Ice Dogs Team & Tournament Registration 2022 (Orillia Ice Dogs)

Print Ice Dogs Team & Tournament Registration 2022
Please register when your team coach has advised. Please sign up only if you have been notified by your coach of your age group. Please fill in the form, upload completed Player and Parent Waiver (located under the Parent Resources Tab) and submit. Coaches will advise amount to be on e-transfer to [email protected], please ensure Players Name and Team are listed on the e-transfer notes.
PLAYER INFORMATION
Please fill in all fields
  1. Select from drop down list of current season teams
  2. Jersey Number (assigned by coach)
  3. LAST NAME - PLEASE USE CAPITALS
  4. First Name
  5. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    MM/DD/YYYY
  6. Orillia, Midland, Oro-Medonte
  7. Please choose all that apply
  8. Choose
  9. New player YES - Size increased YES
  10. If you answer YES to above please advise size - PLEASE CONFIRM JERSEY # WITH COACH
  11. ORDER LARGER SIZE IF UNSURE
  12. eg: AAA, AA, A, AE, B, C, D, LL, HL
PARENTS / GUARDIAN INFORMATION
Please fill in all fields
  1. First Name
  2. Last Name
  3. Please pick one
  4. 123-456-7890
  5. 123 Anywhere Street
  6. ON
  7. A1A 1A1
  8. 123-456-7890
Player Birth Certificate & Parent Waiver
Please scan or take a picture of the players birth certificate and upload here. Please also download the Player & Parent Waiver form from Parent Resources, sign, scan & upload here Copy & paste to access pdf Waiver the following: https://icedogshockeyorillia.com/Libraries/1117/Parent_Resources/
  1. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
    Maximum # Files: 5. Maximum File Size: 4MB.
    Please scan or take a picture of players birth certificate. Must be on file as per tournament rules
  2. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
    Maximum # Files: 5. Maximum File Size: 4MB.
    Reminder - Waiver located under Parent Resources for download
  1. Waiver & Release of Liability

    In consideration of participation in the Ice Dogs Spring/Summer Hockey program related events and activities,
    the undersigned acknowledges, appreciates and agrees that:

    1. Because of the nature of the sport, the risk of injury from activities involved with this program is significant and while particular rules, equipment and personal discipline may reduce the risk, the risk of serious injury does exist; and,

    2. I knowingly and freely assume all such risks, both known and unknown and assume full responsibility for my participation; and,

    3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I
    observe any unusual significant hazard during my presence or participation, I will remove myself from
    participation and bring such to the attention of the nearest official immediately; and,

    4. I, for myself and on behalf of child, hereby release Ice Dogs Hockey Orillia, their managers, organizers, coaches, officials, assistants, other participants and if applicable, owners and lessors of premises used to conduct the event (Releasees) with respect to any and all injury or loss or damage to person or property.

    I have read this release of liability and assumption of risk agreement; fully understand its terms and conditions.

    This is to certify that I as a parent/guardian with legal responsibility for this participant, do consent and agree to
    his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I
    release and agree to indemnify the Releasees from any and all liabilities incident to my minor child’s involvement
    or participation in these program as provided above.

    Name of Parent/guardian submitting: Signature by Acknowledgment 
Human Validation
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Printed from icedogshockeyorillia.com on Saturday, May 28, 2022 at 10:51 PM