2015 - 2016 ADULT HOCKEY LEAGUE
REGISTRATION FORM
Monday and Thursday Leagues
15 Games includes 1 Playoff Game
$250.00 Per Player for 16 Player Roster
(Does not include jersey – Team jersey pricing available)
Player Name: ____________________________________
Home Phone: _____________
Street: ____________________________________
Work Phone: _____________
City: ____________________________________
Session:
______1______
Zip: ____________________________________
Night:
_____________
E-Mail: ____________________________________
Team:
_____________
Payment Method: Cash ¨ Check ¨ #_______ Credit Card ¨ #_____________________________
Payment in full must be received by 2nd week of play, no exceptions
Scottsville Ice Arena reserves the right to fill team rosters (16 players with goalie)
League plays by USA Hockey & SCIA Rules
Full Equipment including Shoulder Pads Required – Face protection suggested
Players must sign in with scorekeeper before each game
4 Sub maximum per team – Subs only permitted to replace missing rostered players. Subs must be
identified at beginning of season. Only players who have played a regular season game may play in
Championship.
No charge for subs if team is fully rostered with 16 paid players, otherwise $20 per sub
Special Rule: 3 minor penalties received in one game will result in ejection from the game and
suspension from the next scheduled games. This rule is in place to keep the game clean
Accidents while skating may cause injuries to occur. In consideration of being permitted to use
SCOTTSVILLE ICE ARENA players assume all risks while taking part in and or observing this activity.
All patrons and their guest release SCOTTSVILLE ICE ARENA AND THEIR EMPLOYEES agents and
volunteers against any claims for all injuries sustained in the arena and by equipment rented from the
ARENA.
For more information contact the Adult League Coordinator at 889-1810 ext 1
Signature
Scottsville Ice Arena
PO Box 93015 Rochester, NY 14692
www.scottsvilleicearena.com
Date
(585) 889-1810