Epic Stars Registration Form
Grade 0 (Under 7)
Grade 1 (Under 7)
Grade 2 (Under 9)
Grade 3 (Under 9)
Grade 4 (Under 11)
Grade 5 (Under 11)
Grade 6 (Under 13)
Grade 7 (Under 13)
Email address for correspondence
Telephone number mom
Telephone number dad
Preferred contact person
Do you give Epic Hockey Stars permission to use photos of your child on the website and for marketing purposes
Fees for 2021
Age Group Payment before 28 March Payment after 28 March
Boys R 1 800 R 1 900
U7 R 1 800 R 1 900
U9 R 2 000 R 2 100
U11 R 2 000 R 2 100
U13 R 2 300 R 2 400
U15 R 2 300 R 2 400
Sibling discount. R100 discount for a second child.
Name: Epic Hockey Stars
Type: Cheque account
Branch code: 256 205
Account number: 624 7554 9039
Please submit proof of payment to
or bring proof of payment to registration.
Epic Hockey Stars indemnity
I wish for my child enrolled on this form to participate in hockey practices and matches (hereinafter referred to as "the sport") during 2019
Therefore I hereby:
Acknowledge that I have familiarised myself with the nature and extent of the Sport and the risks and dangers to which my daughter/son may be exposed as a result of their participation in the Sport:
Voluntarily assume the risks and dangers to which they may be exposed as a result of their participation in the Sport;
Indemnify and keep indemnified Epic Hockey Stars (the Club) the clubs employees and contractors and/or any persons who represent the Club against all injury, loss, damage, theft, costs and/or expenses which I, my child and/or any other person may sustain or incur as a result of their participation in the Sport and:-
Agree not to hold the Club, the Clubs employees and contractors and/or any persons who represent the Club liable for any injury, loss, damage, costs and/or expenses which I or my child may sustain or incur as a result of their participation in the Sport.
I have read the above indemnity and
Agree to the terms
Send me a copy of my responses.
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