Capital Centre - The Summit

Capital Centre Pride
Hockey Tournament Application

Team: _________________________________________________________________

Organization: ___________________________________________________________

Name of Tournament: _____________________________________________________

Tournament Dates: _______________________________________________________

 Age Level:

 Mite

 Squirt

 Pee Wee

 Bantam

 Midget


Level of Play B A AA BB

Head Coach: ___________________________________________________________

Assistant Coaches: ______________________________________________________

______________________________________________________

______________________________________________________

Manager: ______________________________________________________________

Coach Address: _________________________________________________________

_________________________________________________________

Coach Phone: __________________________________________________________

Coach E-mail: __________________________________________________________

Manager Address: _______________________________________________________

_______________________________________________________

Manager Phone: ________________________________________________________

Manager E-mail: ________________________________________________________


Team Roster
Number Name Position






































































Tournament Release and General Waiver


The undersigned (hereinafter "participant") acknowledges and agrees that the risk of injury from activities engaged in at the facilities known as The Summit at Capital Centre and/or Aim High Sports are significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist. The PARTICIPANT KNOWINGLY AND FREELY ASSUMES ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF The Summit at Capital Centre and/or the Aim High Sports facility. The participant assumes full responsibility for the participation by the participant in any and all such activities. The participant willingly agrees to comply with the stated and customary terms and conditions for participation in any and all such activities engaged in at The Summit at Capital Centre and/or the Aim High Sports Facility. If, however, the participant observes any unusual significant hazard during his/her presence or participation, the participant will remove himself or herself from the participation and bring such hazard to the attention of an authorized representative of The Summit at Capital Centre and/or Aim High Sports. Further, the participant, for himself or herself, and his or her heirs, assigns, personal representatives, and next of kin, hereby releases, indemnifies and holds harmless Capital Centre Operating, L.L.C., The Summit at Capital Centre, Aim High Sports, and their owners, officers, employees, instructors, officials, agents, other users, sponsors, advertisers, affiliates, and the property owners of the real property upon which facilities of The Summit at Capital Centre or Aim High Sports is located ("Releases"), from all claims with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the Releases or others involving activities at The Summit at Capital Centre and/or Aim High Sports.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Team Manager's Signature: ___________________________________ Date:________

Fax or mail application to:

Ron Gay
9410 Davis Hwy
Dimondale, MI 48821
Phone: (517) 319-1000 Fax: (517) 319-1004