2021 Hockey Registration Form

SUMMER HOCKEY SEMINAR

Event Date: July 13, 2021
Skate It Forward Summer Hockey Seminar participants are required to wear hockey gear. Minimum equipment requirements are helment with facemask, mouth guard, neck guard, ice hockey stick, hockey skates, hockey gloves, elbow and shin/knee pads, shoulder pads, hockey pants, athletic supporter, and hockey socks.
PLAYER INFORMATION:
Participant's Name *

First Name Last Name
Parent/Guardian Name *

First Name Last Name
Participant's Gender *
Birth Date *

Month Day Year
Age *
Team Name
Level

Mini-Mite Mite Squirt Peewee Bantam
CONTACT INFORMATION:
E-mail (required for all event communications) *
Preferred Phone Number *
EMERGENCY CONTACT *

First Name Last Name
Emergency Contact Phone # *
Relationship to Participant *
PAYMENT:

Registration Fee *

Registration $ 50.00

Total $ 0.00

In order to fulfill my required financial commitment to Ronald McDonald House Charities of Central Ohio, I plan to: *

Create an online participant page to begin collecting donations towards my $25 fundraising requirement. In lieu of fundraising, I will make a $25 (minimum) donation to RMHC of Central Ohio to fulfill my fundraising requirement.
ACKNOWLEDGEMENT: *
PHOTO RELEASE *
WAIVER / TERMS & CONDITIONS: *
Additional Comments
Should be Empty:

SUMMER HOCKEY SEMINAR