Hockey Development Registration

Hockey Development Registration

This is a once off registration form when you attend the Erina Ice Arena Hockey Development classes for the first time. Classes are paid for weekly at the cashier or a 10 pass is available to purchase.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth

DayMonthYear
Date
What is your previous skating experience
By checking 'I Agree' below and submitting this form, you, the Parent or Guardian of the above student(s), agree to release Erina Ice Arena, including instructors and assistants from liability for any and all injuries which may occur while training, practicing, performing, or during any rink lesson or activity. You also agree that you are responsible for health and accident insurance and any medical costs incurred due to injury. You give permission for emergency medical transportation and treatment of your student(s) at your expense should the need arise.
I agree
Should be Empty: