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2009-2010

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									             Regional Non-contact Hockey League (R.N.H.L.) 2009-2010 Application
                                                                                                           CONDITIONS
Name:           _______________________________________
                                                                                    1   I agree to abide by all rules and regulations of the R.N.H.L.
Address:        _______________________________________
                                                                                    2   I enclose post dated cheques in the amount of:
City:       ________________________                   PC: ____________                  $ 175.00             July 16, 2009
                                                                                         $ 200.00             August 16, 2009
Home Telephone: (                 )____________________                                 Please make your cheques payable to: R.N.H.L.

Work Telephone:       (           )____________________                             3   I understand that failure to submit the post dated cheques may
                                                                                        jeopardize my acceptance into the R.N.H.L.
Email:          _______________________________________
                                                                                    4   I understand that NSF cheques may result in suspension from
Birth date: ________________                                                            the R.N.H.L. or rejection of my application.
            Y Y Y Y- M M - D D
                                                                                    5   I understand that voluntary withdrawal or a suspension means
Position:    F(   )         D (        )   F/D (   )   Goal (   )                       I will not receive a refund.

Divisional Preference                                                               6   I understand that suspension from or debts owing to another
                                                                                        league prohibits acceptance in the R.N.H.L.
 Joe Cheeseman            30+ (    )       Don Brown                40+ ( )
                                                                                    7   I understand that the R.N.H.L. is not responsible for injuries
 Bob Hart                 50+ (    )       George Morasse           60+ ( )             incurred during league events. (See Reverse)

NOTE:
Age is only a guideline. The league will try to meet your                               SIGNATURE:             _____________________________________
first choice. However, for the good of the league, the
individual and all players, the Executive reserves the right                            DATE:                  _____________________________________
to assign players to divisions and teams.
                                                                                        RETURN THIS APPLICATION WITH TWO POST DATED
NEW PLAYERS ONLY:                                                                       CHEQUES TO THE ARENA ON FEB 1st OR 8th
  Do you know anyone in the league?                    Yes (    ) No (        )
                                                                                        IF LATE
  If Yes Who:                                                                           MAIL to:              R.N.H.L.
                                                                                                              C/O Bernie Goulet
                                                                                                              39 Francis Street
  Please include a photocopy of your birth certificate or                                                     Hamilton ON L8L 3T9
  drivers license
                                                                                        FAILURE TO SUBMIT APPLICATION BY DEADLINE
New players will have a 5 game probationary period to                                   MAY JEOPARDIZE ACCEPTANCE IN THE H.R.N.O.H.L.
determine placement.                                                              NOTE: Please read and sign the reverse side of this application
                 Regional Non-contact Hockey League (R.H.N.L.) 2009-2010
                              Insurance Waiver & Release of Liability
In consideration of being allowed to participate in any way in the Regional Non-contact Hockey League
(R.N.H.L.) hockey program or related events or activities , the undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis
and death , and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does
exist; and

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE
NEGLIGENCE OF THE R.N.H.L or others, and assume full responsibility for my participation; and

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any
significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of
the nearest league official immediately; and

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD
HARMLESS THE R.N.H.L. their officers, officials, agents and/or employees, other participants, sponsoring agencies,
sponsors, advertisers and, if applicable, owners and lessors of premises used to conduct the league activities ("Releasees"),
WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, loss or damage to person or property, WHETHER CAUSED
BY THE NEGLIGENCE OF THE R.N.H.L. OR OTHERWISE.


I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS,
FULLY UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND
VOLUNTARILY WITHOUT ANY INDUCEMENT.



              _________________________________

                   PARTICIPANT'S SIGNATURE:                              DATE SIGNED        ________________

								
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