PLAYER PROFILE FORM

 
 
Last Name: First MI       Male
Address
City State Zip        Country
Date of Birth (enter with slashes mm/dd/yyyy)
Home Phone Parent Cell#:
 
Parent / Guardian First Name(s) Last
Parent E-Mail
Alternate E-Mail
 
School Grade    School GPA   ACT   SAT
Current Team Current Coach
Current Coach Phone Current Coach eMail
Other Hockey References
 
If selected, I am available to attend the Europe tournament. YES    NO
 

Strength as a Hockey Player
 
Who is the best player you played against this season and which team does he play for:
Player: Team:
 
Preferred Jersey Number (please pick three)      
 
Jersey Size:  Youth Small       Youth Medium       Youth Large      Youth X-Large 
                         Adult Small     Adult Medium      Adult Large     Adult X-Large    Adult 2X-Large
 

LIABILITY AND ASSUMPTION OF RISK AGREEMENT

CLICK TO OPEN: Waiver  (YOU MUST READ)

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above,  EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES,  to the fullest extent permitted by law.

Parent / Guardian Signiture Date: