TAILORED EXPERIENCES | SHARED CONNECTIONS

TITANETTES ICE GIRLS

SKILLS CLINIC

Hosted by: CMXI•NEXT Productions | Titanettes Ice Girls

In partnership with: NJ Titans Hockey

Event Location: NJ Titans Arena

Youth Dance Experience | Registration & Liability Waiver

PARTICIPANT INFORMATION

First name

Last name

Phone

Birthday

Month

Day

Year

Age

Dance Experience (if any):

Beginner

Intermediate

Advanced

None

PARENT / LEGAL GUARDIAN INFORMATION

Parent/Guardian Full Name

Phone

EMERGENCY CONTACT INFORMATION

Emergency Contact Full Name

Emergency Contact Phone

MEDICAL INFORMATION

Does the participant have any medical conditions, injuries, allergies, or physical limitations we should be aware of?

YES

PHOTO & VIDEO RELEASE

I understand that photographs and/or video recordings may be taken during the Titanettes Ice Girls Skills Clinic and related game-day activities.

I grant permission to CMXI•NEXT Productions, Titanettes Ice Girls, NJ Titans, and their affiliates to use my child’s likeness, image, or voice for promotional, marketing, social media, and website purposes without compensation.

ASSUMPTION OF RISK & LIABILITY WAIVER

I acknowledge that participation in the Titanettes Ice Girls Skills Clinic involves physical activity, including but not limited to dancing, movement, and participation in a live sports environment.

I knowingly and voluntarily assume all risks associated with participation, including injury, illness, or accident, whether caused by my child, other participants, facility conditions, or otherwise.

I hereby release, waive, and hold harmless:

CMXI•NEXT Productions
Titanettes Ice Girls
NJ Titans Hockey
Arena ownership and staff
Event sponsors, partners, contractors, volunteers, and affiliates

from any and all claims, liabilities, demands, or causes of action arising out of or related to participation in this event, whether caused by negligence or otherwise, to the fullest extent permitted by law.

I AGREE TO THE ABOVE STATEMENT OF ASSUMPTION OF RISK & LIABILITY

MEDICAL AUTHORIZATION

In the event of an emergency, I authorize CMXI•NEXT Productions and its representatives to obtain medical treatment for my child if I cannot be reached.

CODE OF CONDUCT ACKNOWLEDGEMENT

I understand that this is a professional, structured event. Participants are expected to follow instructions, behave respectfully, and adhere to safety guidelines. Failure to do so may result in removal from the clinic without refund or liability.

PARENT / GUARDIAN SIGNATURE

PRINTED NAME

Signature

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Date

Month

Day

Year

This waiver shall be governed by the laws of the State of New Jersey. If any portion is deemed invalid, the remainder shall remain in full force and effect.

PARTICIPANT INFORMATION

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