I, the undersigned and parent/guardian of
__________________________________ do hereby release and
discharge CPAL, the Chelmsford Police and its agents,
employees, officers, referees, and facilities from all
claims, demands, actions, and judgments which I have, or
claim to have, against the above for all personal
injuries, and to all injuries to property, both real and
personal, incurred by my child caused by, or arising out
of, participation in games, practices, or other functions
sponsored by CPAL, the Chelmsford Police, its agents,
employees, and officers.
My child has no physical condition that would prevent
him/her from participating in the games, practices, or
programs sponsored by CPAL and the Chelmsford Police. My
child is in good health and physical condition. I fully
understand the dangers involved in this type of exercise,
function, competition, and practice.
The Chelmsford Police recommend all participants have a
physical health examination prior to participation in the
League. Consult your doctor if you are unsure about your
childís ability to participate in this type of activity.
While rules exist to control play, this is a contact sport
and contact should be expected.
It is the responsibility of the individual
participantís parent/guardian to maintain his/her childís
health and accident insurance. CPAL, The Greater Lowell
Dek Hockey League, the Chelmsford Police and its agents,
employees, and officers accept no responsibility in this
matter. I, as a parent/guardian of _______________________
accept all risk regarding my childís participation in this
League. I also authorize any member of the Chelmsford
Police Department to provide any treatment for injury or
medical emergency in case of my absence.