SPRING 2015 ARENA LEAGUE _____________________________________LEAGUE INFORMATION___________________________    League runs from April to June Tournament held on July 10-12 weekend Team fee $2,000 and Individual fee $150  Registration closes March 30, 2015      Players must be eighteen (18) years of age and up Offering Weekday and Weekend divisions Twenty-two (22) players max per team Games played at local arenas Awards and cash prizes ________________________TEAM REGISTRATION INFORMATION______________________ Team Name: ____________________________ Tier: WE or WD I __ II __ III __ IV __ Team Primary Colour: _____________________ Payment Option: Cash __ Cheque __ ___________________________TEAM REP INFORMATION___________________________ Primary Rep Secondary Rep Name: Name: _______________________________ _______________________________ Address: _______________________________ Address: _______________________________ _______________________________ ________________________________ _______________________________ ________________________________ Home Phone: ___________________________ Home Phone: ___________________________ Cell Phone: _____________________________ Cell Phone: _____________________________ E-mail: _________________________________ E-mail: _________________________________ Contact Information: Sam Vigneswaran – [email protected] Justin Beyerle – [email protected]; 519- 589-2536 See Back of Page Mail Registration to: 369 Strawberry Cr., Waterloo, ON N2K 2J7 Page 1 Release of Liability, Waiver, and Authorization I hereby acknowledge that in consideration of being able to participate in this WRABHL program, including but not necessarily encompassing games, exhibitions, performances, development, practices, programs or activities, operated and sanctioned by WRABHL and in consideration of the time, effort, and money expended by WRABHL in organizing, operating, or sanctioning such programs or activities and for other good and valuable consideration the receipt of which is hereby acknowledged: 1. I do hereby release WRABHL, its officers, directors, employees, contractors, servants, agents, volunteers, and members from all claims, damages, causes of action or any recourse whatsoever in respect of all personal injuries or damage to property which may occur while attending or participating in this WRABHL program and do discharge those parties from any such liability. 2. I do hereby acknowledge and agree that the sport of ball hockey and its programs and activities are by their nature risky and hazardous and I accept personal responsibility for those risks and hazards notwithstanding that any personal injury or loss of property which may incur is due to the negligence of WRABHL or any of its officers, directors, employees, contractors, servants, volunteers, and members. 3. I do hereby acknowledge and agree that notwithstanding the generality of the foregoing I declare that I will not commence litigation or otherwise recover damages or other compensation for personal injury or loss of property against WRABHL based on any claim, damages, causes of action or any recourse whatsoever arising out of games, exhibitions, performances, programs, and activities organized, operated, or sanctioned by WRABHL as a complete defence to any and all claims, damages, causes of action, or recourse or liability which may arise at any time. 4. I do hereby grant permission for me to participate in all activities of this WRABHL program in consideration of all listed herein. 5. In the interest of my health and safety, I hereby grant WRABHL permission to, in the event of an accident or illness involving me, while participating in this program offered by WRABHL, I do hereby authorize WRABHL, its officers, directors, employees, contractors, servants, agents, volunteers, and members to provide the administration of any medical procedure and care they deem necessary. I also hereby agree to reimburse WRABHL in full for all expenses incurred in providing me the medical procedure and care deemed necessary. 6. I do hereby authorize me to appear in any publicity arranged or sanctioned by WRABHL through various media, including but not encompassing newspaper, radio, television, internet, newsletters, electronic newsletters, slide presentation, and other publications. I have carefully read this release of liability, waiver, and authorization which I fully understand and I am freely and voluntarily signing it. I expressly acknowledge that I have the option of not participating in this program as offered by WRABHL but do so upon the terms and conditions set out above. Rep Name: ________________________ Rep Name: ________________________ Signature: _________________________ Signature: _________________________ Date: _____________________________ Date: _____________________________ Mail Registration to: 369 Strawberry Cr., Waterloo, ON N2K 2J7 Page 2