TN Iceplex Inc. PARTICIPANT WAIVER FORM o/a “Bell MTS Iceplex” Assumption of Risk, Release and Waiver of Liability, and Indemnity 3969 Portage Avenue (the “Agreement”) Winnipeg, MB R3K 1W4 Phone: 204.926-5850 READ BEFORE SIGNING: Fax: 204.926-5885
Please print all information legibly. Program(s) involved in (the “Activity”): (Check appropriate box(es):
Participant’s name: ______(the “Participant”) Jets Hockey Development camps and programs, specifically Learn to Skate with St
Charles Catholic School Participant’s age: ______Birthdate (mm-dd-yy): ______ - WJHL Adult Hockey