NEWHL HS Summer League
After Completion of this form please mail payment to:
P.O. Box 480
Stoneham, Massachusetts 02180
Email address *
Name *
Your answer
Date of Birth *
Address *
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Phone *
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Email *
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Postion *
Shoots *
Organization *
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Personal Physician *
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Physician Telephone *
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Medical Insurance Coverage *
Your answer
Release of Liability/Acknowledgement of Risk
I/We acknowledge that ice hockey is a contact sport and there is a potential for injury. Participating or observing in the North East Women's Hockey League may constitute serious injury, including death and/or permanent paralysis. I/we fully understand the risk and release the North East Women's Hockey League, it's owners, event organizers, coaches, referees, affiliates, sponsors, and ice arena/facilities from any liability (both financial and otherwise) that may be associated with participation or injury.
Player Electronic Signature (Full Name) *
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Parent/Guardian Electronic Signature (Full Name) *
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