WAIVER AND RELEASE OF LIABILITY

Parental Consent (for skaters under the age of 18)

I, the undersigned acknowledge the inherent risks involved in ice hockey and all activities relating thereto.
Accordingly and in consideration of being allowed to participate in any activities associated with Buffalo
Prospects and/or World Hockey Institute, I agree to the following:

1. I acknowledge and fully understand that I will be engaging in activities that involve risk of serious injury,
which may include permanent disability and even termination of life, and severe social and economic losses
which might result not only from my action, but also from the action, inaction, or negligence of others, through
rules of play or the condition of the premises, or any equipment used and further that there may be risks not
known to me or not reasonably foreseeable.

2. I agree that prior to participating in any activity associated with Buffalo Prospects and/or World Hockey
Institute, I will inspect the competition area and all equipment to be used, and if, through my inspection, I
determine that anything related to that activity is unsafe, I will immediately advise my coach or an organizational
official of this unsafe condition and will not participate until this condition is corrected.

3. I agree to assume all the foregoing risks and accept personal responsibility for my own damages following
such injury, permanent disability or termination of life.

4. I release, waive, discharge, and covenant not to sue Buffalo Prospects, World Hockey Institute, the arenas
and/or all their respective agents, affiliates, associates, officials, directors, owners, coaches, referees, and
employees (collectively "releases") from demands, losses, or damages on account of any injury, termination of
life, or damage to property, caused or alleged to be caused in whole or part by releasees or any other party’s
actions, inactions, or otherwise, and agree to indemnify releasees from any and all third party claims caused in
whole or in part by my actions.

5. I acknowledge that there is a no refund policy in place for these programs.

6. I acknowledge that the Buffalo Prospects and/or World Hockey Institute will not be responsible for lost or
stolen property.

7. I agree to permit the Buffalo Prospects and/or World Hockey Institute to use photographs, videos and/or
other media for advertising, PR, or internal communications purposes.

I, the undersigned parent or legal guardian have read the above waiver and release and agree to its terms on
behalf of my child and myself. I understand that by signing below I am giving up substantial rights on behalf of
my child and myself.

Date of Application ________________________

Child Name _________________________________________   Birth Year _______ Month ____ Day ____

Parent Name_______________________  Parent Signature _____________________________________

E-Mail ____________________________________     Phone(s)__________________________________

Address ______________________________________________________________________________