POWER SKATING
Every Tuesday Night Through August 23, 2016
6:40—7:40 pm    MITES / SQUIRTS
7:50—8:50 pm    PEEWEE / BANTAM
WALK ON COST :  $11 per skater/ per hour
Session #1      April 26—June 14, 2016 (8 weeks) $80.00
Session #2      June 21—August 23, 2016 (10 weeks) $100.00
SPECIAL:   ALL SPRING & SUMMER (18 WEEKS) $162.00
FULL HOCKEY EQUIPMENT REQUIRED
After August 23, 2016   Power Skating will be held on Tuesdays  April–August only
After August 23, 2016 the next session will begin April 25, 2017

STICKHANDLING
Every Thursday Night through August 25, 2016
5:30—6:30pm       MITES—SQUIRTS
6:40—7:40pm        PEEWEE / BANTAM
WALK ON COST (if available):  $11 per skater/ per hour
Session #1       April 28—June 16, 2016 (8 weeks) $80.00
Session #2      June 23—August 25, 2016 (10 weeks) $100.00
SPECIAL:   ALL SPRING & SUMMER (18 WEEKS) $162.00
FULL HOCKEY EQUIPMENT REQUIRED
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HOBOMOCK ARENAS
POWER SKATING AND STICKHANDLING APPLICATION

Session #1       Power Skating              Stickhandling
April 28—June 16, 2016 (8 weeks) $80.00
Session #2      Power Skating              Stickhandling    
June 23—August 25, 2016 (10 weeks) $100.00
Both Power Skating Sessions (April 26—August 23,2016) $162.00  
Both Stickhandling  Sessions (April 28—August 25,2016) $162.00
Mixed Sessions (1) Power Skating Session & (1) Stickhandling Session  (choose above)  $162
       SPECIAL ALL STICKHANDLING AND POWER SKATING (April 28-Aug 25, 2016)     $288

Player Name__________________________________________Telephone_____________________________
Street_________________________________Town___________________State__________Zip Code_______
Parents Name(s)____________________________________________________________________________
Previous Hockey Experience___________________________________________________________________
Youth Hockey Organization____________________________________________________________________

Make Checks Payable to:   Hobomock Arena, P.O. Box 536, Pembroke, MA 02359-0536
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_____________________________________________