Boys Iceless Hockey League (BIHL) www.boysicelesshockey.org
*** WALK-IN REGISTRATION HAS PRIORITY OVER MAILED IN FORMS; FIRST COME FIRST SERVED; SPACE IS LIMITED ***
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Mailed in forms will be accepted with postmarks from Sept 10th thru Oct 15
(late fee $20 per family after 9/30; forms received after 10/15 may likely be returned)
Walk-In Registration At:
MARTIN SCHOOL (2475 W. Dehring Lane, Lake Villa)
Friday, Sept 9th
6 PM – 8:30 PM (Gym)
Saturday, Sept 10th
9:00 AM – 10:30 AM (Gym)
Mail Form To: (postmarked no later than Oct 15th)
Boys Iceless Hockey League
P.O. Box 1169
Lake Villa, IL 60046
Player Information
Player Name
Age:
Grade: (2016-2017 school year)
Name on Shirt
(max 8 characters)
Shirt Size
(circle one)
sizes run small
YM 10-12
YL 14-16
Adult:
S 34-36 M 38-40
L 42-44 XL 46-48
Previously played in the BIHL?
YES ____
NO____
Do you play Goalie?
YES ____
NO____
Note: BIHL Directors reserve the right to request proof of age and/or grade at any time during the season.
Parent/Guardian Information
Name:
Address:
City:
State:
Zip:
Email:
Phone:
Emergency
Contact Name:
Phone:
Coaching Information
Have you previously coached
YES ____ NO ____
with the BIHL?
Would you like to coach this year?
YES _____ NO _____
What is your relationship to the player?
Name:
Phone:
Email address:
Requested Co-Coach Name:
Liability Waiver (MUST BE SIGNED)
This is to acknowledge that my child is in good physical condition with exception as stated below: (Parents, please indicate any impediment the league
or coach should be aware of. If none, please indicate none and sign.) ________________________________________________________________
I am enrolled in medical insurance program (name of the Ins. Co.)______________________ (Child’s Name)_________________________
is covered. I am aware that the BOYS ICELESS HOCKEY LEAGUE (BIHL) is not enrolled in a medical plan. I consent to the foregoing and grant
permission for my child to participate in the BIHL.
RELEASE
In consideration of the activities of the BIHL, I do hereby release, indemnify, discharge and save whole and harmless the BIHL, an Illinois non-profit
Corp., the officers and the Board of Directors, Coaches and other players, and their successors, from any and all liabilities for damages, caused of
action, demands, costs, compensation of any nature whatsoever and any and all known personal injuries, sickness, illness or disorder which I may now
or hereafter have (as parent and/or guardian of my minor child, and also all claims or rights of action for damages which said minor child has or may
hereafter have) arising out of or connected with participating in any activities whatsoever of the said BIHL. I further state that I have carefully read the
foregoing application including the LIABILITY WAIVER and RELEASE and know the contents thereof and I sign the same as my own free act and deed.
I will comply with all rules and policies of the BIHL. Directors of BIHL reserve the right to suspend or expel players and/or coaches for disciplinary action
or falsification of information on application without refund.
Parent/Guardian Signature Required: ______________________________________________
Date:________
FEES MUST BE PAID AT TIME OF REGISTRATION
Player Registration
____ $80.00
$75/each additional player. Grade(s) brother(s) are in: _______________
Goggles:
Late Fee:
____ $10.00
____ $20.00
Players must have eye protection with straps held tight to their head
Total Fees: ________________
$20/per family late fee applied if received with postmark after Sept 30, 2015
Cash or Check payable to Boys Iceless Hockey League (or BIHL)
($20.00 fee for returned checks)
Board Member: ___________________________ Check #___________ Cash: ___________Date/Time:___________
Boys Iceless Hockey League (www.boysicelesshockey.org)
To be played at community grade schools beginning in January for approximately 10 weeks. In the event of inclement
weather, the BIHL reserves the right to cancel games at their sole discretion. Registration fee includes shirt, puck, league
issued stick and award. GYM SHOES, LONG PANTS, and EYE PROTECTION ARE MANDATORY FOR ALL PLAYERS.
Mouth guards are optional. Brothers in the same grade-level league will be assigned to the same team upon request. All
other boys will be assigned to teams based on a random draw. “NO EXCEPTIONS”
Parent's Code of Conduct
 Do not force your children to participate in sports, but support their desire to play their chosen sport for fun and
learning. They will learn from coaches and other players. Make it fun.
 Teach by example. The parent is the most important example a child can relate to. Do not embarrass your child by
yelling at players, coaches, or officials. Show self-discipline, self-control, good sportsmanship, and a positive attitude;
your child will benefit.
 Applaud a good effort in both victory and defeat. Again, encourage and applaud good sportsmanship. Emphasize the
positive points of the game.
 Never yell or physically abuse your child during or after a game. It is destructive. Help remove all physical and verbal
abuse in youth sports. Players require a good example as opposed to criticism.
 Support volunteer coaches. They are important to the development of your child and the game.
 Respect the role of the coaches. Do not try to coach from the stands.
 Recognize that your child's coaches are responsible for developing team play, as well as individual player skills.
 Players are expected to arrive at least 15 minutes before each game.
 In the event of an extreme vocal or physical provocation of referees, coaches, or players, the offending parent will be
asked to leave the arena by an official. The BIHL reserves the right to ban any offending parent from future
games. Failure to comply with this ban will result in suspension or expulsion of the player.
Spectator's Code of Conduct
 Display good sportsmanship. Always respect players, coaches, and officials.
 Act appropriately; do not taunt or disturb other fans. Enjoy the game together.
 Cheer good plays of all participants; avoid booing opponents.
 Cheer in a positive manner and encourage fair play; profanity and objectionable cheers or gestures are offensive.
 Help provide a safe and fun environment.
 Support the referees and coaches by trusting their judgment and integrity.
 Be responsible for your own safety and remain alert to help prevent accidents.
 Be supportive after the game, win or lose. Recognize good effort, teamwork, and sportsmanship.
 In the event of vocal or physical provocation of referees, coaches, or players, the offending spectator will be asked to
leave the arena by an official. The BIHL reserves the right to ban any offending spectator from future games.
Coach’s Code of Conduct
 Coaches will be required to attend mandatory meetings prior to the season start, during the season, and after the
season as deemed necessary by the Board of Directors.
 Coaches will be required to arrive early to set up and break down the gyms and facilities we use.
 Coaches will be required to referee the games that are assigned to them. Failure to referee these games may result in
actions against the coaches’ team.
 Coaches will endeavor to set a good example of personal conduct at all times, and will promote both TEAM and
INDIVIDUAL development.
 Obscene or abusive language, unsportsmanlike displays, intoxication, or substance abuse shall not be tolerated and
will be referred to the BIHL Board for action.
 No practices are allowed except 15 minutes before game time.
BOARD MEMBERS
Nicole Young, President (847) 838-1962
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1 &2
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Tom Erber
Jody Burr
(224) 381-9510
(847) 489-0057
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Rob Wichman
Jeff Gutke
(847) 312-3844
(847) 309-3694
Grade:
Jodi Klemm
Chris Weihs
(262) 818-1182
(847) 650-7239
3 & 4 Grade:
5 & 6 Grade:
Ted Jozefiak
Jason Gutke
(262) 770-0310
(847) 217-7321
7 & 8 Grade:
High School:
Bob Sertic
Daniel Delgado
(847) 571-6144
(312) 933-6753