Emergency Contact Information
Disclaimer and Acknowledgement of Risk*
The applicant agrees that Brian Wilks Hockey Development (BWHD) and/or Motivation Rewards International (MRI) and/or its proprietors will not be held responsible for any accident or loss however caused, and agrees to release the proprietors from all claims or damage which may arise as a result of such accident or loss. In event of an inability to be contacted, I hereby give BWHD or MRI permission to seek any medical attention required.
Payment Method: Cheque only
Payable To: Motivation Rewards International
28 Painted Rock Ave
Richmond Hill, Ont