Polar Caps Hockey Equipment Rental 2019-2020
Signup form for requesting rental of hockey equipment from the West Madison Polar Caps for the 2019-2020 season.
Skater Name *
Fill in your child's first and last name.
Your answer
Group/Level of Play *
Select your child's program group or level of play.
Skater Age *
Fill in your child's age.
Your answer
Skater Height *
Fill in your child's approximate height to help us determine equipment size.
Your answer
Skater Weight *
Fill in your child's approximate weight to help us determine equipment size.
Your answer
Parent/Guardian Name *
Fill in your first and last name.
Your answer
Email Address *
Fill in your email address.
Your answer
Phone *
Fill in your phone number.
Your answer
Equipment Needed *
Select the equipment that your player needs.
Yes
No
Helmet
Shoulder Pads
Elbow Pads
Shin Pads
Breezers (Hockey Pants)
Gloves
Goalie Gear Needed
Indicate if you need any goalie gear for your player for Squirt, Pee Wee or Bantam. RWB and House teams will be provided goalie gear.
Equipment Fittings
Please select a date if you are planning to come to a specific equipment rental and fitting session.
Comments/Questions
Please let us know if you have any questions.
Your answer
Rental Fee and Deposit
The equipment rental fee for the 2019-2020 season is $50 payable by check. The equipment deposit amount is $50 payable by check. Please make both checks out to West Madison Polar Caps.
Rental Agreement *
I agree to pay the rental fee to the West Madison Polar Caps Hockey Association for hockey equipment rental for the season. I understand that a separate deposit will also be collected at the time of rental and returned when the equipment is returned. I agree to return all of the equipment in clean and good condition at the end of the season. I agree that if any rented equipment is not returned or returned in a condition exhibiting undue wear or neglect, my deposit will not be returned and I will pay the association the replacement cost of such equipment.
Required
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