Downriver Hockey - 2024 Christmas Camp Registration

Liability and Waiver Terms

I/We assume all responsibility for any risk of injury, damage or death that may occur to the player while participating in the Downriver Hockey Academy (DHA). I/We also agree to release DHA, its instructors and the ice rink from any liability or claims for injuries, losses or death by the player while attending. I/We grant DHA permission to photograph, videotape or otherwise record the player for use of coaching, advertising, or publicity purposes free of charge. DHA has zero tolerance level for uncontrollable and lackadaisical behavior. I/We understand DHA will terminate players for these behaviors.

Check the Yes Box to Agree to Liability and Waiver Terms*

Yes

Parent Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Primary Phone*

Please enter a valid phone number.

Emergency Contact*

First NameLast Name

Emergency Contact Phone*

Please enter a valid phone number.

Player Name*

First NameLast Name

Age*

Number of Year's Playing Hockey*

Hockey Association*

Group Name*

Level of last division played*

Jersey Size*

Please describe any and all pre-existing injuries, medical conditions and allergies...*

2024 Christmas Break Camp Options*

Please verify that you are human*

Registration Form