REGITSRATION INFORMATION FOR :

Personal Information

Parent/Guardian Name:
Participant Name:
Level of Ice Hockey Played last season:
Birthdate:

Contact Information

Address:
City:
State:
Zip Code:
Phone:
Alternate Phone:
Email Address:

Additional Information

Release Of Liability / Acknowledgement of Risk *
I give my approval to my child's participation in all activities with Precision Hockey and assume all risk and hazards incidental to such participation. I do waive, release, absolve, indemnify and agree to hold harmlessPrecision Hockey and/or its proprietors. I certify that the applicant is in good physical and mental health and is able to participate in the physical activity of a vigorous program.

Terms Agreement *
I agree to the terms of Precision Hockey (link below).
Comments: PLEASE PROVIDE PLAYERS JERSEY SIZE
Date/Time