4on4_register
Player's Name (please enter Last name first, First name last)
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Last Name
First Name
D.O.B.
Please Select
2018
2017
2016
2015
2014
2013
2012
Position
*
Please Select
G
F
D
PROGRAM registering in:
*
Please Select
2018/2017
2016/2015
2014/2013
2012/2011
Level Played Last Season
*
Please Select
REP
AE/A
AA
AAA
E-mail address
*
example@example.com
Cell Telephone
Medical information
(do not use commas)
Parent Name
*
First Name
Last Name
Heading
Waiver terms and refund policy approval
*
WAIVER CLAIM - Acknowledging that there is a risk associated with participation in any sport, I, the legal parent or guardian of the participant, agree that OVERTIME Hockey Company Inc, its agents, servants, employees, and consultants will not be responsible for any accident, damage, injury or loss, however caused, negligent or otherwise, at any time and expressly release any and all of the aforementioned parties from all claims arising from any accident, damage, injury, or loss or as a consequence thereof. I understand that my said agreement, release and discharge, shall bind my heirs, legal representatives and assigns and shall inure to the benefit of OVERTIME Hockey Company Inc, its agents, servants, and consultants and their successors and assigns. I acknowledge that OVERTIME Hockey Company Inc strongly recommends that my son/daughter have a physical examination by a doctor to ensure he/she is in good health and fully physically able to participate in the vigorous activity of ice hockey. In the event that my son/daughter is injured during the operation of OVERTIME Hockey Company programs, I give my permission for transportation as needed to a medical practitioner / facility at my expense. I agree that all photographs acquired during the operation of the league become the property of OVERTIME Hockey Company Inc and may be used for promotional purposes. REFUND POLICY Only in the event of uncontrollable circumstances that prohibit a player from continuing or participating in OVERTIME Hockey Company Inc programs Uncontrollable Circumstances -Season or Program Ending Injury -Residence Relocation The refund will consist of a prorated portion of the registration fee (minus a $35 administrative fee) following notification of the Director. If a player registers and chooses not to participate before the start of Program, a refund will NOT be issued. ALL registrations are final. Season or Program Cancellations. In the event that a Season or Program(s) are affected by uncontrollable circumstances, Full refunds will be given. Uncontrollable Circumstances -Pandemics -Arena Availability -Program Availability
*
Yes, I have read the Waiver Terms and Refund Policy and agree to their terms.
My Products
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2018/2017 PLAYER
$
275.00
CAD
2018/2017 GOALIE
$
275.00
CAD
2016/2015 PLAYER
$
275.00
CAD
2016/2016 GOALIE
$
275.00
CAD
2014/2013 PLAYER
$
275.00
CAD
2014/2013 GOALIE
$
275.00
CAD
2012/2011 PLAYER
$
275.00
CAD
2012/2011 GOALIE
$
275.00
CAD
Enter coupon
Apply
Subtotal
$
0.00
CAD
Tax
$
0.00
CAD
Total
$
0.00
CAD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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