, television broadcasts,
and/or in any radio broadcasts covering or promoting the Activities, without payment
to Participant or Parent in connection therewith.
5. Miscellaneous. This agreement
shall be subject to and governed by the applicable laws of the State of Illinois,
without giving effect to the principles thereof relating to conflicts of laws. Participant
and Parent irrevocably agree that any legal action, suit or proceeding brought by
them or on their behalf in any way arising out of this agreement must be brought
solely and exclusively in DuPage county, Illinois and they irrevocably submit to
the sole and exclusive jurisdiction of the federal and state courts in Illinois
in personam, generally and unconditionally with respect to any action, suit or proceeding
brought by them against the Instructors. In the event that any provision of this
agreement conflicts with the law under which this agreement is to be construed or
if any such provision is held invalid or unenforceable by a court with jurisdiction,
such provision shall be deemed to be restated to reflect as nearly as possible the
original intent in accordance with applicable law. The remaining provisions of this
agreement and the application of the challenged provision to persons or circumstances
other than those as to which it is invalid or unenforceable shall not be affected
thereby, and each such provision shall be valid and enforceable to the full extent
permitted by law. The paragraph headings used herein are for reference and convenience
only and shall not be considered in the interpretation of this agreement.
This agreement affects your legal rights, and you
may wish to consult an attorney concerning this agreement.
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Age ________
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Date Signed
___________________
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Participant Name
(Print) Participant Signature
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_______________________________________________________________________
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Date Signed
___________________
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Parent or Guardian
Name (Print) Parent or Guardian Signature
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The individual signing above
as the “Parent” or “Guardian” represents and warrants that (i) he/she is the legal
parent or legal guardian of the Participant; and (ii) he/she has actual and legal
authority to enter into this agreement on behalf of himself/herself as the parent
or legal guardian of the Participant, and the Participant.
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