Northern Exposure Hockey Tournament
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Waiver
Northern Exposure Tournament Waiver
*
Indicates required field
Player Name
*
First
Last
Do not fill this section out if you are submitting your waiver for a spectator. Move to the 4th row "Parent/Guardian/Sibling" name and phone number.
Date of Birth
*
Emergency Contact Name
*
Emergency Contact Number
*
Team Name
*
Division
*
What age level is your player playing in for this tournament?
*NO PLAYER MAY PARTICIPATE IN OUR TOURNAMENT WITHOUT THIS SIGNED FORM ON FILE
Waiver of Liability and Hold Harmless Agreement
This Waiver of Liability and Hold Harmless Agreement (this “Agreement”) is entered into and made effective as of
the last date set forth below by the undersigned participant (“Participant”), in consideration of the opportunity for
Participant
to participate in the Northern Exposure Hockey Tournament, from July 19-21, 2024 (the “Event Date”).
1.
Participant
, for himself/herself/itself and his/her/its children, heirs, dependents, executors, administrators, successors and assigns, hereby waives, discharges, covenants not-to-sue, and releases Northern Exposure LLC, Host Arenas, Referees, Kasey Yoder, and each of their respective successors, assigns, agents, directors, officers, affiliates, subsidiaries, members, shareholders, employees and representatives (collectively, the “Releasees”) from all liability,
causes of action, claims, judgments, costs, expenses (including attorneys’ fees and court costs) and demands
of any kind or nature, either at law or in equity, which arise or may hereafter arise from the Event or while
in the city of Duluth.
Participant
understands and acknowledges that this Agreement discharges the Releasees from
any liability or claim that
Participant
or any third-party (including, without limitation,
Participant
’s guests and
family members) may have against the Releasees with respect to bodily injury, personal injury, illness, death,
property damage and/or any other claim, whether filed by
Participant
or any third-party (including, without
limitation,
Participant
’s guests and family members), that may result from the Event or occurring while in Duluth.
2.
Participant
acknowledges that the participation in the Event and any injury or related incident to the
Event is undertaken with the knowledge of risk of possible injury, illness, harm and/or death, including
without limitation, the potential exposure to COVID-19.
Participant
hereby accepts and assumes any and all
risk of exposure, injury, illness, harm and/or death, both known and unanticipated, to
Participant
,
Participant
’s
guest(s), and
Participant
’s family member(s) sustained or incurred in relation to the Event or while in Duluth. In
accepting the risk of exposure, injury, illness, harm and/or death,
Participant
understands that Customer is
relieving the Releasees from any actions, injuries, claims, losses, liability, damages, costs, and expenses of
any kind or nature whatsoever, whether direct, indirect or consequential, by
Participant
,
Participant
’s guest(s),
and
Participant
’s family member(s), or as a result of or in any way related to the Event.
3.
Participant
hereby agrees to indemnify, defend and hold the Releasees harmless from and against any and all
claims, demands, losses, suits, judgments, liabilities, costs, damages and expenses, including without
limitation, attorneys’ fees and court costs at all court levels, arising from or relating to the Event.
Participant
further agrees to defend, indemnify and hold the Releasees harmless from any liability resulting from any
claim or cause of action that may be asserted by any third-party (including, without limitation,
Participant
’s
guests and family) arising out of or relating to the Event.
4.
Participant
recognizes the broad nature of the indemnification and release clauses set forth in this Agreement,
and acknowledges that the Northern Exposure LLC would not allow the Event to take place on the Event Date without such clauses in light of the COVID-19 pandemic.
Participant
further acknowledges and agrees that the terms of this Agreement shall survive in perpetuity.
5.
Participant
hereby represents and warrants that
Participant
will screen his/her/its guests and family members before the Event Date and not permit any guests or family members to attend the Event if they meet any of the following criteria:
(i) if they are exhibiting COVID-19 symptoms (i.e. fever, cough, shortness of breath or difficulty breathing,
sore throat or flu-like symptoms); (ii) if they have come into close contact with a confirmed case of COVID-
19; or (iii) if a member of their household has been diagnosed with COVID-19.
Participant
further represents
and warrants that
Participant
will ensure that
Participant
and his/her/its guests and family members will take their
temperature and self-assess their health for COVID-19 symptoms (i.e. fever, cough, shortness of breath or
difficulty breathing, sore throat or flu-like symptoms) before coming to the Northern Exposure on the Event Date.
6.
Participant
expressly agrees that this Agreement is intended to be as broad and inclusive as permitted by the
laws of the State of Minnesota, and that this Agreement shall be governed by and interpreted in accordance
with the laws of the State of Minnesota, without regard to any conflict of law provisions.
Participant
further
agrees that venue for any dispute arising out of this Agreement shall be proper in St. Louis County,
Minnesota. In the event that any clause or provision of this Agreement is deemed invalid or unenforceable
by a court of law, the enforceability of the remaining provisions of this Agreement shall not be affected
thereby. Form submission shall be considered your electronic signature and shall be deemed valid and binding for purposes of this Agreement. By submitting below,
Participant
expresses his/her/its understanding and intent to enter into this Agreement willingly and voluntarily, and is executing this Agreement for full, adequate, and complete consideration fully intending to be bound by same. This Agreement shall not supersede any event agreement or other contract between
Participant
and the Northern Exposure LLC pertaining to the Event, which shall continue in full legal force and effect.
I recognize that there are certain risks, which are inherent in hockey activities. I further recognize that these risks cannot be eliminated regardless of the care taken to avoid injuries. On my own behalf, and on behalf of my child and on behalf of my successors, representatives, family, Heirs, assigns, and estates, I acknowledge and understand that the decision to participate in this program places the child at risk of serious injury, illness, and liability. I voluntarily accept and assume all risks arising out of my child’s participation in the tournament, including, but not limited to property damage, personal injury, and death. I request that my child (identified above) be permitted to participate in an activity and agree to the following: In consideration for my child’s participation in this activity, on behalf of myself and my child, I waive, release, discharge, indemnify, and hold harmless the Northern Exposure LLC and Northern Exposure Tournament Staff and its employees and volunteers from all liability, claims, cost and expenses arising out of these activities which may result in injury or illness to my child.
I agree to be personally responsible for any related medical expense and understand that any injury will treated in accordance to the procedures set in place by the tournament emt’s and medical staff if no adult parent/guardian is present.
Agreed to and accepted by (must be 18+ to sign):
Name
*
First
Last
Relationship To Player (Must be Parent/Guardian)
*
Electronic Signature
*
By entering your name here you agree to the above and that you are who you say you are.
Date
*
Submit
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Waiver