BBYHA Youth Hockey Equipment Rental Request
Please fill out a SEPARATE form for each player for whom you need rental equipment. You will receive an email containing your rental request.

If any of the equipment you have requested is not available on-site at the Frank Southern Ice Arena, you will be able to edit this agreement prior to payment. We accept payment by check, or by credit card/PayPal.
Email address *
Rental Date *
This is the date you intend to rent. We currently have rental appointments on October 15, 6-7 pm, October and October 21, 5-6 pm.
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DD
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Player Name *
Your answer
Player Age *
Your answer
Player Team *
Parent/Guardian *
Your answer
Cell Phone *
XXX-XXX-XXXX
Your answer
Home Phone
XXX-XXX-XXXX
Your answer
Work Phone
XXX-XXX-XXXX
Your answer
Street Address *
Your answer
City/State/Zip Code *
Your answer
What would you like to rent this season? *
Please be aware that we have a limited supply of helmets.
Required
What is your total rental charge for this player?
Your answer
TYPE YOUR INITIALS TO AGREE: I understand that the above listed equipment is on loan and I agree to return it at the end of the season and before the seasonal closure of the Frank Southern Center. I will return the equipment in the same condition as in which it was issued, reasonable wear excepted. Routine maintenance of the equipment, skate sharpening, etc. is my responsibility. I further agree to replace all damaged, lost, or unreturned equipment with new equipment of equal or greater quality and condition. *
If any of the equipment you have requested is not available on-site at the Frank Southern Ice Arena, you will be able to edit this agreement prior to payment. We accept payment by check, or by credit card/PayPal.
Your answer
A copy of your responses will be emailed to the address you provided.
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