I agree that the directors, management, and staff, of RG Properties, will not be held responsible for any accidents or loss, however caused. I also agree to release the directors, management and staff of RG Properties, from all claims or damages, which may arise as result of/or by reason of such accidents or loss.

I am aware that the league is non-contact, (which refers to no body checking), but this does not rule out the possibility of contact between players either by accident or by rule infractions. I am taking part in all hockey sessions at my own risk and I understand that to be eligible for dental accident insurance, I must wear a mouth guard while playing and that my team must have purchased the optional insurance. If my team has not purchased the optional insurance I am not covered for any insurance claims.

I understand that the email address I have provided with my registration constitutes my signature for the purposes of this agreement.

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3	Jordan Graydon Left wing- 0646	1	2
27	David Peter Left wing- 0666	1	2
7	RP Rob Publow Left wing- 0292	1	2
1	Derek Beingessner Left wing- 0647	0	0