2018 Dakota Goaltending Spring Registration 2018 Dakota Goaltending Spring Registration Players First Name * Players Last Name * DOB * Age * 6 7 8 9 10 11 12 13 14 15 16 17 18 Moms Name * Moms Phone * Moms Email * Dads Name * Dads Phone * Dads Email * Session * Dakota Goaltending Spring Session (Cost $275.00 per goalie if paid by March 26th 2018, after April 1st $325.00) Years Played 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 TO PAY WITH CREDIT CARD RENTAL EQUIPMENT * I HAVE MY OWN GOALIE GEAR I WILL NEED TO RENT GOALIE GEAR EQUIPMENT RENTAL FORM F YOU NEED TO RENT GEAR, GO TO THE HOME PAGE AND CLICK EQUIPMENT RENTAL TAB AND FILL OUT THE GOALIE EQUIPMENTRENTAL FORM. Jersey Size * YS YM YL YXL AS AM AL AXL AXXL GC T-Shirt Size * YS YM YL YXL AS AM AL AXL AXXL WAIVER: I assume all risks and hazards incidental to such participation and do hereby waive, release, absolve, indemnify, and agree to hold harmless Rhino Hockey L.L.C., the organization, sponsors, supervisors, participants, coaches, captains, officials, and its associates for any claim arising out of an injury of accident * PHOTO RELEASE * By checking this box, I grant to Rhino Hockey, LLC the right to take photographs of me in connection with the above-identified organization. I authorize RHLLC, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that RHLLC may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. By checking this box, I DO NOT grant to Rhino Hockey, LLC the right to take photographs of me in connection with the above-identified organization. INSURANCE * Parents or Guardian Signature * Date * reCAPTCHA Submit If you are human, leave this field blank.