SPRING PROSPECTS - Elite Brigade Hockey

Registration-Application

Last Name

First Name

Position-Shot

2022-23 Team

Grade

Birth Year

Player Phone

Player Email

Parent Name

Parent Phone

Parent Email

Address

Street Address

City

Country

USA Number

Waiver

Release of Liability and Acknowledgement of Risk: Acknowledging that ice hockey is a contact sport, I agree by attending skills skates, tryouts, tournaments and exhibition games; Elite Brigade Hockey, LLC. (EBH) its agents, servants and employees shall not be liable to me for any injury or damage resulting directly or indirectly from my child’s participation. whether incurred on the ice or otherwise in or about the buildings. I further agree that I discharge EBH its agents, servants and employees from all actions, claims and demands I may have for an injury or damage. I understand that my said agreement, release and discharge shall bind by heirs, legal representatives and assigns and shall insure to the benefit of to EBH its agents, servants and employees and their successors and assigns. I also give my consent to EBH, to treat my son/daughter at their discretion, in case of any emergency incident that may arise throughout the instructional period.

Message

Payment

Discount

Subtotal

Tax

Total USD