ONLINE REGISTRATION
Your name:
Your email address:
Your phone number:
Program :

Age:

USA Hockey # :

Position :

Yrs played :

Jersey Size :

Address :

City :

State :

Zip :

Comments :
08/09 Fall/Winter Inhouse Protec Ducks Balance Due October 1st
$457.50
08/09 Fall/Winter Inhouse Protec Ducks Deposit
$457.50
Disclaimer : Registration is limited and accepted on a first come first serve basis. With qualifications as outlined. There shall be NO
REFUNDS or PRO-RATING in the event of participant withdrawl or cancellation for whatever reason anticipated or unanticipated . By
Registering either online or regular registration the acknoledge and filly understand that each participant is voluntarily engaging in
activities that involves risk of injury ( even castastrophic ) wich might result not only from own actions,inactions, or negligence but the
actions , inactions, or negligence of the rules of play , or the conditions , premises , or any of the equipment used, and for that there
may be risks not know to either party or not reasonably foreeable at the time . In any event of the balance due is not paid before the
deadline ( Oct. 1st 2008 ) , a 15% administration fee will be added and the player will not be able to step foot on the ice for the period
of time the balance was lot paid.