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Team Registration

Team Registration Form  (Page 1 of 3)

complete the attached team or player registration form and return it to Puckmasters. Applications will be handled on a first come, first serve basis.

Team Manager ____________________________________________

City _____________________   Province ______

Home Phone # _________________ Email _______________________

Mobile # _____________________ 

League Caliber                                  

Elite Division              ?                   

Division 1                   ?                   

Division 2                   ?                   

Division 3                   ?

 

Division champions move up to the next highest division.

Last place teams move down to the next lowest division.

 

Team Information

Team Nickname____________________________________________

Payment Information: $2100.00 plus HST = $2352.00

Card #_________________________________ Expiry__________

Name______________________ Payment Type:  visa , m/c , cheque

Team Roster

 (PAGE 2 OF 3)

Full Name               Email          Cell Phone #

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

GOALIE:____________________________

Please return to:

Puckmasters West Kelowna

1322 Stevens Rd., West Kelowna, BC

250-769-7825 kelowna@puckmasters.com

Waiver of Liability

 

(PAGE 3 OF 3)

Each player must read and carefully sign. The player applicant on this roster (and if applicable, his/her parents or guardians) agree that Puckmasters Hockey Training Centers shall not be held responsible for any injury, loss of damage whatsoever occurring to the participant while he/she is in attendance at Puckmasters programs or including while he/she is within in the premises occupied by Puckmasters.

I/We acknowledge the acceptance of the terms of this agreement by endorsing our/my signature(s) upon this agreement. I/ We consent to his/her or my attendance on the terms of this waiver of liability or in the case of a guardian of a person under 19 years of age grant our consent to the terms of this waiver.

Player (Please print)       Signature

____________________________        ____________________________

____________________________        ____________________________

____________________________        ____________________________

____________________________        ____________________________

____________________________        ____________________________

____________________________        ____________________________

____________________________        ____________________________

____________________________        ____________________________

____________________________        ____________________________

____________________________        ____________________________

____________________________        ____________________________

____________________________        ____________________________

 

Please return to:

Puckmasters West Kelowna

1322 Stevens Rd., West Kelowna, BC

250-769-7825 kelowna@puckmasters.com

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