I understand that there are certain risks of injury inherent in the sport of dek hockey, and I am willing to assume these risks for myself, my child or children. I am also aware that the following protective equipment is REQUIRED, for any player under the age of 18 years old, in order to play in the Bloomfield Dek Hockey League. Equipment required is as follows: helmet with full cage, elbow pads, shin guards and gloves. It is my responsibility, as the parent, to ensure that my child is always using the required equipment during the games and practices. As the parent, it is also my responsibility to watch over my child or children at all times.
I also attest that myself, as a player, or my child is healthy and fully capable of handling the rigors of playing street hockey. Myself or my child has no physical impairments or handicaps that may put them or others at risk of being harmed in any way. For any player under 18 years old,
I attest that my child has had a recent physical, indicating that my child is fit to play street hockey. I do hereby waive, release and hold harmless the organizers of this league, its sponsors, coaches and the City of Pittsburgh for any injury that myself or my child may suffer in the normal course of participation in the sport, and the activities incidental thereto, whether the result of negligence or any other cause.