Moorhead Girls STP

Moorhead Girls STP
Full Name

First NameLast Name
Email Address
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Phone Number
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2026-27 Grade

Preferred Position
Select one option
2025-26 Team

Parent Information
Parent 1 Name

First NameLast Name
Parent 1 Email
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Parent 1 Phone Number
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Parent 2 Name

First NameLast Name
Parent 2 Email
example@example.com
Parent 2 Phone Number
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Moorhead Girls STP Waiver and Release of Liability
Moorhead Girls STP Waiver and Release of Liability

In consideration of your acceptance as Participant(s) in an event related to Moorhead Girls STP , I, for myself and my child (if child is a Participant), hereby waive, release, absolve, indemnify and agree to hold harmless Moorhead Girls STP, its’ organizers, Board of Directors, employees, sponsors, coaches, managers, players and agents, and release Moorhead Girls STP from claims for, any injuries suffered by Participant(s) incidental to, connected with, or arising out of activities related to Moorhead Girls STP, including injuries suffered as a result of negligence of Moorhead Girls STP, but not including injuries suffered as a result of willful or intentional misconduct.

I give my approval for Participant(s) to participate in all activities related to Moorhead Girls STP. I understand that the program for which I have given my permission may be hazardous and that injuries may occur in the normal course of play or instruction, and I assume all risks and hazards incidental to participation including transportation to and from the activities. I authorize Moorhead Girls STP together with medical, hospital, or emergency personnel to carry out and/or administer all treatment and diagnosis determined by them to be necessary. This shall include rendering of emergency care in situations where it would be impractical or impossible to obtain additional consent. I understand that Moorhead Girls STP has no medical or health insurance covering Participant(s). I understand that it is my responsibility to outfit Participant(s) with proper and adequate protective equipment. I certify to the best of my knowledge and in consultation with Participant’s (Participants’) doctor that Participant(s) has/have no physical infirmities or sickness except as previously listed.

Please list any and/or all medical conditions:
Please list any and/or all medical conditions:
Participant's Name
Today's Date
Signature

Sign below to acknowledge the release.

PAYMENT INFORMATION & CAMP SCHEUDLE
All Ice times are on the MSC FACILITIES SCHEDULE https://www.moorheadyouthhockey.com/
High School (Anyone entering grades 9-12 next year) $460

8U - 8th Grade (Ages for 2026-27 season) $320

Payment Options

Via Venmo @purpur14

Via Check - Made out to Casey Purpur

Checks can be mailed to 313 Circle Hills Drive, Grand Forks, ND 58201

Please reach out to me directly for alternative payment options 701-330-5511 or caseypurpur2@gmail.com
Should be Empty:

Moorhead Girls STP

Parent Information

Moorhead Girls STP Waiver and Release of Liability

PAYMENT INFORMATION & CAMP SCHEUDLE