38th Annual National Hockey League Booster Club Convention Liability Waiver

Doubletree Hotel – Oak Brook, IL

August 3 - 10, 2008

Each registrant over 21 must complete this form and return it with his/her Registration Form.

I, ____________________________________________________________, hereby accept any and all responsibility for my actions and the actions of others within my control. I also accept responsibility for my actions and the actions of others within my control arising out of any act or failure to act as a direct and proximate cause of consumption of alcoholic beverages provided by the NHLBCC 2008 Inc. or any other National Hockey League Booster Club participating in this convention, as well as any employee of the Doubletree Hotel or any convention activity host. I hereby absolve and hold harmless any social host who may supply alcohol to me and others under my control, and I accept full and complete responsibility for my actions and their results occasioned by my voluntary consumption of alcoholic beverages. I understand that the legal drinking age for the state of Illinois is 21 years of age.

Please print all information

Registrants Name:________________________________________________________

Registrants Signature:_____________________________________________________

Witness:_______________________________________________________________

Date:_________________________________________________________________

I am the parent or guardian of the following minor(s) (under 18) and I accept responsibility for them.

Minors Name:___________________________________________________________

Minors Name:___________________________________________________________

This form is to be returned with the initial deposit for all attending NHLBCC2008.

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