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‘s
ADULT
IN-HOUSE
HOCKEY
LEAGUE
2017
Spring League
January 18 - April 30, 2017
A recreational adult hockey league
with A, B and C divisions to
accomodate players of all skill
levels.
Adult Hockey
Mediacom Ice Park Adult hockey league is a recreational in-house ice
hockey program. This is a non-checking league with diverse skill
levels. With three divisions, (A, B and C) beginners to advanced players
can have fun, develop skills, and compete at the most appropriate
level.
Draft Information
Three separate full drafts, with trades will be held at the Mediacom
Ice Park. Captains only need to attend:
A League -- Tuesday, January 10, 6:00pm
B League -- Tuesday, January 10, 7:15pm
C League -- Tuesday, January 10, 8:30pm
Registration
Registrations may be mailed in, or placed in the brown lock box at the
front door.
All registrations must include payment
Registrations due by January 8, 2017
Most Recent Playing Experience:_____________________________
League:
A
B
C
Position:_____________________
Player’s Name______________________________________________
Address:___________________________ County:________________
City:___________________________ State:__________ Zip:________
No Team Entries, Captains can freeze 1 player and a goalie
Parent/Guardian:___________________________________________
Players must be paid in full in order to be part of the draft
Main Phone:_______________________________________________
Player Information
-Full equipment is required.
-All players are responsible to provide their own equipment.
-Always bring a light and dark jersey.
-All players must be current members of USA Hockey and
submit their affidavit with this registration, or email a
copy to Hockey Director, Al Valdivia at
[email protected], 417-874-2933
-The Adult League is for men and women, ages 18 and older.
League Information
-A & C League games will be played on Mondays
and/or Tuesdays.
B League will be played on Sunday evenings.
-Game time is 1 hour and 15 minutes (consisting of 3 - 14
minute stop time periods).
-If a game is tied a three player shoot-out will break the tie.
-This league is a five-on-five format with a four-on-four
option based on the number of participants.
-There are no pre-season or playoff games.
League Fee
-The league fee is $210, per division, per player.
Email Address:_____________________________________________
Secondary Phone:__________________________________________
Player’s DOB______________________ Player’s Age:_____________
Waiver/Release
My family and I hereby waive and release the Springfield-Greene County Park Board and its
representatives from claims for damages and/or injuries incurred while participating in or as a
spectator of the Springfield-Green County park Board Activities.
I/We also give permission to be photographed while participating in or as a spectator in the
activities, and allow use of photographs for Park Board promotional purposes.
Springfield-Green County Park Board Cancellation Policy: If you cancel, we must receive a letter at
least five (5) business days before the activity begins. you may choose to transfer to another
activity, or receive a refund (less $10 processing fee). Refunds take 2-3 weeks.
I have read the above waiver/release and accept the conditions here in.
Player Signature:_____________________________________________ Date:______________
Parent/Guardian (if under18):___________________________________ Date:______________
Check
Visa/MC
Card Number:___________________________
Exp Date:______________ 3-Digit Code:______
Signature:______________________________
TOTAL
ENCLOSED:
$___________