REGISTRATION
3 ZONES HOCKEY SCHOOL
"SEE THE ICE"
PLAYER'S FULL NAME:
PARENT'S FULL NAME:
ADDRESS:
CITY:
PROVINCE:
TELEPHONE:
The applicant agrees that 3 zones hockey instruction and its staff will not be held responsible for accident or loss however caused and agrees to release the proprietors from all claims or damage which may arise as a result of such accidents or loss. In the event of inability to contact me, I hereby give you permission to seek out any necessary medical assistance my child may require while attending the program.
E-MAIL:
PLAYER LEVEL:
WAIVER:
BIRTHDATE:
POSTAL CODE:
PROGRAM:
