Youth Hockey League Registration Form - Skagit Spartans Hockey Club

YOUTH HOCKEY LEAGUE REGISTRATION

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Hockey League
Youth Hockey League - Winter 2025
Player Information
Player Name*
First Last
Date of Birth*
Player Age*
Please enter a number from 0 to 99.
Address*
Street Address Address Line 2 City State ZIP Code
Player Jersey Information
Please select size and choose 3 favorite jersey numbers (Numbers between 1-99 only)
Jersey Size*
Jersey Number (First Choice)*
Please enter a number from 1 to 99.
Jersey Number (Second Choice)*
Please enter a number from 1 to 99.
Jersey Number (Third Choice)*
Please enter a number from 1 to 99.

Skagit Spartans Hockey Club: Risk/Danger Acknowledgment & Consent and Waiver Agreement
As the parent/guardian of (player listed on this form), I/we fully acknowledge that I/we have been informed of the risks and dangers associated with my child's participation in roller hockey activities and I/we hereby acknowledge that I/we fully understand the risks and dangers my child may be exposed to while participating in roller hockey. I/we further give my/our full consent and approval to my/our child to participate on a team in the SSHC. I/we do hereby waive, release, absolve, indemnity and agree to hold harmless the local team, league, conference and national (if any) roller hockey organizations along with the organizers, sponsors, coaches and other elected or appointed officers and supervisors, participants, employees and persons transporting my/our child to or from any activities, from and against any kind and all claims, costs, liabilities, expenses of judgment including attorney's fees and court costs arising out of my child's participation in SSHC activities, or illness or injury resulting there from, for any claim arising out of injury to my/our child. Whether the result of negligence or any other causes except for illness or Injury resulting from gross negligence or willful misconduct by any of the above.
Parent / Guardian Acknowledgment and Agreement*
- I Understand and Agree
Virtual Signature*

Type Name to Agree
Date*
Special Requests