NBS Hockey Tournament Registration Form

NBS Hockey Tournament Registration Form

March 18-20, 2022 at the Memorial Sports Center in Middlebury, VT
Team Name/Captain *
Registration
Your Name *

First Name Last Name
Contact E-mail *
example@example.com
Phone Number *

Area Code Phone Number
Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
T-shirt Size (short-sleeved, tri blend, runs small)
Any questions or comments about the tournament?
In order to participate, the following waiver must be signed:

AGREEMENT TO HOLD HARMLESS WAIVER AND ASSUMPTION OF RISK

I understand that attendance and/or participation in activities sponsored by North Branch School Tournament are not without risk or injury. I hereby waive and release Friends of Middlebury Hockey, Inc., The Town of Middlebury, North Branch School, their employees, officers, agents, and board members from any and all liability of any nature for any injury or damage resulting from participation in these activities, including participants’ presence on the grounds or surrounding area. My signature below acknowledges the equipment of each participant to wear, at a minimum, includes a hockey helmet, hockey gloves, and shin pads. It is strongly recommended that you play in full ice hockey equipment.

I have read and understand the rules of play for this tournament. I agree to maintain the family-friendly sprit of the weekend.
Signature

Clear
How would you like to pay?
Please mail CHECKS to:

NBS

PO BOX 209

Ripton, VT 05766
CC/PAYPAL option:
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Student Early Registration Before March 1
$ 60.00

Student Regular Registration After March 1
$ 70.00

Adult Early Registration Before March 1
$ 65.00

Adult Regular Registration After March 1
$ 75.00

Donation to Cover Processing Fees We are a small non-profit. Please know that all proceeds go directly to our financial aid program to help keep our small school available to all. Thank you for considering a donation!
$ 5.00 Quantity

Total

$ 0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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