Florida Fury 2024-2025 Travel Registration

Florida Fury 2024-2025 Travel Registration
What Florida Fury team are you registering for?*
PARENT/GUARDIAN INFORMATION
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian #2 Name

First NameLast Name
Parent/Guardian #2 Email
example@example.com
Parent/Guardian #2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Player Information
Player Name*

First NameLast Name
Player Address*

Street Address

Street Address Line 2

CityState

Zip Code
USACanadaOther
Player Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Player Gender*
Player Birth Day*

MonthDayYear
Date
2024-2025 USA Hockey Number*
PLEASE USE THE LINK BELOW IF YOU HAVE NOT ALREADY OBTAINED A NEW 2024-2025 NUMBER - YOUR 2023-2024 USA HOCKEY NUMBER IS NO LONGER VALID

CLICK HERE TO OBTAIN USA 2024-2025 HOCKEY NUMBER
Player School*
What Grade is Your Player In?*

Game Jersey Number Request Form
RULES
- Returning players to their returning team have FIRST CHOICE to retain their previous year's game jersey number.
- Returning players moving up to their new Fury team have FIRST CHOICE to retain their number from the previous season if it is not been taken by a 2nd-year player returning to their team. If the player's first choice number is taken by a second-year player to their team, then the player's second choice number will be chosen. If two or more returning players request the same number, the older player will win the tie-breaker.
- New Players to the Fury will get to choose numbers after all returning players have chosen their numbers. If two or more new players request the same number, the older player will win the tie-breaker.
The Florida Fury will have the final decision in all number disputes and can not be appealed.
First Choice Jersey Number*
Second Choice Jersey Number*
Third Choice Jersey Number*

Emergency & Medical Contact Information
INSURANCE INFORMATION
Medical Insurance Company*
Medical Insurance Group Number*
Medical Insurance Policy Number*
EMERGENCY CONTACT INFORMATION
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
DOCTOR INFORMATION
Doctor Name*

First NameLast Name
Doctor Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Hospital of Choice*

PLAYER CONSENTS
USA Hockey Code of Conduct - PLAYER
1. No swearing or abusive language on the bench, in the rink, or at any team function.
2. No lashing out at any official no matter what the call is. The coaching staff will handle all matters pertaining to officiating.
3. Anyone who receives a penalty will skate directly to the penalty box.
4. Fighting will not be tolerated. Fighting will result in an appearance before the Discipline Committee.
5. There will be no drinking, smoking, chewing of tobacco or use of illegal substance at any team function.
6. I will conduct myself in a befitting manner at all facilities (ice rink, hotel, restaurant, etc.) during all team functions.
7. Any player or team official who cannot abide by these rules or violates them will be subject to further disciplinary action.
Code of Conduct Agreement is I/We have read, understand and agree to comply with the USA Hockey Code of Conduct as outlined above.
Player Name*

First NameLast Name
Player Signature*

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Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature*

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PLAYER CONSENTS
TRAVEL HOCKEY & PLAYING TIME

The Florida Fury is Travel Hockey Program that is committed to creating the best possible experience for our players and their families. Our program is designed to:

1) Make sure each player increases their skill level from the start of the season to the last day

2) Teach life lessons, communication skills, leadership skills, and sportsmanship

3) To put the most competitive team on the ice in order to win

What we expect from our players:

1) Be on time for all practices, team events, and games/tournaments

2) 100% participation, there is no part of our program that is optional (Local / In-State and Out-of-State Games)

3) Be the best teammate you can be, and always support your teammates on the ice

4) Practice is where you get better and 100% effort and commitment are expected

5) Ice time during games is not equal, the Fury plays to win and our coaches will play the players that give the team the best chance for success

6) The "24 Hour" rule is always in effect. If there is any type of incident, big or small, between yourself or your player and another member of the organization, please take a deep breath, wait 24 hours, and then go to your team manager to discuss and take next steps to resolve issue.

7) If you are not happy with your ice time during games, ask to meet with the coach and ask these three questions:

- How can I earn more ice time?

- What do I need to work on to get better?

- How can I help my team?

8) The Florida Fury has a ZERO tolerance policy for any type of bullying or harassment. You will be removed from the program for any infraction of this rule.

I/We have read, understand and agree to comply with the Florida Fury Code of Conduct outlined above.
Player Name*

First NameLast Name
Player Signature*

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Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature*

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PARENT CONSENTS
USA HOCKEY

Parents' Code of Conduct:

• Do not force your children to participate in sports, but support their desires to play their chosen sport. Children are involved in organized sports for their enjoyment. Make it fun.

• Encourage your child to play by the rules. Remember, children learn best by example, so applaud the good plays of both teams.

• Do not embarrass your child by yelling at players, coaches or officials. By showing a positive attitude toward the game and all of its participants, your child will benefit.

• Emphasize skill development and practices and how they benefit your young athlete. De-emphasize games and competition in the lower age groups.

• Know and study the rules of the game, and support the officials on and off the ice. This approach will help in the development and support of the game. Any criticism of the officials only hurts the game.

• Applaud a good effort in both victory and defeat and enforce the positive points of the game. Never yell at or physically abuse your child after a game or practice - it is destructive. Work toward removing the physical and verbal abuse in youth sports.

• Recognize the importance of volunteer coaches. They are important to the development of your child and the sport. Communicate with them and support them. If you enjoy the game, learn all you can about hockey - and volunteer.

Spectators Code of Conduct:

• Display good sportsmanship. Always respect players, coaches and officials.

• Act appropriately; do not taunt or disturb other fans; enjoy the game together.

• Cheer good plays of all participants; do not boo opponents.

• Cheer in a positive manner and encourage fair play; profanity and objectionable cheers or gestures are offensive.

• Help provide a safe and fun environment; throwing any items on the surface can cause injury to players and officials.

• Do not lean over or pound on the glass or fence; the glass and fence surrounding the surface if part of the playing area.

• Support the referees and coaches by trusting their judgment and integrity.

• Be responsible for your own safety - be alert to prevent accidents from flying pucks and other avoidable situations.

• Respect locker rooms as private areas for players, coaches and officials.

• Be supportive after the game - win or lose.

• Recognize good effort, teamwork and sportsmanship.

Disciplinary Action

I understand that if I do not comply with the above Code of Conduct as set forth by Florida Fury Hockey Foundation & Club, I am subject to the following disciplinary actions;

1. I will be asked to attend a meeting with the Disciplinary Committee and receive a written warning.
2. I may be issued a suspension from attending any team activity for a period set forth by the Disciplinary Committee.
3. Either myself, my family, and my child may be expelled from further participating in any activity indefinitely.

I/We have read, understand and agree to comply with the USA Hockey Code of Conduct as outlined above.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature*

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Florida Fury Travel Hockey Program Details 10U -18U Teams
I/We have read, understand and agree to the 2024-2025 Florida Fury Travel Hockey Season Curriculum and costs outlined above.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature*

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PAYMENT OPTIONS
TUITION COSTS

$4900 per player

PAYMENT PLANS

OPTION ONE - Pay in Full

OPTION TWO - Payment Plan

You will be billed a $750 Non-Refundable deposit today. The balance will then be divided into 6 installments of $691.67 which will be automatically debited from the SAME ACCOUNT on

08/01/2024

09/01/2024

10/01/2024

11/01/2024

12/01/2024

01/01/2025

All tuition payments/deposits are non-refundable. All tuition payment plans are due in full before January 1, 2025. Any tuition payment that is more than 45 days past will be considered in default and participation in the Florida Fury travel program will be eligible for cancellation.

I/We have read, understand and agree to the terms and conditions of the Florida Fury Tuition plan.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature*

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Florida Fury 2024-2025 Travel Registration

PARENT/GUARDIAN INFORMATION

Player Information

Game Jersey Number Request Form

Emergency & Medical Contact Information

INSURANCE INFORMATION

EMERGENCY CONTACT INFORMATION

DOCTOR INFORMATION

MEDICAL HISTORY

PLAYER CONSENTS

PLAYER CONSENTS

PARENT CONSENTS

Florida Fury Travel Hockey Program Details 10U -18U Teams

PAYMENT OPTIONS

PAYMENT