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Submitting an application does not guarantee acceptance. Our coaching staff reviews every submission. If accepted, you'll receive a payment link to secure your spot.

PLAYER INFORMATION

APPAREL SIZES

PARENT / GUARDIAN CONTACT INFORMATION

Waiver, Release of Liability, and Acknowledgment of Risk*
 

For All Facility Participants

Location: D5 Ice Barn (5616 W Donges Bay Rd. Mequon WI 53092)

ACKNOWLEDGMENT OF RISK

I, the undersigned participant, acknowledge that playing ice hockey is a physically demanding activity that carries inherent risks, including but not limited to: collisions, falls, skate blade injuries, puck impacts, physical contact, and equipment malfunctions. I understand these risks could result in serious injury, permanent disability, or death, and I voluntarily assume full responsibility for my participation in this league.

WAIVER AND RELEASE OF LIABILITY

In consideration for being permitted to participate in any activity or rented time at the D5 Ice Barn, including its affiliate locations., I, for myself and my heirs, executors, administrators, and assigns, fully release and discharge the following parties from any and all claims, liabilities, actions, or causes of action arising from injury, loss, or damage incurred while participating:

Including but not limited to any group rental, summer camps, evaluations, practices, games, Men’s/Women’s leagues, private rentals, game/league commissioners, staff, officials, volunteers, and scorekeepers. 

 

The D5 Ice Barn, D5 Sports Group Mequon Operations LLC, D5 Sports Group LLC, One Zero Athletics LLC, Stenys North Shore LLC, and its affiliates, employees, owners, and representatives.

 

Any league sponsors, vendors, and partners.

This waiver and release apply whether injury or loss is caused by negligence, equipment failure, or otherwise, to the fullest extent allowed by law.

INDEMNIFICATION

I agree to indemnify and hold harmless all released parties from any claims, damages, losses, or expenses (including reasonable attorney’s fees) that may arise out of my participation in the league, including claims brought by third parties or arising from my conduct.

MEDICAL RELEASE

I certify that I am physically fit to participate and understand that it is my responsibility to obtain proper medical clearance before participating. I acknowledge that no medical staff will be provided onsite and that I am solely responsible for my own insurance coverage. In the event of an injury or emergency, I authorize any necessary medical treatment.

CODE OF CONDUCT & ZERO TOLERANCE POLICY

I agree to adhere to the league’s Code of Conduct, which includes:

No fighting or intentional attempts to injureRespect for referees, league officials, teammates, opponents, and facility staffNo alcohol or drug use before or during gamesCompliance with all league and facility rules

Violations may result in immediate suspension or removal from the league without refund.

PHOTO & VIDEO RELEASE

I grant permission for the league to capture and use photographs or video of me during league activities for promotional and marketing purposes, with no compensation or additional approval required.

ACKNOWLEDGEMENT & SIGNATURE

I certify that I have read and understand this waiver and voluntarily agree to its terms. I fully assume all risks and responsibilities associated with participation in any event at D5 Ice Barn. 

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