2017 2-Line Hockey Takedown
Team Registration Form
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Team Name: *
Age Division: *
Tier: *
Tiers are based on team's skill level. Teams select which tier they would like to register in but Andrews Hockey must approve the registration of teams in each Tier, and holds the right to move teams to a different tier.
Team Contact: *
First and Last Name
Email: *
Phone: *
Area code required, No spaces or dashes
Team Roster: *
* Note: teams may only dress 10 skaters and 1 goalie per game. However, teams are allowed to have 11 skaters and 2 goalies registered for the tournament. Please list your players and goalies below, one per line, and include their name, birth year, position, and email address. Example: Jimmy Andrews - 04/05/98 - Left Wing - Email
Agreement Acknowledgement:
I, the Participant or the parent and/or legal guardian if the Participant is a minor, understand the nature of the Program and the Participant’s physical fitness, athletic ability and experience in training.  I believe that the Participant is qualified and able to participate in the Program.  I HEREBY RELEASE AND FOREVER DISCHARGE the Releases and each of them from all liability, claims, demands, loss, damages or costs on the Participant’s  account caused or alleged to have been caused in whole or in part by the negligence or otherwise of the Releases or any of them, including but not limited to negligence in any of the Program, its associated activities, and the facilitation of access to a medical centre and/or medical attention.  If, despite this Agreement, I, the Participant, or anyone on the Participant’s behalf makes a claim against the Releases or any of them, I will indemnify, save and hold harmless the Releasees and each of them from any liability, claims, demands, loss, damages or costs which may be incurred as a result of that claim.

I HAVE READ THIS AGREEMENT.  I fully understand its terms and that I have given up substantial rights by signing it.  I have signed this Agreement freely without inducement or assurance of any kind.  I intend it to be a complete and unconditional release of all liability.  If any portion of this Agreement is invalid the remainder, notwithstanding that invalidity, shall continue in full force and effect.

IN WITNESS WHEREOF the Participant or the Parent and/or Legal Guardian if the Participant is a Minor, hereto has duly executed this Agreement as of the date and year first above written.

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