This Waiver is in effect as long as the above player continues to attend the program(s) stated in this application

INSURANCE / WAIVER INFORMATION  (MUST BE COMPLETED TO PARTICIPATE)
MEDICAL/ INSURANCE COMPANY______________________________________________________

In consideration of participating in any Hobomock Sports Center, Inc. activity, including Basic Skills, and Ice Hockey instruction, I represent that I understand the nature of the activity and that  I and/or my minor
child am qualified, in good health and proper physical condition to participate in such activity.  I acknowledge that if the conditions are unsafe, I and/or my minor child will immediately discontinue participation in
the activity.I fully understand that ice skating/ ice hockey involves risks of serious bodily injury, including permanent disability, paralysis and death, and that these and other risks may be caused by my own
actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the Releasees named below; and that there may be other risks either not known to
me or not foreseen at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the activity.
I hearby release, discharge, and covenant not to sue the Hobomock Sports Center  Inc.., their respective administrators, directors, agents, officers, volunteers, and employees, or other participants (each
considered one of the Releases herein) from all liability claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise,
including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk, I, or anyone on my and/or my minor child’s behalf, makes a claim against any of the
Releasees, I will indemnify, defend, save, and hold harmless each of the Releasees from any loss, liability, damage, or cost which may incur as the result of such claim. I have read this release and waiver of
liability, assumption of risk and indemnity and fully understand it.

Signature of Participant or
Parent/Legal Guardian ( If participant is under age 18)

Signed__________________________________________________  Date ________________

Printed Name_____________________________________________


        Session #1                   PowerSkating                Stickhandling                                                         

        Session #2                   PowerSkating                Stickhandling                                       

    Peak Performance          
ALL POWER SKATING AND STICKHANDLING SESSIONS
                                                                             April 23 - August 22, 2019
           
HOBOMOCK ARENAS
POWER SKATING AND STICK HANDLING APPLICATION
Waiver must be signed

Player Name_________________________________________________
Street________________________________Town__________________
State________________Zip Code____________Phone______________
                    Email_______________________________________________________                         
Parents Name(s): ___________________________________________Email________________________
Previous Hockey Experience : ______________________________________________
Indicate Session Level Below:

     MITE / SQUIRT    

     PEEWEE / BANTAM/ etc.
STICKHANDLING
Every Thursday Night
April 25 - August 22, 2019
5:30 — 6:30 pm    MITES / SQUIRT
6:40 — 7:40 pm    PEEWEE / BANTAM
WALK ON COST :  $11 per skater/ per hour
2 SESSIONS  
Session #1      April 25 - June 13, 2019 (8 weeks)  $80.00
Session #2  June 20 -  August 22, 2019 (9 weeks) $90.00
(No Stickhandling July 4,2019)
SPECIAL:
ALL SPRING & SUMMER (17 WEEKS) $153.00    
POWER SKATING
Every Tuesday Night
April 23 - August 20, 2019
6:40—7:40 pm    MITES / SQUIRTS
7:50—8:50 pm    PEEWEE / BANTAM
WALK ON COST :  $ 11 per skater/ per hour
2 SESSIONS  
Session #1      April 23  - June 11, 2019 (8 weeks) $80.
      Session # 2   June 18 - August 20,2019 (10weeks)$100.00
 



SPECIAL:
ALL SPRING & SUMMER (18 WEEKS) $162.00
PEAK PERFORMANCE:   
ALL POWER SKATING AND STICKHANDLING SESSIONS April 23—August 22, 2019      $315.00
HOBOMOCK ARENAS
POWER SKATING AND STICK HANDLING APPLICATION