Men's Old Timers Hockey
Sundays from October 5, 2008 – March 29, 2009
3 Game League Championship Tournament
April 3 & 4, 2009
35 and over or Novice
Fee: $250.00
Goalies $70.00 (8 spots)
SPACE IS LIMITED
USA HOCKEY ONLINE REGISTRATION IS REQUIRED THIS SEASON, SEE INSTRUCTIONS BELOW
Registration and Payment will reserve your spot on or before August 28th, 2008!
Open registration for new players will begin August 20, 2008 First Come First served. Two New Teams to fill this year.
Send Registration and Check to:
CCC, 1640 Fernando Dr., DePere, WI 54115
Skater's Name: __________________________________________________________
Address: ______________________________________________________________________
Phone: _____________________________
Email: ___________________________________
Activity: Men's Old Timer Hockey_
Age/Skill Level: ____________________________
Previous Team Played on?____________________________________________________
Liability Waiver
Please read this form Carefully and be aware that in signing up and participating in the program you will be waiving and releasing all claims for injuries sustained arising out of this program, including transportation services, when provided. As a participant in the program I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of injuries, damages or losses which I may sustain as a result of participating in any and all activities associated with such programs. I do hereby release and discharge the and Cornerstone Community Center Inc. and it's officers, agents, volunteers and staff from all claims resulting in injuries or damage and losses due to my participation in the activities provided by these organizations. I further indemnify and hold harmless and defend the named organizations, officers, volunteers and staff all claims resulting from injuries, damages and losses sustained by me and arising out of connection with , or in anyway associated with the activities provided. I have read and fully understand Waiver release of all claims.
Signature:____________________________________Date:____________
*$25.00 Service fee on all returned checks*
USA HOCkEY REGISTRATION IS REQUIRED Follow the instructions listed on the following page. Your registration will not be accepeted without the USA Hockey Barcode attached from your USA HOCKEY REGISTRATION.
Instructions for On-line Registration with USA Hockey
It is mandatory that all players register on-line with USA Hockey. Players should attach their printed registration form and USA HOCKEY barcode when dropping off registration or mailing in the registration. The on-line registration process is simple and should take you no longer than 5 minutes to complete.
1. Go to www.USAhockey.com
2. Click on the quick link in the red box that says "Become a USA Hockey member"
3. Simply follow all of the prompts to register. Make sure to use the full legal name (no nicknames or shortened version of the name)
4. You will need a credit card to make payment of $35 ( $30 USA Hockey $5 WAHA fees)
5. At the end of the on-line registration process it will ask you to open confirmation and print. This is the page you will need to send in with your registration!!