MITE DEVELOPMENT
HOCKEY LEAGUE
2014 – 2015 Fall / Winter Season
• Place:
• Date:
• Time:
• Cost:
RI Sports Center – Rte. 146
Session 1: Sept 21st – Dec 21st (No session 10/12, 11/9)
Session 2: Jan 4th - Mar 29th (No session 1/18)
Sundays, 7:40am or 8:40am
$249 per session or $399 for the entire year
Mite Development League offers:
• Consistent game times, No travel
• Game Jersey
• Half Ice Format
• End of year awards
** FREE EVALUATION – SUNDAY, SEPT 7, 8:20am **
Please make checks payable to: Providence Capitals P.O. Box 37 Manville, RI 02838
(Credit card payment available at the rink or by completing authorization form online)
Name: ___________________________________ Date of Birth: ______________
Address: ____________________________________________________________
City/Town: ___________________________ State: __________ Zip: __________
Telephone: __________________________ Skating Experience: ______________
Email Address: ______________________________________ 2014-15 Mite Dev League
Release of Liability/Acknowledgment of Risk:
In conjunction with my son or daughter’s participation in events sponsored by the Providence Capitals. (“the Company”). I understand that
participation in or observation of ice hockey may result in serious injury including permanent paralysis or death. I recognize and assume this risk
and understand and agree that neither the company nor any of its officers, directors, shareholders, employees, agents, coaches or referees shall be
responsible for any accidents, injury (including paralysis and/or death), loss of equipment or any other costs, expenses, damages or losses in
connection with such participation. I hereby represent to the Company that my son or daughter is in good health and is fully able to participate in
the rigorous physical activity of the Company sponsored ice hockey program. In the event of injury or illness, the Company has my permission to
provide, or make arrangements for the provisions of, emergency first aid.
______________________________________________________________________________________
Parent / Guardian Signature
Date
For details, please log onto providencecapitals.com