In consideration of the sum
of_____________________________________ United States Dollars (US
$_____), paid by the National Hockey League ("NHL") and/or Boston
Mutual Life Insurance Company ("Boston Mutual") subscribing to
the disability program of the NHL on behalf of each of the NHL's
Member Clubs ("Clubs"), the receipt whereof is hereby
acknowledged, the undersigned ("Player") hereby remises, releases
and forever discharges Boston Mutual, NHL, each of the Clubs, and
all servants, employees, officers and agents of Boston Mutual and
its insurers, reinsurers, successors and assigns, NHL and each of
the Clubs of and from all debts, demands, actions, causes of
action, suits, accounts, covenants, contracts, agreements,
damages and any and all claims, demands and liabilities
whatsoever of every name and nature, both in law and in equity,
which against Boston Mutual, NHL and/or any of the Clubs, and/or
any servant, employee, officer or agent of Boston Mutual, NHL
and/or any of the Clubs, or their heirs and/or assigns, Player
now has or ever had from the beginning of the world to this date,
and more especially on account of any and all claims arising in
whole or in part out of an injury which occurred to Player on or
about _______________, or any action which thereafter occurred,
and which injury and/or subsequent action has resulted in the
permanent total disablement of Player to perform as a
professional hockey player.  This shall not release Player's club
from its obligation to pay salary or other compensation which may
be due to Player pursuant to the specific terms of the Standard
Player's Contract between Player and his club, and shall have no
effect upon other insurance coverage provided to Player through
the National Hockey League Players Association.

         Dated this _______ day of ____________________________,
199_.

                                                                 
                                          Signature of Player

                                                                 
                                          Typed Name of Player


Sworn to and subscribed  before me this _____ day of
___________________, 199_.   _____________________________      

Notary Public

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