Request edit access
3 on 3 Individual 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!
Parent's First and Last Name
Player's First and Last Name
Primary Phone Number
I understand that the balance for $150 per Player must be paid to complete registration
Questions or Comments:
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.
I am the legal guardian of the participant and I have read and understood the foregoing, and acknowledge my consent to the terms of this Waiver & Assumption of Risk by checking this box
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service