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PROSPECT SERIES REGISTRATION
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1
Prospect's Name
First Name
Last Name
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2
Prospect's Date of Birth
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Date
Month
Day
Year
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3
Prospect's Gender
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Male
Feemale
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Male
Feemale
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4
Prospect's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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5
Prospect's Email Address
example@example.com
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6
Prospect's Phone Number
Please enter a valid phone number.
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7
Which Prospect Series Are Registering For?
Please Select
Fort Lauderdale, Florida - Panthers Ice Den - July 21-23, 2023
Buffalo, NY - Northtown Center - August 4-6, 2023
Please Select
Please Select
Fort Lauderdale, Florida - Panthers Ice Den - July 21-23, 2023
Buffalo, NY - Northtown Center - August 4-6, 2023
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8
What team did you last play for?
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9
What league did you last play in?
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10
What level did you last play at?
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14U - AA
14 - AAA
15U - AA
15 - AAA
16U - AA
16 - AAA
17U - AA
17 - AAA
18U - AA
18 - AAA
High School
Recreational
Please Select
Please Select
14U - AA
14 - AAA
15U - AA
15 - AAA
16U - AA
16 - AAA
17U - AA
17 - AAA
18U - AA
18 - AAA
High School
Recreational
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11
What position do you play?
Please Select
Forward
Defense
Goalie
Left Wing
Right Wing
Center
Left Defense
Right Defense
Please Select
Please Select
Forward
Defense
Goalie
Left Wing
Right Wing
Center
Left Defense
Right Defense
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12
What school do you currently attend?
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13
What grade will you be enrolled in, this fall?
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9th
10th
11th
12th
Please Select
Please Select
9th
10th
11th
12th
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14
What is your current Grade Point Average?
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15
What are your academic interests; plans for college?
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16
How did you hear about this showcase?
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17
Prospect's Parent/Guardian
First Name
Last Name
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18
Prospect's Parent/Guardian Email
example@example.com
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19
Prospect's Parent/Guardian Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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20
Prospect's Parent/Guardian Phone Number
Please enter a valid phone number.
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21
Waiver of Liability
WAIVER OF LIABILITY, RELEASE, ASSUMPTION OF RISK & INDEMNITY AGREEMENT We, the undersigned Player and Parent(s) or Legal Guardian(s), hereinafter collectively called “Participants,” for and in consideration of the Player’s registration with the Eastside Elite Hockey League, Inc. (“EEHL”) and of the Player’s being allowed to participate in EEH: events, agree as follows: WAIVER OF LIABILITY & RELEASE Participants waive any and all liability for any cause of action against EEHL, its officers, Board members, the managers and coaches, officials, sponsors, facilities, and all those in participation with any of them (collectively called “Releasees”), for personal injury, property damage, or wrongful death occurring to Players arising out of participation in the EEHL events, team activities, the sport of hockey, and/or activities incidental thereto, whenever or however any such injury or damage may occur, including, but not limited to, transportation to and from any such event, and for such period as said activities may continue; and by this agreement, any such claims, rights, and causes of action that the Player may have are hereby waived and relinquished. ASSUMPTION OF RISK Participants acknowledge, understand, and assume all risks inherent in the game of hockey and any EEHL events or team activities, and understand that said sport and related activities involve risks to The player’s person, including bodily injury, partial or total disability, paralysis, death, and damages which may arise therefrom, and the Participants have full knowledge of such risks. These risks and dangers maybe caused by the negligence of the Player or the negligence of others, including the Releasees. It is further acknowledged that there may be risks and dangers not known to Participants or are not reasonably foreseeable at this time. Participants agree to abide by and be bound under the rules of hockey and all rules and regulations and requirements of EEHL. Participants acknowledge, understand, and assume the risks, if any, arising from the conditions and use of hockey rinks, facilities, and related premises and acknowledge and understand that included within the scope of this waiver and release is any cause of action arising from the performance, or failure to perform maintenance, inspection, supervision, or control of said rinks and surrounding areas and for failure to warn of dangerous conditions existing at said hockey rinks, for negligent selection, negligent supervision or instruction by any of the Releasees. INDEMNITY AGREEMENT Participants agree that if any claim for a Player’s personal injury, property damage, or wrongful death is commenced against Releasees, Participants shall defend, indemnify and save harmless Releasees from any and all causes of action by whomever or wherever made or presented for Player’s personal injuries, property damages or wrongful death. It is the purpose of this agreement to waive and release Releasees from liability for personal injury, property damage, and wrongful death caused by negligence, including the negligence, if any, of the Releasees. Player and/or Player’s Parent(s)/Guardian(s) acknowledge that they have read the above paragraphs, understand Its terms and significance, and have not relied upon any representation of Releasees; and that they are fully Aware of the dangers of hockey. (Parent/Guardian must sign if Player is under age 18 at time of signing.)
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22
Media Release Form
Authorization for Release of Photographs, Video, and Audio Recordings In consideration of the participant’s registration and being allowed to participate in any manner in Eastside Elite Hockey LLC (hereinafter referred to as EEHL), programs, camps, training, activities, and related events, I hereby grant permission and consent that EEHL, its agents, officers, employees, sponsors, advertisers, and all other persons or entities to whom circulation or dissemination may be made including news and media organizations to use, reproduce, distribute, exhibit, broadcast, or otherwise disseminate, photos, video and audio recordings, or other forms of media existing now or in the future, of me and/or my child while appearing at the programs, camps, training, activities, and all related events, whether or not edited, retouched, altered, or otherwise changed or modified. I further consent and agree that such media shall become the sole property of EEHL, free and clear of any claims on my part. I hereby waive any right to inspect, edit or approve the media, whether its use is known to me or unknown. I further consent that this release includes the use of this media in any form and way deemed appropriate, which may include, instructional, educational, promotional, commercial, artistic, or entertainment purposes, without limitations or reservations. I further consent and authorize the use of this media, with or without my name or the name of my child, and without notice to me. I understand the media may be viewed by the general public and that other use may be made of the media. I further agree and consent that EEHL, its agents, officers, employees, and others are not responsible for any misappropriation of the media by any member of the general public or any other person or entity. I release EEHL, its agents, officers, employees, and others who get their rights through them, from any and all claims or actions I may make arising out of the use of this media including all personal and/or property rights, even if from their negligence, to the fullest extent permitted by law. I acknowledge that I may not terminate or rescind this perpetual release. I understand that my child’s participation is permitted in reliance upon and induced by my agreement to the terms herein. I acknowledge that I have not entered into this agreement in reliance upon any representation, written or oral, express or implied, not contained herein. This agreement shall inure to the benefit of and be binding upon the parties' respective heirs, successors, licensees, and assigns. This agreement shall be governed by and construed in accordance with the laws of the State of Michigan. I certify that I, as parent/guardian, have the legal capacity and authority to act for, or on behalf of the a minor child named herein. I do hereby execute this release on behalf of a minor child. I hereby bind myself, the minor child, and all respective heirs, successors, licensees, and assigns. I agree to indemnify and hold harmless the persons and entities referenced herein from any claims, actions and/or liabilities, which may arise against them as a result of, or arising out of my legal capacity or my authority to act for and on behalf of the minor child in the execution of this release and agreement or my execution thereof. I HEREBY AFFIRM AND ACKNOWLEDGE THAT I HAVE READ THIS DOCUMENT, FULLY UNDERSTAND THE CONTENTS THEREOF AND THE EFFECTS UPON MY LEGAL RIGHTS, AND AGREE TO BE BOUND THEREBY.
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PROSPECT SERIES REGISTRATION CHECKOUT
Please Complete your Registration by submitting payment.
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AAU College Hockey Prospect Series - Summer 23
The AAU College Hockey Prospect Series is a dynamic hockey program designed and run by our partners at Sole Hockey, focusing on the education, evaluation, and development of prospective AAU College Hockey Student-Athletes. Each Series includes a Draft Skate, 4 Games, an AAU Jersey, and Instruction by a staff of former NHL players. ** Registration is $385 + $15 Service Fee
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