2019 Jr. Rhino101 Spring Session Registration 2019 Jr. Rhino101 Spring Session Registration Players First Name * Players 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 * DOB * Age * 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Years Played Hockey * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Mom's Name * Mom's Phone * Mom's Email * Dad's Name * Dad's Phone * Dad's Email * Jr. Rhino101 Session * Jr. Rhino101 Winter Session Age 4-18 (cost $200.00 paid by March 25th 2019 after March 25th $230.00 Rhino Hockey AAU Hockey Club Number WY6BYA * AAU HOCKEY # * CC PAYMENT (COPY AND PASTE AND PUT ON A NEW TAB) * Position * Goalie Forward Defense Equipment Rental Options * Yes I need to rent gear No I have my own gear Equipment Rental Link (Copy and paste to a new tab) Jersey & Socks Deposit Jersey Size * YS YM YL YXL AS AM AL AXL AXXL T-Shirt Size * YS YM YL YXL AS AM AL AXL AXXL Photo Release * By checking this circle, 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 Guardian Signature * DATE reCAPTCHA Submit If you are human, leave this field blank.