A chance for players to develop their hockey skills in a game environment focusing on FUN
* LIMITED SPOTS AVAILABLE * Spots filled on a first come basis *
To ensure your spot in the skate, please return this application on or before June 28th along with payment of $ 60.00 payable to the Ice Box Sports Center.
Dates and Game Times
6:00 pm Mites 7:00 pm Squirts 8:00 pm Pee Wee 9:00 pm Bantam
Tuesday, July 9 Tuesday, July 16 Tuesday, July 23 Tuesday, July 30 Tuesday, August 6 Tuesday, August 13
COST $ 60.00 per player or Drop in for $ 12 per skate
Registration Deadline June 28th, 2013
Name _________________________________________________
Address _______________________________________________
City ________________________ State _______ Zip ___________
Phone _________________________________________________
Email ________________________________________________
DOB ______________________
Jersey Size: Sm Med Lg XL Youth Adult
What division did you play in the fall?______________________
Parent ' s Name _________________________________________
I understand and accept that the risk of injury is possible while playing the sport of hockey. I hereby release, indemnify, and hold harmless the Ice Box Sports Center, their officers, officials, agents and / or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event. With respect to any and all injury, disability, death, and or damage to person or property, whether arising from the negligence of the releasees or otherwise, to the fullest extent of the law.
_______________________________________ ______________ Parent ' s Signature
Date
ALL SKATES HELD AT THE ICE BOX SPORTS CENTER 21902 Telegraph Rd., Brownstown, MI 48183 PH. 734-676-5500 Email: mcannon @ iceboxsports. com www. iceboxsports. com