Player Registration Form

Player Registration Form

The Junior Warriors Foundation is a nonprofit, 501(c)(3) charitable organization dedicated to empowering the children of disabled veterans, military service members, and first responders. Our mission is to provide tuition-free opportunitiesfor these children to learn and play the game of ice hockey. It is our goal to remove the financial barriers that limit access to the sport, while working to promote a culture of physical and mental wellbeing in a safe and supportive environment.
Player Information
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
USA Hockey Number
Position
Experience Level
Current Team
Program(s) of Interest

Parent Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
County of Residence
Eligibility
Upload Proof of Eligibility (VA Benefit Verification Letter, Employment Verification Letter, Copy of Employee Identification…)

Cancelof

Waiver

To be completed only by the players parent or legal guardian.
By signing below, I agree to the following terms: I hereby release the Junior Warriors Foundation, Inc., and its officers, directors, employees, and volunteers both individually and collectively, from any and all responsibility or liability for any injury or damages suffered by the applicant during participation at any Junior Warriors Foundation sponsored programs and/or event.

By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a handwritten signature.
Signature

First NameLast Name
Date

MonthDayYear
Date
Relationship to Player
Should be Empty:

Player Information