2019-20 JR. RHINO101 WINTER SESSION REGISTRATION 2019-20 Jr. Rhino101 Winter Session Registration FIRST NAME * LAST NAME * ADDRESS * CITY * Dropdown * 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 * Mom's Name * Mom's Phone * Mom's Email * Dad's Name * Dad's Phone * Dad's Email * CC PAYMENT (COPY AND PASTE AND PUT ON A NEW TAB) Cost for the Jr. Rhino101 Winter Session $230.00 DOB * AGE * 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 T-SHIRT SIZE * AS AM AL AXL AXXL AXXXL JERSEY SIZE AS AM AL AXL AXXL AXXL GC Gear Rental Need to rent gear Do not need to rent gear POSITION * FORWARD DEFENSE GOALIE Years Played Hockey * * 9 years 0 pts 8 years 1pt 7 years 2pts 6 years 3pts 5 years 4pts 4 years 5pts 3 years 6pts 2 years 7pts 1 years 8pts 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 AAU HOCKEY CLUB * AAU Hockey Numbers copy and paste this link in a browser AAU Hockey registration required. INSURANCE * PARENT OR GUARDIAN SIGNATURE * DATE * reCAPTCHA Submit If you are human, leave this field blank.