2027 WAITLIST Peterborough FUN 4 on 4 League

Player's Name (please enter Last name first, First name last)

Last NameFirst Name

Address

Street Address

Street Address Line 2

CityProvince

Postal Code

Telephone

Format: (000) 000-0000.

E-mail address

example@example.com

Position

Parent Name

Last NameFirst Name

Division registering in:

DOB

Level Played Last Season

Medical information

(do not use commas)

PLEASE READ CAREFULLY. Request for teammate:(ONE ONLY and must be a reciprocal request upon registration. Email / Phone requests at a later date WILL NOT BE ACCEPTED, ZERO EXCEPTIONS

Last NameFirst Name

ALL AAA and AA players must register in the age divison above.

Players that wish to move up a divison must submitted in writing and approved by Overtime Hockey Staff.

Please check if you are interested in being a

Please check certifications you hold

Waiver terms and refund policy approval

WAIVER CLAIM - Acknowledging that there is a risk associated with participation in any sport, I, the legal parent or guardian of the participant, agree that OVERTIME Hockey Company Inc, its agents, servants, employees, and consultants will not be responsible for any accident, damage, injury or loss, however caused, negligent or otherwise, at any time and expressly release any and all of the aforementioned parties from all claims arising from any accident, damage, injury, or loss or as a consequence thereof. I understand that my said agreement, release and discharge, shall bind my heirs, legal representatives and assigns and shall inure to the benefit of OVERTIME Hockey Company Inc, its agents, servants, and consultants and their successors and assigns. I acknowledge that OVERTIME Hockey Company Inc strongly recommends that my son/daughter have a physical examination by a doctor to ensure he/she is in good health and fully physically able to participate in the vigorous activity of ice hockey. In the event that my son/daughter is injured during the operation of OVERTIME Hockey Company programs, I give my permission for transportation as needed to a medical practitioner / facility at my expense. I agree that all photographs acquired during the operation of the league become the property of OVERTIME Hockey Company Inc and may be used for promotional purposes. &#13;&#10;&#13;&#10;REFUND POLICY&#13;&#10;Only in the event of uncontrollable circumstances that prohibit a player from continuing or participating in OVERTIME Hockey Company Inc programs &#13;&#10;&#13;&#10;Uncontrollable Circumstances&#13;&#10;&#13;&#10;-Season or Program Ending Injury&#13;&#10;-Residence Relocation &#13;&#10;&#13;&#10;The refund will consist of a prorated portion of the registration fee (minus a $40 administrative fee) following notification of the Director.&#13;&#10;&#13;&#10;If a player registers and chooses not to participate before the start of Program, a refund will NOT be issued. ALL registrations are final.&#13;&#10;&#13;&#10;Season or Program Cancellations.&#13;&#10;In the event that a Season or Program(s) are affected by uncontrollable circumstances, Full refunds will be given. &#13;&#10;&#13;&#10;Uncontrollable Circumstances&#13;&#10;&#13;&#10;-Pandemics &#13;&#10;-Arena Availability &#13;&#10;-Program Availability

2027 WAITLIST Peterborough 4v4 Fun League