16-17 NOVICE Tryout/Evaluation Skate Registration Form (St. Thomas Panthers)

16-17 NOVICE Tryout/Evaluation Skate Registration Form

Please complete this form to Pre-Register for Novice Tryouts/Evaluation Skates

Players Name^*

Required

Players Birthdate: Year^*

Required

Month^*

Required

Day^*

Required

Home Phone #^*

Required

Example: ###-###-####

Parents or Guardian's Cell #^*

Required

Example: ###-###-####

Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Are you a returning Panther^*

YESNO

Please check one

Division Player will be trying out for^*

Required

if the division you are trying to register for is no longer available - registation will need to be completed at the door.

Position^*

Forward
Defense
Goalie

Check All That Apply

Shoots^*

RightLeft

Check All That Apply

Parent or Guardian's Name^*

Required

Liability Waiver I acknowledge, personally and on behalf of my child, heirs and any of his /her/ my legal representative, that St.Thomas Panthers Girls Hockey Inc, it’s agents officials, employees, sponsors, and representatives shall not be held liable for any death, injury, loss, cost, or expenses arising from participation in any activity directly or indirectly associated with the previously mentioned hockey club occurring on or off the ice. My child has permission to participate in the St.Thomas Panthers Girls Hockey Inc. Activities and I give the St.Thomas Panthers Girls Hockey Inc. permission to render medical attention to my child should it be necessary. It is further agreed that all rules and regulations will be abided by the participant and parent/guardian.

Tryout Fees Are Non-Refundable

I agree to the terms and conditions stated above^*

16-17 NOVICE Tryout/Evaluation Skate Registration Form (St. Thomas Panthers)

Get Mobile!

Contact Us