Request edit access
TPHS Spring Tune-up (2019)
This Program is for Players Born 2005 - 2010
Player Name (First & Last) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current Age *
Parent(s) Name(s) *
Your answer
Parent Email *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Emergency Phone (If different from above)
Your answer
Method of Payment *
Release of Liability *
RELEASE OF LIABILITY – The participant and parents acknowledge and agree that TOP PROSPECTS HOCKEY SCHOOL or any of the principals, officers, employees, agents, directors, or instructors will not be responsible for any accident, damage, injury or loss, however caused, negligent or otherwise, at any time and expressly releases any and all the aforementioned parties from all claims arising from any accident, damage, injury or loss or as a consequence thereof. The undersigned parent or guardian hereby certifies that the applicant has been recently examined by a doctor, is in good health and fully physically able to participate in all the vigorous activities of the school/clinic. In the event of injury or illness, the hockey school has my permission to obtain medical care for which I agree to be responsible.
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service