Ball Hockey Registration 2019
Please fill out one form per child, per class.
Ball Hockey begins Saturday April 27, 2019 at the Capilano Outdoor Rink. Sessions ends Saturday June 8th . Should a class be rained out classes will be extended for an extra week. No classes May 19, 2018 (Victoria Day weekend). Helmet with a cage, plastic bladed hockey stick and shin pads required.
Email address *
Choose your age group *
Required
Child's Surname (Last Name) *
Your answer
Child's First Name *
Your answer
Address *
Your answer
Community League and Community League number (please answer 123 if you do not have a community league membership yet) *
Your answer
Date of Birth *
Your answer
email *
Your answer
Parent/Guardian Names (include last first and last name) *
Your answer
Parent/Guardian 1 phone number *
Your answer
Parent/Guardian 2 phone number
Your answer
Emergency Contact (other than above) Name and phone number *
Your answer
Medical Conditions/Allergies
Your answer
Cost
Cost is $70 per session per child. Payment via etransfer to canadaplays1@gmail.com
I, the parent/guardian of the above registered player, do release and forever discharge Capilano Community League and Gymfit from any and all claims and demands whatsoever their members, coaches, directors, coordinators and volunteers. I, the parent/guardian of the above registered player, further agree and understand that the members, coaches, directors, coordinators and volunteers of Capilano Community League and Gymfit shall not be held responsible for any liability, injury or accident during participation. I acknowledge that ball hockey and fitness and similar activities involve inherent risks, dangers and hazards that are associated with unique movement patterns, skills and sport based equipment. I acknowledge that personal harm or injury may be sustained during my child’s involvement in the activity and declare that I accept full responsibility for my child’s safety. I understand clearly that by signing this waiver form I acknowledge the potential risks and consent to my child’s participation.
Type your name in full *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service