2021 AB SUMMER REGISTRATION 2021 A/B RHINO SUMMER REGISTRATION First Name * Last Name * Address * City * State * Zip * Phone * Email * T-Shirt Size * AS AM AL AXL AXXL AXXXL 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 Session Fee: 2021 A/B Rhino SUMMER Session (Player Cost $280.00 Due by March 31ST after March 31ST. Cost is $300.00 Payments: COPY LINK TO MAKE PAYMET WITH CC: https://www.rhinohockeysiouxfalls.com/payment-2/ Jersey & Socks Deposit: A separate $100.00 check is required for security deposit for Jersey & Socks: MADE OUT TO RHINO HOCKEY HIGHEST LEVEL OF HOCKEY PLAYED * Jr. Tier 3 - 1 pts Var. JV SD HS - 3 pts Bantam, PW, SQ - 4 pts Some Youth Hockey - 5 pts Pond Hockey 10 pts Players Age * 18 - 25 yrs old - 1pt 26 - 30 yrs old - 2pts 31-39 years old - 3pts 40-49 years old - 4pts 50-59 years old - 5pts Years Played Hockey * 21 years plus - 0pts 15 - 20 years - 1pt 10 - 14 years - 2pts Less than 10 years 4pts PLEASE ADD YOUR TOTAL PLAYER SCORE FROM EACH BUTTON YOU CLICKED * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Player score is over 12 you must play Cenior Rhino League. Position (CAPTAINS MAY ASK YOU TO PLAY MORE THE ONE POSITION) * Forward Defense Goalie 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. PLAYER 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 Rhino Hockey AAU Hockey Club Number: WYD97Y Please put this AAU Club number on your AAU Hockey Registration Form where is says Club number COPY LINK TO REGISTER WITH AAU TO GET YOUR AAU NUMBER: https://play.aausports.org/joinaau/membershipapplication.aspx INSURANCE * PLAYER SIGNATURE * DATE * Rookie Rule: Only 2 players can only claim each other with the Rookie Rule. * Submit If you are human, leave this field blank.