2019 Bedford High School Summer Hockey
Signup for 2019 Bedford High School Summer hockey.

Looking to close this registration by May 27th.
Please forward to any Bedford youth that fits the grade requirements below.

Teams will be formed and payment will be required when your player is on a roster.

Registration does not necessarily mean you player will make the team.

Based on numbers, priority will be for older players and current team players


Games Start June 26th, Playoffs end August 22nd.
Games will be played at Tri-Town Arena, usually one day per week.
Games will usually be Tuesday and or Wednesday evenings.
High schools rules, tag-up offsides, 3 periods at 12 minutes each.
All Players must be entering 9th grade or older in the 2019-2020 school year.
All Players must be entering 12th grade or younger in the 2019-2020 school year.
Estimated cost of $225 based on a full team
Team(s) determined by number of signups and coaches/management.
(Payment will be made online once the team is formed.)

Release of Liability, Waiver of Claims

PARTICIPATION AGREEMENT - RELEASE OF LIABILITY, WAIVER OF CLAIMS AND ASSUMPTION OF RENTS BY SIGNING THIS DOCUMENT YOU MAY BE WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE I, parent or guardian of registered player whose date of birth is entered, am providing this statement to the Bedford Hockey, Bedford Hockey Management, Bedford Hockey Coaches, Bedford Hockey Bench Help (herein after referred to as "Bedford Hockey"), Tri-Town Ice Arena Limited Partnership, Tri-Town Arena Management, LLC, and its agents or employees in consideration of allowing my child to participate in the Middle School Summer League during the period May 20, 2019 through September 1, 2018.
ASSUMPTION OF RISK: I am aware that ice skating and hockey involves certain inherent risks, dangers and hazards which can result in serious personal injury or death. I am also aware that ice skating arenas contain potential dangers to the ice skating public. As such, I hereby freely agree to assume and accept any and all known and unknown risks of injury to my child while participating in ice skating and hockey activities. I further recognize and acknowledge that the risks inherent in the sport of ice skating and hockey can be greatly reduced by using common sense.
RELEASE AND WAIVER OF CLAIMS AGREEMENT: In consideration of allowing me to participate in ice skating and hockey activities at the Arena, I hereby agree as follows: TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the Arena, Bedford Hockey and/or the Licensee resulting from the activities at the Arena. TO RELEASE the Arena and Bedford Hockey from any and all liability for any loss, damage, injury or expense that my child may suffer, or that my next of kin may suffer, as a result of my child’s participation in the activity described in this Agreement, due to any cause whatsoever, including negligence or breach of contract on the part of the Arena or Bedford Hockey in the operation, supervision, design, or maintenance of the Arena;
ARBITRATION: In further consideration of allowing my child to participate in the ice skating or hockey activities in the Arena, I hereby agree to submit to binding arbitration any and all claims which I believe I may have against the Arena, Bedford Hockey and/or the League arising from Bedford Hockey's or the League’s activities at the Arena. The arbitration shall be pursuant to the rules of the American Arbitration Association. The arbitrators shall apply the Federal Rules of Evidence to all proceedings. Arbitration shall be commenced within one (1) year from the date on which any alleged claim first arose. Further, the arbitration shall be held in the town where the Arena is located, unless otherwise mutually agreed to by all the parties. The submission to the American Arbitration Association shall be unlimited and the arbitration award may be enforced by any court of competent jurisdiction.
BINDING EFFECT OF AGREEMENT: In the event of my or participants death or incapacity, this Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives.
ENTIRE AGREEMENT: In entering into this Agreement, I am not relying upon any oral or written representations other than what is set forth in this Agreement. I HAVE READ AND UNDERSTAND THE AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE ARENA, BEDFORD HOCKEY AND THE LEAGUE.

Player First Name *
Your answer
Player Last Name *
Your answer
Date of Birth *
required (mm/dd/yyyy)
Your answer
What is your interest level *
Position *
Player Entering Grade in Fall of 2019 *
required (next year's grade)
Home Address *
required (Street, Town, etc.)
Your answer
Parent 1 Name *
required (Applicant)
Your answer
Parent 1 Email *
required (eg. info@bedfordhockey.com)
Your answer
Parent 1 Phone *
required (ex. 603-472-2222)
Your answer
Parent 2 Name
Your answer
Parent 2 Email
Your answer
Parent 2 Phone
(optional) (eg. 603-472-2222)
Your answer
2019-2020 Team and Division *
required (The team player is on this fall, ex. Jr Bruins Peewee minor)
Your answer
T-shirt size *
(If we get tshirts, what is your player's size) (ex youth large, adult small)
Are you available to help Coach, Assist, Manage or help on the website?
Your answer
Signature of Parent or Legal Guardian *
I consent to electronic processing of this application to include use of my electronic signature. I acknowledge that I have reviewed this application and that Electronic Signature means that I am the person identified on this application as the applicant, that I voluntarily accept all the terms and conditions as stated in this application, and that I agree to the electronic processing of this record. I acknowledge that my electronic signature will have the same legal effect as a signature on paper and that each party agrees to conduct this transaction by electronic means. (Access to a complete copy of the Electronic Signatures in Global and National Commerce Act of January 4th, 2000 is available at: http://www.gpo.gov/fdsys/pkg/PLAW-106publ229/html/PLAW-106publ229.htm) Applicant (Parent or Legal Guardian) types their name below to accept.
Your answer
Date *
required) (eg. mm/dd/yyyy)
Your answer
Never submit passwords through Google Forms.
This form was created inside of Bedford Hockey.