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3 on 3 Team Registration
The playing surface will be divided into two rinks using divider boards and safety netting. Two games will be going on at once. The half ice playing surface will create twice the goals with twice the amount of action. Plenty of opportunities to be creative in this fast paced environment. Our goal is to let the players play and have fun!
Email address *
Contact Parent First and Last Name *
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Player 1 - First and Last Name *
Your answer
Player 1 - Previous Team *
Your answer
Player 2 - First and Last Name *
Your answer
Player 2 - Previous Team *
Your answer
Player 3 - First and Last Name *
Your answer
Player 3 - Previous Team *
Your answer
Player 4 - First and Last Name *
Your answer
Player 4 - Previous Team *
Your answer
Player 5 - First and Last Name *
Your answer
Player 5 - Previous Team *
Your answer
Player 6 - First and Last Name *
Your answer
Player 6 - Previous Team *
Your answer
Player 7 (optional) - First and Last Name *
Your answer
Player 7 (optional) - Previous Team *
Your answer
Player 8 (optional) - First and Last Name *
Your answer
Player 8 (optional) - Previous Team *
Your answer
Player 9 (optional) - First and Last Name *
Your answer
Player 9 (optional) - Previous Team *
Your answer
Goalie - First and Last Name *
Your answer
Goalie - Previous Team *
Your answer
Division *
Team Name ( Be Creative ) *
Your answer
Primary Phone Number *
Your answer
I understand that the balance for $900.00 ( $150 per Player) must be paid to complete registration *
Required
Questions or Comments:
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Terms and Conditions/ Wavier Release of Liability
Each person ("Participant") using Silverstein Eye Centers Arena/Centerpoint Community Ice (SECA) assumes all risk of personal injury, which may result from participation in all activities conducted at the SECA. The Participant will not hold the SECA, Spectra Venue Management and the City of Independence, or any of its officials, staff, owners, or the proprietor, liable for injury, which the Participant may sustain while participating in any activities, conducted at the SECA. The participant understands and agrees that the sport of ice hockey, ice-skating and all on-ice activities has physical dangers, which may result in serious injury or death. The Participant is advised to carry medical insurance. The Participant certifies that he/she has no known medical condition, which would prohibit him/her from playing the sport of ice hockey or ice-skating.
Waiver *
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