NEWHL College Summer League
After Completion of this form please mail payment to:
NEWHL
P.O. Box 480
Stoneham, Massachusetts 02180
781.838.0352
Email:info@newhl.net
Email address *
Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Phone *
Your answer
Email *
Your answer
Postion *
Shoots *
Organization *
Your answer
Personal Physician *
Your answer
Physician Telephone *
Your answer
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) *
Your answer
Parent/Guardian Electronic Signature (Full Name) *
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service