Under-15 Summer Hockey League Join our Under-15 Summer Hockey League. This league will give players the opportunity to stay in shape while playing full-ice hockey games. The league is perfect for 11-15 years old players or players in the peewee or bantam age group. 6 Week Schedule June 25—August 6, 2017 (not July 2rd) Full Season Price: $130 FULL EQUIPMENT REQUIRED - Available through our Pro Shop Call 410-612-1000 x105 Sunday game starts (6:20pm/7:20pm) Games played at Ice World in Abingdon, MD Coaches, Referees and Scorekeepers provided Enter as an individual 10% Discount for second child Under-15 SUMMER HOCKEY LEAGUE REGISTRATION (Pre-Registration and Full Payment Required) Most Recent Team: __________________ Name______________________________ DOB__________ Parents Name__________________________ Address_________________________________ City___________________ State_______ Zip__________ Work Number_____________________________ Home Number____________________________ Email Address_(Print Clearly!)____________________________________________ METHOD OF PAYMENT: CHECK (#________) Cash CREDIT CARD* *If Credit: #______________________________________ Exp. Date:____________ Security Code:_______ Office Use: Amt. pd______ Initials______ Date______ On-Line Registration Now Available! Get the link on the Home page or the Youth Programs page at www.iceworld.com ASSUMPTION OF RISK AGREEMENT AND RELEASE: Upon entering events sponsored by Ice World &/or agents or affiliates, I/We agree to abide by the rules of Ice World as currently published. I/We understand and appreciate that participation or observation of ice skating constitutes risk of serious injury or death. I/We voluntarily and knowingly recognize, accept and assume this risk and release Ice World, Ice World Maryland, LLC, Sponsors, or event organizers and officials from any and all liability therefore. I hereby grant permission to the Ice World Maryland, LLC doing business as “Ice World” to photograph and or videotape my child/me and use any photographs or videos they may take of my child/me on its web site or in other official printed or televised publications (including press releases, advertisements, or application forms) without further consideration or permission from me. I understand that these photographs or electronic matter are the property of Ice World. I hereby waive any right to inspect or approve the photographs or electronic matter that may be used in conjunction with the photographs or videos now or in the future, whether that use is known to me or unknown. I also waive any right to royalties or other compensation arising from or related to the use of the photographs or videos. DATE:___________________ By:_________________________________________________ (Parent/Legal Guardian Signature) SEND CHECK, PAYABLE TO "ICE WORLD" 1300 Governor Court, Abingdon, MD 21009 For further information, contact Ed Slusher, Hockey Director @ 410-612-1000 x106 or [email protected] 5/15/17
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