CCIHL Winter League 2022

Name *

First Name Last Name

Email *

example@example.com

Phone Number *

Please enter a valid phone number.

Date of Birth (must be 16 by 2nd May 2022) *

Date

Did you play in the Summer League 21/22? *

If you played in the Summer League, what team were you on?

Drop Bears Kraken Silverbacks Strangebrew Griffins Phoenix

What position do you play? *

Forward Defence Goal Keeper

Are you available to volunteer throughout the season on a rostered schedule? *

Are you interested in a Stingray's Ice Hockey Club Social Membership? If so, are you happy for EIA to pass on your contact details to Stingrays? *

Yes No

Player Declaration

I agree to accept the risk and release Erina Ice Arena and their staff from any responsibility, cost or legal liability associated with any injuries or damages which may result from using the amenities, participating in any activity or through the actions of others within the centre.

I agree to follow any directions from the Erina Ice Arena Staff

I agree to play by the Ice Hockey Game Rules and adhere to any directions of the game officials.

I agree to wear full protective Ice Hockey equipment and any other protective measures (eg strapping tape) necessary to minimise any injury to myself during the game.

I have read and agree to the above player declaration *

Yes No