Mighty Ducks Hockey League

Registration Form

Personal information

Player's first name:

Last name:

Street Adress:

City:

Zip code:

Birth Date:

Gender:

Female Male

Grade:

Pre-school 1st 2nd 3rd 4th 5th

School

Which elementary school do you live near?

Closest School:

AJ Katzenmaier Greenbay Howard A Yeager Marjorie P Hart North Elementary South Elementary

Play position

What position(s) do you normally play? (check all that apply)

Forward Defense Midfield Goalkeeper

Size

Uniform Size:

Youth Small Youth Medium Youth Large Small Medium Large Extra-Large

Accept condition

Permission to Play

I, the parent or guardian of the minor registrant, agree that the registrant and I will abide by all the rules of the Mighty Ducks Hockey League (MOHL). In recognizing the possibility of physical injury associated with hockey and in consideration for the "League" accepting the registrant for its hockey programs and activities, I hereby release, discharge, and/or otherwise indemnify MOHL, their employees and associated personnel and volunteers,including the facilities used for practices and games, against any claim by or on behalf of the registrant as a result of the registrant's participation in the programand/orbeing transported to or from MOHL sponsored activities,which transportation By signing below, I herebyagree andauthorizethe above.In addition, by signing below, lalso acknowledge that I have read the cancellation policy and agree to its terms.

ParenVGuardianSignature:

Date:

↑