2018 Jr. Rhino101 Spring Registration

2018 Jr. Rhino101 Spring Session Registration

Players First Name *

Players Last Name *

Mom's Name *

Mom's Phone Number *

Mom's Email *

Dad's Name *

Dad's Phone *

Dad's Email *

DOB *

Players age *

Years Played *

Session Options *

Jr. Rhino101 Spring Session Age 4-7 (cost $230.00 paid by March 26th 2018 after March 27th 2018 $255.00

Jr. Rhino SQ/PW B Division Spring Session Age 8-12 (cost $230.00 paid by March 26th 2018 after March 27th 2018 $255.00)

Pay Your Registration with Credit Card

Position *

Forward

Defense

EQUIPMENT RENTAL *

I HAVE MY OWN GEAR

I NEED TO RENT GEAR. CLICK ON THE EQUIPMENT RENTAL TAB ON THE HOME PAGE

EQUIPMENT RENTAL FORM

Jersey Size *

T-Shirt Size *

Jersey Deposit

Photo Release *

By checking this box, I grant to Rhino Hockey, LLC the right to take photographs of my child 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 my child with or without their name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

No I dont want my childs photograph to be used for marketing material

Waiver: I hereby give my approval for my child's participation in the Jr. Rhino Hockey Winter Session. I assume all risks, responsibilities, and hazards incidental to such participation and so hereby waive, release, absolve, indemnify, and agree to hold harmless Rhino Hockey L.L.C and its subsidiaries, sponsors, supervisors, paticipants, coaches, referees, Scheels IcePlex, and its associates for any claims arising out of an injury to my child. Also, my signature gives permissions for my child to be admitted and attended to for medical or dental treatment in case of injury or illness. * *

Insurance *

Parent or Gaurdian Signature *

Date *

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