Mercer County Street Hockey Association

2024 - 2025 Mercer County Street Hockey Association Player Waiver and Information Form

By applying to participate in a Hamilton Township Recreation Division approved activity, I hereby give my approval to participate, as well as assume all risks and hazards incidental to such participation.

In case of emergency, I authorize the Hamilton Township personnel/trained volunteers to administer first aid treatment; to secure the services of a physician; to transport me to the nearest emergency facility for treatment; and to try to notify my identified contact person.

By signing this waiver form, I recognize and understand that playing or participating in the MCSHA involves certain risks. Those risks include, but are not limited to, the risk of injury, the risk of a Covid-19 related illness as a result of contact with another player(s). I also recognize that the exertion of participating in the MCSHA could result in my injury or disability.

Despite these and other risks, and fully understanding such risks, I wish to participate in the MCSHA and hereby voluntarily assume the risks of my participation. I also hereby hold harmless Mercer County Street Hockey Association along with all respective directors, officers, shareholders, employees, agents, volunteers, and representatives, and indemnify them against any or all claims, actions, suits, procedures, costs, expenses (including legal fees and expenses), damages and liabilities arising out of, connected with, or resulting from my participation. Including, without limitation, those resulting from the manufacture, selection, delivery, possession, use or operation of any and all equipment used by the league. I hereby release the MCSHA from any and all such liability, and I understand that this release shall be binding upon my estate, my heirs, my representatives and assigns.

**Please note that every player is responsible to carry his/her own personal medical insurance and sign/complete this waiver.**