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Registration Information

Ozaukee Youth Hockey is pleased to offer this amazing opportunity for youth girls to learn to play hockey. Three one hour
sessions to teach the basics in a safe, fun environment. BEGINNER SKATERS welcome. Free Equipment, skates and sticks will be provided.

Please complete the following registration form to help us plan for a successful clinic. If you have any questions, please
contact Robin Bilsborough 414-550-8071 or email at rbilsborough@att.net

Dates: Saturday September 7th, 14th, & 21st
Place: Ozaukee Ice Center 5505 W. Pioneer Rd.
Time: 1:15 - 2:15 pm 
Cost: : FREE 3 week clinic
Grades: For girls grade K - 8

Check In:  45 minutes prior to ice time
Participants will sign in,  then be fit with equipment.
Volunteers will be available to help girls get their gear on if needed.
Please make sure to arrive in plenty of time to get registered and fitted for equipment so we can get you the most  ice time.

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* 1. Participants Last Name

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* 2. Participants First Name

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* 3. Birthdate

Date

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* 4. Please indicate the participants school and grade

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* 5. Contact Information

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* 6. How did you hear about this event?

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* 7. Does your child have any skating experience?

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* 8. If your child has access to hockey equipment, we encourage you to bring those to the event.

Please indicate your equipment needs below so we can plan accordingly. (check all that apply)

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* 9. The Ozaukee Youth Hockey Association is committed to conducting its skating programs and activities in a safe manner and holds the safety of participants in high regard. It is our goal to strive to reduce risks and insists that all participants follow safety rules and instructions that are designed to protect the participants’ safety. However, participants and parents/guardians of minors registering for this program must recognize that there is an inherent risk of injury when choosing to participate in ice skating activities.

As a parent, you are solely responsible for determining if you or your minor child/ward are physically fit and/or adequately skilled for ice-skating activities. It is always advisable, especially if the participant is disabled in any way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity.

Warning of Risk
Ice-skating is intended to challenge and engage the physical, mental and emotional resources of the participant. Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury, including but not limited to head injury, neck or back injury, wrist and ankle fractures, and other orthopedic injuries to limbs and joints. Individuals who have a history of these problems should seek the advice of their physician BEFORE engaging in activities that may aggravate pre-existing problems.

It is impossible to foresee all hazards and dangers. The very nature of ice- skating is risky. It must be recognized that it is impossible for the sponsoring organization to guarantee absolute safety.

Photo/Video Policy
The sponsoring organization takes photos and video of participants in classes, during special events and in the parks. By signing the waiver, you are giving permission to the sponsoring organization to use these photos and video in publications and on our website.

Waiver and Release of All Claims and Assumption of Risk

Please read this form carefully and be aware that in signing up and participating in this program/activity, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this program/activity

I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this program/activity against the Ozaukee Youth Hockey Association, including its officials, agents, volunteers and employees.

I further agree to hold the sponsoring organization harmless against any and all liability, loss, or expense arising out of my minor child/ward’s participation in this activity.

I have read and fully understand the above important information, warning of risk, photo/video policy, assumption of risk and waiver and release of all claims, and indemnification agreement.

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