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The purpose of the PLHS Captain’s Practice is for skill development, conditioning, adjustment to game speed, and controlled (no checking) scrimmages.

In order to participate, you must complete the online registration and waiver acceptance form with electronic signature.

The cost of the captains’ practice is $120 per skater and $70 per goalie.

  • Date Format: MM slash DD slash YYYY
  • Medical/Liability/Acknowledgement of Risk, Waiver and Release of Liability Form
    NOTE: This is a Waiver and Release of Liability – Please read before signing
  • We give permission for the above-named participant to participate in the PLHS Boys Hockey Blue Line Club 2019 Captain's Practice. I/We recognize that the game of hockey is a contact sport and involves the risk of injury. I/We also understand that it is my/our responsibility to outfit my/our son with the proper and adequate protective equipment. I/We verify hat my/our son is physically fit to participate in all of the activities pertaining to this sport. My/Our son's participation in these activities is purely voluntary and no one is forcing him to participate. I/We agree to assume responsibility for all risks and hazards related and incidental to participation, including, but not limited to, games, organized practices, scrimmages, and transportation to and from the facility related to the 2019 Captains' Practice.
  • I/We waive, release, and agree to hold harmless and indemnify any and all coaches and organizers of the 2019 Captains' Practice, and PLHS Boys Hockey Blue Line Club members, for any claim for any reason including negligence, arising from any personal injury, damage to property, and/or wrongful death.
  • I/We, authorize the PLHS Boys Hockey Blue Line Club member volunteers, their coaching staff, organizational staff, together with medical, hospital, or emergency personnel to carry out and/or administer all treatment and diagnosis determined to be necessary. This shall include rendering of emergency care in situations where it is impractical or impossible to obtain additional consent. I/We either have appropriate insurance or, in its absence, agree to pay all costs of emergency and/or medical services as may be incurred on my/our behalf.
  • The authority hereby given shall remain in effect unless it is withdrawn in writing.
  • Medical Information

  • Date Format: MM slash DD slash YYYY
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