Directions
1.) Print Page & Fill
out Completely
2.) Print and Read,
Consent
& Sign FMC Arenas Waiver
Agreement
3.) Mail both completed
Forms and Tuition;
via check, to the below
address. 25% sibling discount
Which
Program are you signing
up for?
High School
- Player $220 –
Goalie $100
Please
make checks payable
to G6 Hockey
Name:
Address:
City:
State:
Zip:
Telephone:
D.
O. B.
E-mail:
Last
Winters
Team:
Position:
Shoots:
Left ____Right____
Release
of Liability/Acknowledgement
of Risk: Upon
entering events
sponsored by
G6 Hockey, I/We
understand and
appreciate that
participation
or observation
of the sport
constitutes a
risk to me/us
of serious injury,
including permanent
paralysis or
death. I/We voluntarily
and knowingly
recognize, accept
and assume this
risk and release
G6 Hockey, its
affiliates, coaches,
sponsors and
organizers from
any liability
therefore.
I have read and
understand the
Release of Liability
and agree to
the terms and
conditions specified
therein:
Parent/Guardian
Acceptance
of Liability
Signature:_______________________________________
Print Name:______________________________________
Date:
Confirmation:
Yes, I would
like an E-mail
confirmation
Disclaimer:
Submitting a
Registration
does not guarantee
placement in
the G6 Hockey
Program. G6 Hockey
has a limited
number of slots
available, and
operates on a
first come first
serve basis.
If your application
is received and
your age/skill
group is full,
you will be credited
your full tuition
amount.
Return Application
and Check to:
G6 Hockey
15 Sandy Pond Lane
No. Easton, Massachusetts
02356
