Group 1: Spring Clinic Registration
Clinic Focus on Skating, Edges, & Stride work
Puck control, shooting, hockey situations, fun & games
Group 1 *Eligible: Pre-Mites, Mites, & Squirts  (Rookies - 2015 Birthyears)
7 Monday Evenings March 31 - May 19  (NO CLINIC - Patriots Day 4/21)
7 :10 - 8 PM
Hayden Ice Rink - Lexington, MA
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Email *
Skater LAST Name
Skater FIRST Name
Skater Birthdate
MM
/
DD
/
YYYY
Current Team & Level
Position
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Parent/ Guardian Name
Parent Guardian Cell
Medical Concerns (Medications, Allergies, Asthma, Injury etc..)
Medical Release: I acknowledge the participant is in good health and is able to participate  in the physical activity of a vigorous program.  In the event my child is injured during the absence of a legal guardian, I give permission for the person in charge to seek medical attention
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Release of Liability/Acknowledge of Risk: Upon entering the CHD, I/we understand that participation in the sport of hockey, as well as this event, constitutes risk to me/us/my child or serious injury. I/we voluntarily and knowingly recognize, accept and assume this risk and release the CHD, its sponsors, staff members, the skating facility and officials from any liability therefore.  I certify that the applicant participating in this clinic is fully covered by a certified health insurance plan and that CHD and staff are not responsible or liable for any injury suffered by the applicant during the participation in the league.
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Parent / Guardian Signature *
$280 -- Preferred Payment (Please reference player name) *
I understand that spots are limited and my players spot is not held until payment is received. *
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