Hockey in the City Registration

BALL HOCKEY TOURNAMENT
Saturday June 15, 2019
Check-in at 9:30am at TG Smith Arena

Cost: $5 per player (due at check-in on Saturday)

Deadline to Register:
Monday, June 3, 2019

Ball hockey teams will play a minimum of 3 games. Teams can combine age categories with younger kids playing up, but older players can not play down (i.e. A team in the 9/10 year old category can have a 7/8 year old on it. But if they choose to have an 11 year old on their team, their team will be bumped up to the 11/12 year old category).

Age Categories:

Squirts: (ages 5-6 2013-2014)
Novice (ages 7-8, 2011-2012)
Atom (ages 9-10, 2009-2010)
Peewee (ages 11-12, 2007-2008)
Bantam (ages 13-14, 2005-2006)

Questions?
E-mail Brighton Thiessen
brighton.thiessen@steinbachpistons.ca

Hockey Registration Form

Hockey in the City Registration Form
TEAM NAME*
AGE DIVISION ENTERING - CO-ED - $5 per player*
Squirts (ages 5 & 6)
Novice (ages 7 & 8)
Atom (ages 9 & 10)
Peewee (ages 11 & 12)
Bantam (ages 13 & 14)
Max of 7 players. Min of 4 players (players and a goalie at all times). Helmet with cage required. Bring your own water. Ball hockey teams will play a minimum of 3 games. Teams can combine age categories with younger kids playing up, but older players can not play down (i.e. A team in the 9/10 year old category can have a 7/8 year old on it. But if they choose to have an 11 year old on their team, their team will be bumped up to the 11/12 year old.
PLAYER ONE (CAPTAIN) INFO
Name*
First Last
Address*
Street Address City

Email*

Date of Birth*
Date Format: MM slash DD slash YYYY

Phone*
Name of Parent / Guardian
First Last
PLAYER TWO INFO
Name*
First Last
Address*
Street Address City

Email*

Date of Birth*
Date Format: MM slash DD slash YYYY

Phone*
Name of Parent / Guardian
First Last
PLAYER THREE INFO
Name
First Last
Address
Street Address City

Email

Date of Birth
Date Format: MM slash DD slash YYYY

Phone
Name of Parent / Guardian
First Last
PLAYER FOUR INFO
Name
First Last
Address
Street Address City

Email

Date of Birth
Date Format: MM slash DD slash YYYY

Phone
Name of Parent / Guardian
First Last
PLAYER FIVE INFO
Name
First Last
Address
Street Address City

Email

Date of Birth
Date Format: MM slash DD slash YYYY

Phone
Name of Parent / Guardian
First Last
PLAYER SIX INFO
Name
First Last
Address
Street Address City

Email

Date of Birth
Date Format: MM slash DD slash YYYY

Phone
Name of Parent / Guardian
First Last
PLAYER SEVEN INFO
Name
First Last
Address
Street Address City

Email

Date of Birth
Date Format: MM slash DD slash YYYY

Phone
Name of Parent / Guardian
First Last
WAIVER, RELEASE & INDEMNIFICATION*
Every player, and his/her parent or guardian (if the player is under 18) must read, execute, and acknowledge understanding of this Waiver to tournament organizers prior to the commencement of the tournament. In consideration of the right and opportunity to participate in the Hockey in the City Ball Hockey Tournament conducted by Summer in the City (SitC) and its licensed affiliated, the undersigned hereby acknowledges and agrees as follows: I (who am the participant's parent or legal guardian if the participant is under 18 years old) hereby consent to having pictures taken of the participant and agree to having them potentially posted on the Summer in the City website or printed in SitC materials for future promotion of the event. In addition, I (who am the participant’s parent or legal guardian if the participant is under 18 years old) hereby forever generally and completely release and discharge and shall identify and hold harmless SitC and its directors and officers and each other party affiliated with SitC (collectively, “Event Organizers”) against and from any and all claims and demands of every kind and nature whatsoever, for damages or injuries, actual or consequential, past, present or future, arising out of or in any way related to the Hockey in the City Ball Hockey Tournament, including but not limited to any claims of injury from participating in OR observing the tournament, the loss of personal property by theft or otherwise during the tournament, any publicly relating to the tournament or any prizes awarded. The undersigned acknowledges that of its own free will, he/she has chosen to participate in the tournament and related activities. This general release shall further apply to all unknown, unanticipated, unsuspected, and undisclosed claims, demands, liabilities, actions or causes of actions, in law, equity or otherwise. This Waiver shall bind the heirs, personal representatives, and successors of the undersigned, and inure to the benefit of the event organizers.
*
I HAVE READ AND UNDERSTOOD THE TERMS OF THE ABOVE AGREEMENT, WILL COMPLY WITH THE TERMS HEREOF AND ACKNOWLEDGE THAT BY SIGNING THIS FORM I AM GIVING UP LEGAL RIGHTS.

Hockey in the City Registration

Hockey Registration Form

Hockey in the City Registration Form

PLAYER ONE (CAPTAIN) INFO

PLAYER TWO INFO

PLAYER THREE INFO

PLAYER FOUR INFO

PLAYER FIVE INFO

PLAYER SIX INFO

PLAYER SEVEN INFO

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