Common use of PROHIBITED CONDUCT AND REPORTING Clause in Contracts

PROHIBITED CONDUCT AND REPORTING. Compuware Youth Hockey prohibits all types of physical abuse, sexual abuse, emotional abuse, bullying, threats, harassment and hazing, all as described in the USA Hockey SafeSport Handbook. Participants, employees, or volunteers in Compuware Youth Hockey may be subject to disciplinary action for violation of the Travel Policies or for engaging in any misconduct or abuse or that violates the USA Hockey SafeSport Policies. For reports of any actual or suspected violations, you may email Xxx XxXxxxx (Compuware Youth Hockey SafeSport Coordinator at xxxx@XxxxxxxxxXxxxxx.xxx) or USA Hockey at XxxxXxxxx@xxxxxxxxx.xxx or call 0-000-000-0000. SAMPLE ONLY download from xxx.XXXXxxxxx.xxx; SafeSport 2020-2021 PARENTAL CONSENT FOR MASSAGE OR RUBDOWN OF MINOR ATHLETE The undersigned is the parent or legal guardian of the minor Participant identified below, who is a member of USA Hockey under the age of 18. This consent is provided pursuant to USA Hockey’s SafeSport Program, and I acknowledge that USA Hockey’s SafeSport Program (see xxx.xxxxxxxxx.xxx/xxxxxxxxxxxxxxxx) contains policies that are intended to protect participants from abuse and risks of harm. Due to the nature of the contact between an athlete and a person performing a massage, rubdown, taping or other athletic training modalities, there is a potential for abuse or misconduct. Every USA Hockey Member Program must adopt USA Hockey’s policy if any massage, rubdown, taping or other athletic training modalities are permitted on a minor Participant. It is recommended that the parent or guardian take the SafeSport Training offered by the US Center for SafeSport. I understand that USA Hockey’s SafeSport policy includes the following provisions related to any massage, rubdown, taping or other athletic training modalities on a Participant:

PROHIBITED CONDUCT AND REPORTING. Compuware Youth Hockey prohibits all types of physical abuse, sexual abuse, emotional abuse, bullying, threats, harassment and hazing, all as described in the USA Hockey SafeSport Handbook. Participants, employees, or volunteers in Compuware Youth Hockey may be subject to disciplinary action for violation of the Travel Policies or for engaging in any misconduct or abuse or that violates the USA Hockey SafeSport Policies. For reports of any actual or suspected violations, you may email Xxx XxXxxxx (Compuware Youth Hockey SafeSport Coordinator at xxxx@XxxxxxxxxXxxxxx.xxx) or USA Hockey at XxxxXxxxx@xxxxxxxxx.xxx or call 0-000-000-0000. SAMPLE ONLY download from xxx.XXXXxxxxx.xxx; SafeSport 20202018-2021 PARENTAL CONSENT FOR MASSAGE OR RUBDOWN OF MINOR ATHLETE The undersigned is the parent or legal guardian of the minor Participant identified below, who is a member of 2019 USA Hockey under the age of 18. Consent To Treat/Medical History Form This consent is provided pursuant to USA Hockey’s SafeSport Programcertify that on this date, and I acknowledge that USA Hockey’s SafeSport Program (see xxx.xxxxxxxxx.xxx/xxxxxxxxxxxxxxxx) contains policies that are intended to protect participants from abuse and risks of harm. Due to the nature of the contact between an athlete and a person performing a massage, rubdown, taping or other athletic training modalities, there is a potential for abuse or misconduct. Every USA Hockey Member Program must adopt USA Hockey’s policy if any massage, rubdown, taping or other athletic training modalities are permitted on a minor Participant. It is recommended that the as parent or guardian take of , (athlete participant), or for myself as an adult participant, give my consent to USA Hockey and its medical representative to obtain medical care from any licensed physician, hospital, or clinic for the SafeSport Training offered above mentioned participant, for any injury that could arise from participation in USA Hockey sanctioned events. If said participant is covered by any insurance company, please complete the US Center for SafeSportfollowing: Insurance Company: Policy Number: Parent/Guardian/Adult Participant Signature: Date: Excess accident insurance up to $50,000, subject to deductibles, exclusions and certain limitations, is provided to all USA Hockey registered team participants. I understand that For further details visit xxxxxxxxx.xxx or contact USA HockeyHockey at (000) 000-XXXX. EMERGENCY CONTACT Name: Phone: ( ) Address: City: State: Zip Code: Physician’s SafeSport policy includes Name: Phone: ( ) Hospital of Choice: COMPLETION OF MEDICAL HISTORY INFORMATION BELOW IS OPTIONAL MEDICAL HISTORY If the answer to any of the following provisions related to questions is yes, please describe the problem and its implications for proper first aid treatment on the back of this form. q Head Injury (concussion, skull fracture) q Fainting spells q Convulsions/epilepsy q Neck or back injury q Asthma q High blood pressure q Kidney problems q Hernia q Heart murmur q Allergies q Diabetes q Other Have you had (or do you currently have) any massageof the following? Have you had a recent tetanus booster? q Yes q No If yes, rubdownwhen? Are you currently taking any medications? q Yes q No If yes, taping or other athletic training modalities please list all medications on back. Has a Participant:doctor placed any restrictions on your activity? q Yes q No If yes, please explain on back.

PROHIBITED CONDUCT AND REPORTING. Compuware Youth Hockey prohibits all types of physical abuse, sexual abuse, emotional abuse, bullying, threats, harassment and hazing, all as described in the USA Hockey SafeSport Handbook. Participants, employees, or volunteers in Compuware Youth Hockey may be subject to disciplinary action for violation of the Travel Policies or for engaging in any misconduct or abuse or that violates the USA Hockey SafeSport Policies. For reports of any actual or suspected violations, you may email Xxx XxXxxxx (Compuware Youth Hockey SafeSport Coordinator at xxxx@XxxxxxxxxXxxxxx.xxx) or contact USA Hockey at XxxxXxxxx@xxxxxxxxx.xxx or call 0-000-000-0000XXXXxxxxx.xxx/xxxxxxxxxxxxx. SAMPLE ONLY download from xxx.XXXXxxxxx.xxx; at XxxxxxxxxXxxxxx.xxx, Parents, SafeSport 2020Forms 2021-2021 2022 PARENTAL CONSENT FOR MASSAGE OR RUBDOWN OF MINOR ATHLETE The undersigned is the parent or legal guardian of the minor Participant identified below, who is a member of USA Hockey under the age of 18. This consent is provided pursuant to USA Hockey’s SafeSport Program, and I acknowledge that USA Hockey’s SafeSport Program (see xxx.xxxxxxxxx.xxx/xxxxxxxxxxxxxxxx) contains policies that are intended to protect participants from abuse and risks of harm. Due to the nature of the contact between an athlete and a person performing a massage, rubdown, taping or other athletic training modalities, there is a potential for abuse or misconduct. Every USA Hockey Member Program must adopt USA Hockey’s policy if any massage, rubdown, taping or other athletic training modalities are permitted on a minor Participant. It is recommended that the parent or guardian take the SafeSport Training offered by the US Center for SafeSport. I understand that USA Hockey’s SafeSport policy includes the following provisions related to any massage, rubdown, taping or other athletic training modalities on a Participant: