Waivers

NHDP Liability Waiver

First Name

Last Name

Email

Date of Birth

Phone Number

I recognize that there are physical hazards to be expected in the game of hockey and here with release and hold blameless the Essentia Duluth Heritage Sports Center, St. Luke’s Sport and Event Center, Northern Elite Training Facility, and the coaches from any and all liability from injury/illness because of our child’s participation in this program.

No

Yes

Please specify anything we should know about

Initials

I declare that the info I’ve provided is accurate & complete

I hereby authorize Essentia Duluth Heritage Sports Center, St. Luke’s Sport and Event Center, and Northern Elite Training Faclity to accept the above named as a participant in the 2023 Northern Hockey Development Program. I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

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Photography consent & release form

NHDP Liability Waiver

Emergency Contact Form

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Reagan Haley

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