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HOCKEY SIGNUP FORM

The RULES 
  1. No contact with other players. Anyone who violates this rule will be given one(1) warning. A second offense will result in ejection from the league. 
  2. No fighting. Fighting will result in ejection from the league, plus possible disorderly conduct charges. 
  3. You cannot play without the required equipment.  NO EXCEPTIONS.
  4. No high sticks. Stick play is to be kept below the waist. 
  5. No slap shots. 
  6. All adults (parents, grandparents etc) will conduct themselves in an orderly manner. Foul language and verbal insults to other parents, players, referees and coaches will not be tolerated. Any aggressive behavior will result in arrest and prosecution. 

    I have read and agree to abide by the rules of the league. 
Parent's Name 


  (I have read and agree to abide by the rules of the league)
Player's Name 


  (I have read and agree to abide by the rules of the league)
 
Players Age:
Shirt Size
Address:
City:
State:
Zip:
Phone:
E-mail Address:
Medical Insurance
WAIVER
We are permitting our child to play roller hockey at the CN Skate Palace, and understand that by the nature of hockey, accidents resulting in injury can and do happen. In the event my child is injured during roller hockey, we (the parent's or guardian) assume all responsibility for expenses incurred as result of any injury. Further, we will not hold CN Skate Palace, its agents or employees liable for any accidents or injuries. 
Parent's Name 


  (I have read and understand the waiver)
Parent's Name 


  (I have read and understand the waiver)
Billing Information 
Name on Card 
Billing Address
Amount:
Credit Card Type:
Credit Card Number:
Credit Card Expires:
Security Code on back of card:


  

 

 

 

 

 

 

 

 

 

 


Copyright © 2004 CN Skate Palace