2020-21 CRL101 Winter Registration Form 2020-21 CRL101 Winter Session Registration Form First Name * Last Name * address * City * State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip * Phone * Email * DOB * Age * 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 HOW MANY YEARS HAVE YOU PLAYED HOCKEY * 0 1 2 3 4 5 6 7 8 9 10 TO PAY FOR YOUR REGISTRATION FEE. PLEASE GO TO THE CRL101 INFORMATION PAGE AND CLICK ON THE VISA/MASTERCARD LOGO THEN FOLLOW THE STEPS TO PAY GEAR RENTAL * YES I NEED TO RENT GEAR NO I HAVE MY OWN GEAR GO TO THE MENU ON THE FRONT PAGE AND CLICK ON THE HOCKEY HEADQUARTERS EQUIPMENT FORM TO RENT GEAR THAT YOU WILL NEED FOR THIS SESSION. CRL101 WINTER SESSION COST PAID BY SEPT. 30TH $230.00. After OCT. 2ND $250.00 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. 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 Insurance * Players Signature * Date * Submit If you are human, leave this field blank.