ADDITIONAL INFORMATION

Spouse / Partner Name:

PLAYER INFORMATION

PLAYER’S NAME: *

Date of Birth: *

enter your player's date of birth

CURRENT TEAM: *

POSITION *

Forward
Defense
Goalie

Please choose preferred position.

SHOOTS: *

Left
Right

CAMP GOALS: *

POLICIES AND WAIVERS

CAMP REQUIREMENTS: *

I have read and understand the requirements.

Each player must have full hockey equipment to participate. Each player must have their own water bottle for every session. Players must bring their own snack daily. Player must check in / check out with a ProSkill Instructor daily. Zero tolerance rule for fighting.

RELEASE AND INDEMNITY AGREEMENT: *

I agree to the Release and Indemnity Agreement.

I, parent/guardian of the above-named player, acknowledge that ice hockey is a contact sport and sometimes a dangerous activity that can result in physical injury or other damages. I AGREE that ProSkill Development, its’ officers,
agents, servants, employees, coaches, scouts, volunteers and sponsors shall not be liable to me or the above-named player for any injury or damage resulting directly or indirectly from any participation with Endicott College. In consideration of ProSkill Development accepting the above-named player, the undersigned hereby acknowledges and agrees that, to the fullest extent of the law, the undersigned will defend, indemnify, discharge, and hold harmless ProSkill Development, and any of their officers, directors,
employees, agents, affiliated organizations, subsidiaries, sponsors, and partners, from and against all claims, damages, judgments, liabilities, losses, and expenses, including attorney's fees, for any injuries or damages arising out of or resulting from the above-named player’s participation in any way with ProSkill Development, including without limitation any injuries or damages incurred. During travel or travel related functions to or from any and all organization/team functions. I UNDERSTAND that this agreement shall bind my heirs, legal representatives and all assigns and shall inure to the benefit of ProSkill Development, its’ officer, agents, servants, employees, volunteers and sponsors, and their successors and assigns. IT IS FURTHER AGREED that ProSkill Development does not and shall not be considered to guarantee or warrantee equipment as may be used in the conducting of said activity. ProSkill Development reserves the right to use any pictures taken during the activity for promotional or instructional purposes without compensation.

CONSENT FOR MEDICAL TREATMENT *

I have read and agree to the Consent for Medical Treatment of A Minor policy

As parent or legal guardian of the above-named player, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever circumstances are necessary to preserve life, limb, or well being of the above-named player.

MEDIA DISCLAIMER *

I have read and agree to the Media Disclaimer

I/We the parent/guardians of the above named participant of ProSkill Development agree to the use of Media by ProSkill Development. Photos including, but not limited to individual players photos, and action shots taken during the training sessions will be used on the ProSkill Development website as well as other forms of media. By signing below, I/we acknowledge and approve of the use of our child's photographs and/or name in media and promotion of ProSkill Development.

INITIALS *

Register

ADDITIONAL INFORMATION

PLAYER INFORMATION

POLICIES AND WAIVERS