Hyde ParkIce Pavilion

Power City Bruins Youth Hockey Program Registration

Don't fill this out if you're human

Learn to Skate Mites 6U Mites 7U Mites 8U Squirt MOHL Bantam MOHL Select League

Player's Name

Parent's Name

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4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Age

None 1 Year 2 Years 3 Years or greater Years Experince

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I am aware that participating in the ice skating class(es) involves inherent risks of physical injury, and I voluntarily assume all such risks. In consideration of Hyde Park Ice Pavilion allowing me to participate in the ice skating class(es) in connection with the institution. I agree to release and hold harmless Hyde Park Ice Pavilion and all of their duly authorized agents, servants, and employees, from any and all liability, claims or causes of action of whatever kind and nature, resulting from my participation in, or in any way connected with my participation in the ice skating class(es).