| Thompson_Hockey |
| |
| Thompson
Hockey JV/C Team Spring 2008 Individual/Pool Player |
| Spring 2008 Session runs April 1st thru May 20th |
| |
| |
| Players
Name: |
| Parent's Name |
|
Address:
|
|
City&State: |
Zip: |
| Phone:
|
Circle One JV or C |
| Email: |
| Youth
Association |
DOB |
Volunteer
Coach Name
Must have USA Hockey
Level 3 Certification
|
Last
Level Played |
| Release
for participant by parent: In consideration of your accepting
my child's entry, I hereby, for my child, my heirs, executors
and administrators, waive and release any and all rights and
claims for damages my child may have against Thompson Hockey
, the City of Kirkwood and its representatives, successors and
assigns, and all persons associated with Thompson Hockey represented
in this flyer, for any and all injuries suffered by my child
at any activity sponsored by these groups. I understand that
Ice Hockey can be a dangerous activity, and that injuries can
occur. |
Participant
or Guardian:
(18yrs) Signature |
Date |
|
| |
|
| |
Individual Player Cost
• The Fee Is $180.00 For An Individual
• All Players Must Be USA Hockey Registered (IMR)
Make checks payable to Thompson Hockey LLC
Mail your registration and check to
Jim Thompson
2683 Jonathan Court
St. Louis, MO 63125
If you have not played hockey during the 07-08 season you will need to fill out an IMR (Individual Membership Registration) PDF Form.
The cost of this registration is $30.00 for USA Hockey and $16.00 for
MoHockey for a total of $46.00. |
| |
|
| For
more information contact Jim Thompon at 314-894-2232 or thompsonhockey@sbcglobal.net |
|