| Thompson
Hockey C Team Fall/Winter Pool Player |
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- 20 games
plus play-offs
- Individual
Registration Accepted
- Individual
Fee $360.00
- All players must register on line through USA Hockey & Provide IMR Number
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| Players
Name: |
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Address:
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City&State:
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Zip: |
| Phone:
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| Email: |
| Youth
Association |
DOB |
| Volunteer
Coach Name |
Last
Level Playes |
| 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 |
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| Make Checks
Payable To:
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Thompson
Hockey LLC. |
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2683 Jonathan
Court |
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St. Louis,
MO 63125 |
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| Individual
Fee $360.00 |
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| For
more information contact Jim Thompon at 314-894-2232. |
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