Nothing But Net Hockey Skills Clinic Registration Form

REGISTRATION FORM
Print out this form and mail it with the fee to:
Nothing But Net Hockey Skills | PO Box 7243 | Gaithersburg, MD 20898-7243

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Participant Name

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Address

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City - State - Zip

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Phone

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E-mail Address (print clearly)

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Last Year's Team & Level

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Position Ht. / Wt. Date of Birth

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Emergency Contact Name & Phone

-- SESSION SELECTION --

Register for Next Year's level of play (except Holiday Camp - register for current level of play.) Nothing But Net Hockey Skills reserves the right to place participants in session deemed most appropriate by NBNHS staff.

In consideration of this camper registration and participation in the Nothing But Net Hockey Skills Clinic, we do hereby forever release and discharge NBNHS, Montgomery Youth Hockey Association and Rockville Ice Arena, their directors, agents, employees and any person or corporation connected herewith from all manner of action, injury, damages, costs, claims or demands which we shall or may hereafter have, suffer or receive by reason of such participation in the program. The release shall be binding on our heirs, assigns, executors and administrators. It is further agreed that Nothing But Net Hockey Skills, Montgomery Youth Hockey Association and Rockville Ice Arena do not and shall not be considered to guarantee or warrant such equipment as may be used in the conduct of this clinic.

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Signature of Parent / Legal Guardian Date

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