Adult League - Player Registration

Start Date: May 2nd

Player Information:
Division:
Name:
Team Name:
Email:
Phone Number:
555-555-5555)
Birth Date:
(mm/dd/yyyy)
Address:
City:
ZIP Code:
USA Hockey #:

Emergency Contact:
Name:
Phone:
555-555-5555)

Waiver and Release of Liability

TriValley Ice, as well as any employee will not be held liable for any injuries caused from participating in adult leagues.
Participant releases TriValley Ice of any liability regarding injury or death.

I have read the above waiver and release and understand that I have given up my rights by signing it, and sign it voluntarily.
Player Name: Initials: Date: (mm/dd/yyyy)

Payment

Please make a payment at the rink at the begining of the season