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Our goal is to offer a clean, safe and secure envirnoment for all of our players. With the recent COVID19 changes we have increased all sanitary conditions and need all players to ensure if they are experiencing any symptoms of any sickness please do not come to practice or games until you feel better for the safety and well being of other players and their famalies.

  1. I agree I have not had onset respiratory symptoms such as cough, sore throat, fever, chest discomfort, shortness of breath or runny nose in the last 14 days?

I Agree

      2. I agree I have not been in close contact with someone known to have COVID-19?

I Agree

      3. I agree I have not attended any events or gatherings with more than 50 people in the last 14 days

I Agree

      4. I agree I have not been outside the US or in an airport in the last 14 days?

I Agree

      5. I agree I have not been on a cruise ship in the last 14 days?

I Agree

      6. I agree I have not tested positive for COVID-19 in the last 21 days?

I Agree

If you can not agree to all of the above we need you to provide testing for negative for COVID-19. Results are usually available in 2-3 days.

If you have a chronic medical condition you should seek the advice of a doctor before playing hockey.

 

 

 

 

First Players Name

First Name*

Last Name*

Phone*
First Players Date of Birth*
First Players Signature*
Second Players Name

First Name*

Last Name*
Second Players Date of Birth*
Third Players Name

First Name*

Last Name*
Third Players Date of Birth*
Fourth Players Name

First Name*

Last Name*
Fourth Players Date of Birth*
Fifth Players Name

First Name*

Last Name*
Fifth Players Date of Birth*
Sixth Players Name

First Name*

Last Name*
Sixth Players Date of Birth*
Seventh Players Name

First Name*

Last Name*
Seventh Players Date of Birth*
Eighth Players Name

First Name*

Last Name*
Eighth Players Date of Birth*
Ninth Players Name

First Name*

Last Name*
Ninth Players Date of Birth*
Tenth Players Name

First Name*

Last Name*
Tenth Players Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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