P l aye r I n f o r m a t i o n
P l aye r Wa i ve r
Name
USA Hockey Membership #
Contact Phone Number
Email
Parent Name
Choose:
Player
Goalie
Choose Level:
Initiation - $275
Squirt - $325
Mite - $325
Peewee - $325
In Consideration of the Participant being
permitted to register and participate in ice
hockey at Palos Verdes Ice Chalet we do hereby
forever release and discharge its Directors,
Coaches, Agents, Employees, and any person or
corporation connected herewith from all manner
of action, injury, damages, casts, claims or
demands which we shall or may hereafter have,
suffer or receive by reason of such participant in
any program at the center. The release shall be
binding on our heirs and, assigns, executors,
and administrators. It is further agreed the Palos
Verdes Ice Chalet shall not be considered to
guarantee or warrant such equipment as may
be used in conducting said ice skating activity.
Palos Verdes Ice Chalet reserves the right to use
any pictures taken during the skating activity for
advertising and/or promotional purposes.
Youth In-House
Hockey League
I have read and understood all the information
presented in this brochure.
Choose Session:
Spring
Fall
Signature
Total
*$100 off for goalies / $20 off for returning players*
Date
Jr. Titans’ jerseys can be ordered through Pro Shop for
an additional cost.
Emergency Contact Information
Payment
Check #
Credit Card Number
Exp. Date
Cash
Visa
Contact Name-Relationship
MC
550 Deep Valley Dr.
Amex
Rolling Hills Estates, CA 90274
Phone Number
(310)541-6630
www.palosverdesicechalet.com
League Information
Season
12-game season plus playoffs
One game and one practice per week
Three 15 minute run-time periods
$20 Drop-in fee
Rules
Standard USA Hockey rules and regulations apply
Checking and/or fighting will NOT be permitted!
Initiation & Mite 5 v 5
Squirt/Peewee 4 v 4
Season Dates
Fall Season
10/22/12 - 2/10/13
Spring Season
2/18/13 - 5/26/13
Dates subject to change at rinks discretion.
Contacts
Frank Mitrano
Hockey Department Manager
310-541-6630
[email protected]
Ricky St. Louis
Youth Hockey Director
[email protected]
Schedule
Divisions
Evaluations & Registration
Initiation - For players who have completed the
Initiation/Mite
Monday Oct 22nd at 5:30p
Thursday Oct 25th at 5:30p
Squirt/Peewee
Monday Oct 22nd at 6:30p
Tuesday Oct 23rd at 5:30p
Please attend both evaluations for your
desired division!
Initiation (10 & Under)
Games
Sunday 8:30a
Practices
Monday 5:30p
Mite (8 & Under)
Games
Sunday 9:30a
Practices
Thursday 5:30p
Squirt/Peewee (12 & Under)
Games
Tuesday 5:30p & 6:30p
Practices
Monday 6:30p
*Times and dates subject to change
Silver level Hockey Learn to Skate and/or demonstrate basic hockey skills (forward, backwards,
hockey stop.)
Mite - For players 8 and under who have com-
pleted the Initiation level and/or demonstrate intermediate hockey skills and knowledge (crossovers,
stick handling, off sides and icing)
Squirt
- For players 10 and under who have completed the Initiation level and/or demonstrate intermediate hockey skills and knowledge (crossovers,
stick handling, off sides and icing)
Peewee - For players 12 and under who have
completed the Initiation level and/or demonstrate
intermediate hockey skills and knowledge (crossovers,
stick handling, off sides and icing)