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In consideration of being allowed to participate as a student, instructor, counselor, assistant, or volunteer (herein called “participant”) in a LS Power Skating, Inc (“LSPS”) Program, the undersigned acknowledges and agrees that:

  1. The sports of ice skating, ice hockey, in-line skating, and dry land sporting activities have inherent physical risks that may result in serious damage or personal injury. Using proper equipment, following the rules and exercising discipline will reduce the risks.
  2. I knowingly and freely assume all such risks, both known and unknown, and assume full responsibility for my or my child’s participation. I willingly agree that my child and/or I will comply with the stated and customary terms and conditions for participation. I however recognize that doing so will not eliminate all risk from the activities. If, however, I observe any unusual significant hazard during my presence I will remove myself or my child from participation and will immediately bring such hazard to the attention of the nearest official.
  3. Participant will not hold LSPS or any of its employees, officials, owners, managers, proprietors, Skate Great Hockey, Inc., Laura Stamm, Laura Stamm International Power Skating System, Power Hockey, or the ice rink or employees of the ice rink used by LSPS, liable for injury that the student may sustain in, at, or relating to any LSPS activity.
  4. Participant is responsible for any and all medical costs for any injuries arising from or around LSPS activities.
  5. Participant has no known medical condition that restricts or prohibits participation in ice hockey, ice skating, in-line-skating or any related activity. Nor does participant have any known medical condition which puts him or her at greater risk of injury or death resulting from any risks associated with participating in the clinic, whether such risks are known or unknown to parent or participant. LSPS recommends a medical examination before participation.
  6. Participant shall act in a mature and responsible manner. Any behavior that LSPS deems to endanger the safety of other persons or property, or jeopardize LSPS ability to lease ice or otherwise conduct its business, will result in the student’s immediate expulsion. Participant may be expelled from a LSPS program for any of the following reasons: a) financial delinquency; b) failure to abide by all LSPS and ice rink rules and directives; c) falsification of registration information.
  7. LSPS may use, without compensation to the undersigned or participant, any photo, audio and/or video recording of any LSPS activity in which the participant appears, for promotional, advertising or educational purposes.
  8. The undersigned acknowledges that LSPS owners, managers, agents and representatives have made no representations, warranties, inducements or promises which are not contained herein and that this signed form represents the entire Agreement between the undersigned and LSPS.
  9. I understand that neither LSPS nor the ice facility are responsible for any loss or damage to personal items at the facility.
  10. In the case of a medical emergency I give permission for LSPS, its officers, officials, employees, instructors, and agents to seek medical attention for myself (if over 18) of for my child, if I, the parent or legal guardian, am absent.

Welcome to Laura Stamm

LS Power Skating, Inc.
PO Box 383
Hawthorne, NY 10532
Fax: 914-773-1807

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