10u Spring Registration Form

Player Name

First NameLast Name

Player Birth Date*

MonthDayYear

USA Hockey Registration Number*

Current team & Level*

ForwardDefenseGoalieUnknown

3 Jersey Number Choices (1st, 2nd, 3rd)*

Parent Contact Name

First NameLast Name

Parent Contact Phone*

Format: (000) 000-0000.

Parent Contact E-mail*

example@example.com

Second Parent Contact Name

First NameLast Name

Second Parent Contact Phone*

Format: (000) 000-0000.

Second Parent Contact E-mail*

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Name

First NameLast Name

Emergency Contact Phone*

Format: (000) 000-0000.

Participants with the 10U Troy Sting House Tier 3 Spring hockey program, operated under the Troy Youth Hockey Association (TYHA), acknowledge that ice hockey is a physically demanding sport involving inherent risks, including but not limited to falls, collisions with other players, boards, pucks, and equipment, which may result in serious injury. By registering and participating, players and their parents or legal guardians voluntarily assume all such risks and agree to release, waive, and hold harmless TYHA, its coaches, volunteers, officials, and affiliated facilities from any and all liability for injuries, damages, or losses arising out of participation in the program, except in cases of gross negligence or willful misconduct. Participants further agree to follow all safety guidelines, use required protective equipment, and abide by USA Hockey and TYHA rules and policies.

Parent Signature (Type Full Name)

Comments / Questions:

10u Troy Sting