Alberta Insurance Hockey Leaaue
Player Registration for the 2010
Last Name:_______________ Given Name:_________________ Address: __________________POSTAL CODE______________ Home Ph ____________________ Work Ph____________________ Birthday_________________________  Email Add:______________________________________
Team Name _______________Employer_______________________Position Played___________

The player indicated above (hereafter referred to as the ‘player”) agrees to the following terms and conditions, as a participant in the Alberta Insurance Hockey
League (hereafter referred to as the “league”):

League Rules
I. Unless the player has thoroughly read through and signed this form and is registered with the league, coverage is not provided for:
a) Liability insurance and b) Health, medical and dental insurance.
2. The league, and its organizers will in no way be responsible for:
a) Property damage caused by any player,
b) Loss, damage or theft of personal property, eyeglasses or contact lenses,
c) Personal injury, death, or loss of wages occurring from participation in the league.
3. Registration: It is the responsibility of each team captain to ensure that each member of the team is made aware of the league’s conditions and rules and has completed this registration form prior to playing in the league.
4. Property Damage: The player will be held responsible for any damages to the dressing rooms, arenas, arena properties, or any one else’s personal belongings and also for any intentional harm inflicted on anyone else.
5. Adequate Equipment: The player is solely responsible for ensuring that they have adequate equipment and for the proper maintenance and up-keep of the equipment.
6. Incidental Contact: No body checking, elbowing, slashing, or any other form of intentional physical contact is allowed. Minor jostling for the puck on boards when allowable when body contact kept to a minimum. Team Captains are responsible for disciplining players for un-sports-man-like conduct during the game. Penalties will be called by referees for disregard of league rules.
7. Injuries: lf a player is injured during play, Team Captain/referee is to immediately stop play and attend to the injury. If necessary, First-Aid will be called or a designate will transport injured player to Hospital as required.
8. Record Keeping: All records are kept by referee or captain.
9. Alcohol: Per Arena Rules, we do not allow or condone alcohol use either inside or outside of the arena.
10. Fighting: Fighting is not permitted. Any player fighting, or attempting to injure other players by any means will be brought before the league committee and dismissal from the league is possible. Further, the referees and league representatives reserve the right to remove any player from the game that are considered a hazard to themselves or other people.
11. Standard Rules: Unless specified, the standard rules of play as provided through Canadian Old Timers Association apply.
12. All other coverage is limited to the terms and conditions of the insurance policy and this document in no way shall supercede coverage provisions.
I use the following (place an X in the applicable box) and initial beside your choice:
___Full face shield ___ Half shield (visor) ___Only Half shield and mouth guard Other (please specify) ______________________ .  I DO NOT WEAR ANY FORM OF FACIAL OR DENTAL PROTECTION AND WAIVE DENTAL COVERAGE_____.
In consideration of the opportunity to participate in the league and further in consideration of the payment of my registration fee, which is hereby acknowledged, I, for myself my heirs, executors, administrators and assigns, waive any and all claims, including claims for contribution of indemnity, to which I may become entitled as against the league, its executives, Board of Directors, committees, organizers, sponsors, and their agents and employees, and any other person or organization assisting in any losses suffered by inc or others as a result of my attendance at, participation in or traveling to or from any games or events.
I hereby waive and all aforementioned claims, notwithstanding that any such injury damage or loss may have arisen by reason of the negligence of the league, its executives, Board of Directors, committees, organizers, sponsors, or their agents or employees.
I confirm that I am in proper physical condition to participate in any and all games or events organized by or on behalf of the league and I
am aware that participation could, in some circumstances, result in physical injury, property damage, or losses for which the league, its
executives, Board of Directors, committees, organizers, sponsors and their agents and employees are hereby released. Should injury result,
I hereby agree to the specified limits as stated in the insurance documents as full and final payment for said injury, whether coverage for
Accidental Death & Dismemberment Insurance has been purchased or not.
No oral representations, statements or inducements apart from the foregoing written agreement have been made and this certificate forms
the entirety of the agreement.

I HAVE READ AND VOLUNTARILY SIGNED THIS REGISTRATION CERTIFICATE WHICH INCLUDES A WAIVER OF ALL LIABILITY AND INDEMNITY.

Signature___________________________________ Date________________