January 2018 Pre Hockey Registration Form- It is not necessary to have attended prior sessions to participate!
Cost for 6 week class is $45 for 1 class per week. Class offered Saturday and Sunday. Both days are $80. See info below for days. Session 3 begins January 6th if taking Saturday Class, January 7th if taking Sunday class. There is no charge for skate rental.
Email address *
Player's First Name *
Your answer
Player's Last name *
Your answer
How old is this child? *
example: Luke is 4 years old.
Your answer
Date of Birth *
Month, day, year of birth
Your answer
Player's Street Address *
Your answer
City *
Your answer
zipcode *
Your answer
Email Address *
Your answer
Phone Number *
(xxx) 123-1234
Your answer
What Class(s) are you registering for? *
Please select each class you are attending
Required
Parents name *
John and Jane Doe
Your answer
Do you need to borrow our rental skates? *
Do you participate in any other skating programs? *
If yes, please enter what programs.. i.e. Basic Skills, etc.
Your answer
Have you joined our mailing list? *
We do all our communications via email. You Must join the mailing list.
Checks are to be made out to Lakeshore Sports Centre
Please mail to 4470 Airline Road. Muskegon, MI 49444 Any questions or concerns?
Your answer
RELEASE/HOLD HARMLESS By initialing, you are agreeing to the terms of the waiver below. *
I agree to release Lakeshore Sports Centre (LSC) from all claims, actions, causes of actions, damages by the undersigned person, their parents/guardians, and for loss or injury resulting from the participation of such person in this program. I further agree to indemnify and save harmless such parties from all claims, actions, damages or demands including all costs and expenses incurred in defending any such claims or actions. Any participants who cause damage will be suspended from the league and LSC with no refund. I have read the release and understand that this is a full final release of all claims for injuries and damages sustained in LSC and understand the responsibilities I have assumed thereunder.
Your answer
A copy of your responses will be emailed to the address you provided.
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