2017 High School Pre-Season Camp
North Shore COYOTES
Spring 2017 Off-Ice Hands
OFF-ICE HANDS CAMPS
STARTS MONDAY, MARCH 13
8 WEEKS MONDAY, WEDNESDAY AND FRIDAY
**Flexible Days/Times for Groups of 3 or more**
Hockey Hands Training Program designed to develop Hand Speed, Muscle Memory, Feel, Passing, Shooting and most importantly raise your Confidence with the Puck in pressure situations. Shoot, Stick-Handle and Pass on our 1600 sq ft Hockey Floor and train on the latest hands training devices.
FITNESS TRAINING OPTION
Hockey Specific Core Fitn
ess Program will develop Strength, Speed, Power and Agility. Improve Balance, Flexibility, Stamina and help prevent injury during the long season. Fitness program run by Pete Reppas, owner of the award winning Repertoire Fitness Training Facility which is located downstairs from the Hockey Factory.
For more info on Repertoire Fitness go to
SPRING 2017 OFF-ICE SCHEDULE
8 Week Program
1 Day $125
2 Days $225
3 Days $325
Checks payable to:
North Shore Hockey Factory
29 Longview Way
Peabody, MA 01960
**Spot in Camp not confirmed until payment received
Please enter all information below and don't forget the liability waiver!
Please Choose Day(s)
If you are interested in adding Fitness please let me know in the Comments section below
DATE OF BIRTH
Release and Waiver of Liability
I understand that this Release and Waiver of Liability governs all rights and liabilities relating in any way to the receipt by me from Danvers Indoor Sports/Repertoire Fitness, LLC/North Shore Hockey Factory, LLC, North Shore Coyotes and/or its agents of Services, as that term is defined below. I have read, understand, and agree to be bound by the terms below.
“Released Parties” shall mean all Danvers Indoor Sports/Repertoire Fitness, LLC/North Shore Hockey Factory, LLC, North Shore Coyotes, staff and employees with, in relation to the previously-listed respective Released Parties, all of their officers, directors, shareholders, insurers, partners, employees, employers, agents, successors, contractors, assigns, affiliates, parent corporations, affiliated corporations, and subsidiary corporations.
shall mean any and all manner of goods and services offered by Danvers Indoor Sports/Repertoire Fitness, LLC/North Shore Hockey Factory, LLC, North Shore Coyotes, or any other Released Party to you.
These services which may take the form of training, treatment, consulting, and the like, expressly include but are not limited to: evaluations, rehabilitation, reconditioning. Performance planning, performance training (including strength and conditioning training, speed and quickness training, plyometric training, and the like); recovery and regeneration training, sports nutrition consultation, supplement and nutrition provision, any consultation related to any item in this list, injury reduction and treatment, technical and tactical instruction, performance enhancement training.
shall mean any act, omission, or any other activity required of you or carried out by you in relation to the services.
I, the undersigned, being aware of my own health and physical condition, and having knowledge that my participation in the Training may cause injury, am voluntarily choosing to participate in the training. I acknowledge that it is my responsibility to consult with my physician prior to beginning the Training. There are always certain risks associated with any physical activity. I understand these risks and declare myself physically sound and capable to participate in the Training.
Terms and Provisions
The risk of injury from participation in sporting events and other strenuous activity, including Training, is significant, including the potential for permanent paralysis, other serious injury, and/or death.
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS
of participating in Training, including, without limitation, risk arising from or relating in any way to the condition of the facilities, equipment, fields, and surrounding premise, the actions of persons other than myself, my own actions, and travel to and from the training.
I UNDERSTAND THAT THE RELEASED PARTIES MAKE NO WARRANTIES
and shall I no event be responsible or liable for the defective or dangerous condition of the facilities, equipment, fields, and surrounding premises, except to the extent that such condition(s) result(s) solely from the gross negligence or intentional acts of a Released Party. In making this activity available for your Training, Danvers Indoor Sports/Repertoire Fitness, LLC/North Shore Hockey Factory, LLC, North Shore Coyotes, assumes no responsibility for injury. The responsibility is assumed only by the undersigned.
In consideration of services or property divided. I, for myself, my heirs, personal representatives and assigns, do hereby release, waive, discharge and covenant not to sue Released Parties and their respective board members, officers, agents, advisors, employees, affiliates, members, volunteers, staff, heirs, assigns and representatives from any and all claims including, not by way of limitation, any claims arising from negligence of Released Parties or any of them resulting in personal injury, accidents or illnesses (including death) and/or property loss arising from or relating in any way to participation in the Training, the use of facilities in connection with this Training, and/or travel before, during or after the Training.
I agree to indemnify and hold harmless Released Parties from any and claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, and to reimburse Released Parties from any such expense incurred in connection with or as a result of (1)(a) the undersigned’s participation in the Training or (b) travel associated with the Training or (2) arising in connection with or as a result of any attempt by anyone, including, not by way of limitation, the undersigned or anyone claiming on the undersigned’s behalf, to avoid the terms of this document which I freely sign.
I WARRANT AND UNDERSTAND
that this is my sole and personal responsibility to obtain insurance to compensate for any and all injuries which might arise from my participation in the Training., and furthermore agree to look solely to such insurance to cover losses resulting from any injuries, regardless of fault, and waive all rights of subrogation on behalf of any and all Released Parties which may now or ever exist as a result of such insurance.
IN ANY EVENT OF A RELEASED PARTY TO ME FOR ANY REASON AND UPON ANY CAUSE OF ACTION SHALL NOT EXCEED THE AMOUNT ACTUALLY PAID BY ME TO Danvers Indoor Sports/Repertoire Fitness, LLC/North Shore Hockey Factory, LLC , North Shore Coyotes, DURING THE TWELVE MONTHS IMMEDIATELY PRECEDING MY ASSERTION OF SUCH CLAIM. THIS LIMITATION APPLIES TO ALL CAUSES OF ACTION IN THE AGGREGATE, INCLUDING, WITHOUT LIMITATION, BREACH OF CONTRACT, BREACH OF WARRANTY, NEGLIGENCE, STRICT LIBILITY, MISREPRESENTATIONS, AND OTHER TORTS
Danvers Indoor Sports/Repertoire Fitness, LLC/North Shore Hockey Factory, LLC and North Shore Coyotes has my permission to use my photograph, video and audio recordings in future publications, web pages, and other promotional materials produced. I understand the circulation
of the materials could be worldwide and there will be no compensation to me for this use.
If any paragraph, subparagraph, sentence or clause of this agreement shall be adjudged illegal, invalid, or unenforceable, the balance of the agreement shall remain in full force and effect. This agreement shall be construed and interpreted under Massachusetts Law. Any lawsuit or claim arising from or relating in any way to Training, Services, and/or this agreement shall be brought, if at all, in Essex County, Massachusetts.
I have read this agreement, fully understand it’s terms, understand that I have given up substantial rights by signing it, including the right to sue, and sign it freely and voluntarily. I knowingly assume all risks and elect to proceed wioth the Training despite all of the risks.
I acknowledge that I have received valuable consideration in my relation to my execution of this agreement, which I understand to be a prerequisite to my receipt of services. Finally, I understand that this agreement shall be of full force and effect as to any and all Services I receive from the Released Parties, without regard to the date or timing of such Service.
“Having such knowledge, I do hereby release Danvers Indoor Sports/Repertoire Fitness, LLC/North Shore Hockey Factory, LLC and North Shore Coyotes of all liability related to injuries or accidents to myself which may occur as a result of participating in the Training. I hereby assume all risks connected therewith and consent to participate in the Training.”
Your typed name below will serve as your acceptance of the above terms.
Players who are not 18 years of Age need a Parent/Guadian Signature
Typing your name below will serve as your acceptance of the above terms.
511 Lowell Street
Peabody, MA 01960
Northshore Hockey Factory
150R Andover Street
Danvers, MA 01923
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