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Twin Valley Ice Hockey, Est. 2003
Coolest Club In Town For 13 Years

Player Registration

Registration Form 2017-2018
Complete this form to register your child to play with the Twin Valley Ice Hockey Club for the 2017 - 2018 season. Registrations must be received by August 31, 2017.
Player Name
Date Of Birth
Male / Female
2017-2018 Grade
Player Email
Phone #
Address
City
Zip
Last Seasons Hockey Club
Positions Played



Skill Level



School District in Which You Live
School Which You Attend
Players Mother Name
(Mothers) Address
(Mothers) City
(Mothers) Zip
(Mothers) Phone#
(Mothers) Email
Players Father Name
(Fathers) Address
(Fathers) City
(Fathers) Zip
(Fathers) Phone#
(Fathers) Email
By checking the box I agree to the TVIH Waiver Information.

Important Waiver Information: Please Read. I understand that if the entire balance remaining is not paid by 10/31/15; I/We will not be permitted on the ice. I understand that the program cost is not prorated for time not played for any reason (suspension, travel, injury, illness, etc.). I understand that any payment checks returned by the Club’s bank for non-payment will be subject to a penalty of $25.00 or 10% of the face value of the check, whichever amount is greater. I understand that any photographs taken of the players during the season can be used for promotional and advertising purposes. I understand that all monies paid to Twin Valley Area Ice Hockey Club are “Non-refundable”. This includes leaving the team due to injury, loss of interest or transfer to another organization.

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