Clone of Performance Youth Hockey Winter Clinic Series

Performance Youth Hockey Spring Clinic Series

TGH Ice Plex
Passed Hockey 301 or currently playing rec/travel
Which clinic(s) will you be attending?
Player First Name
Player Last Name
Age
Player Birth Date

MonthDayYear
Parent Contact Name

First NameLast Name
Contact Phone
Format: (000) 000-0000.
Contact E-mail
example@example.com
Contact E-mail #2
example@example.com
Zip Code

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Player Position
USA HOCKEY NUMBER
Comments / Notes
Date

MonthDayYear
Date
In consideration for being allowed to participate in any way in the activities at the TGH Ice Plex / Ice Sports Forum and any and all events and activities, the undersigned: (a) agrees that the risk of injury from the activities involved in these programs is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risk of serious injury does indeed exist: (b) knowingly assumes the full responsibility for my participation, and (c) hereby release and holds harmless, the TGH Ice Plex / Ice Sports Forum and it’s owners, lessors, lenders, and all other representatives as well as other participants in the program or at the facility with respect to any and all injury, disability and death, or loss or damage to person or property however arising to the fullest extent permitted bylaw. I also acknowledge that there will be a $35 deduction from refund if registration is cancelled. By selecting I agree below, I also agree to allow my photo to be used in any advertising for the TGH Ice Plex / Ice Sports Forum.
Should be Empty:

Performance Youth Hockey Spring Clinic Series