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Coaching Waiver Form
Confidence Coaching – Waiver Form
TRUHockey Development: Confidence & Leadership Program Participant Info, Health History, Confidentiality, Release of Liability, Waiver of Claims, Assumption of Risks, and Indemnity Agreement (“RELEASE AGREEMENT”)
Download the PDF version
Participant Information
Participant Name
(Required)
First
Last
Date of Birth
(Required)
MM slash DD slash YYYY
Parent / Guardian Name (if under 18)
First
Last
Phone
(Required)
Email
(Required)
What age group is the participant currently in?
10-12
13-15
16-18
19+
What areas of confidence or leadership are you hoping to improve the most? (Select Top 1 or 2)
Self-Confidence & Positive Self-Talk
Leadership & Communication Skills
Growth Mindset & Resilience
Managing Stress & Emotions
Decision-Making & Problem Solving
Teamwork & Collaboration
Would you like to be added to our email list to stay up to date on the latest programs?
Yes
No
Health History Intake
To ensure the safety of all participants, please complete the following section fully and accurately
Does the participant have any of the following (check all that apply):
Asthma
Diabetes
Seizure Disorder
Heart Condition
Allergies (food, medication, environmental)
ADHD/ADD
Other (please specify)
Select All
If any allergies or health concerns were checked, please explain:
Is the participant currently taking any medications?
Yes
No
Include anxiety medications if applicable
Please list the medications
Has the participant ever participated in leadership courses, or worked with a sports coach?
Yes
No
Please specify what, when, and with whom
Note: It is the sole responsibility of the parent/guardian to update TRUHockey Development in writing should any health information change during the program.
Consent to Release Agreement
TO: TRUHockey Development and its directors, clients, employees, instructors, representatives, independent contractors, subcontractors, suppliers, sponsors, and successors (all referred to as the “Releases”)
I acknowledge that participation in TRUHockey Development’s Confidence & Leadership Program (virtual or in-person) involves various risks, including but not limited to emotional stress, fatigue, and challenges in group settings. I FREELY ACCEPT AND FULLY ASSUME ALL RISKS associated with participating in TRUHockey Development activities. I understand that all sessions, discussions, and activities are considered CONFIDENTIAL within the group setting, and personal information shared will not be disclosed outside the program except when required by law or with participant consent.
RELEASE OF LIABILITY, WAIVER OF CLAIMS, AND INDEMNITY AGREEMENT:
In consideration of being permitted to participate in TRUHockey Developmeny Power Skating, Skill Development and Dryland Training activities, I agree as follows:
1. TO WAIVE ANY AND ALL CLAIMS I may now or in the future have against the Releases, and TO RELEASE the Releases from any and all liability for loss, damage, injury, or expense that I may suffer, as a result of participating in TRUHockey Development activities. This includes any cause whatsoever, including negligence, breach of contract, or failure to protect or safeguard me from the risks and hazards of participation.
2. TO HOLD HARMLESS AND INDEMNIFY the Releases for any and all liability for property damage, personal injury, or loss to any third party resulting from my participation.
3. This Release Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns, and representatives in the event of my death or incapacity.
4. This Agreement and any rights, duties, and obligations arising from it shall be governed solely by the laws of the province in which the TRUHockey Development activities take place.
5. Any litigation shall be brought solely within the jurisdiction of the Courts of that province.
FINAL AGREEMENT
In entering into this Release Agreement, I confirm that I am not relying on any verbal representations made by TRUHockey Development about the safety of the activities. I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT, AND I AM AWARE THAT BY SIGNING IT I AM WAIVING CERTAIN LEGAL RIGHTS, WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS, OR REPRESENTATIVES MAY HAVE AGAINST TRUHOCKEY.
Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
Printed Name of Parent / Guardian:
(Required)
Acknowledgement
(Required)
By checking this box, I confirm that I am the legal Parent/Guardian of the participant registered in this TRUHockey Development camp as printed above. I also agree that I have read this waiver and that by submitting this online or paper copy Registration Form, this waiver is binding.
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