Ice Cubs Registration

Please see below to register for the Open Skate on October 5.

Required

Student Namerequired

First Name

Nickname (optional)

Last Name

Current School (24-25)required

High School Graduation Yearrequired

Ice Hockey Club, Age, and Levelrequired

e.g. St. James, 14U Co-Ed, AA

Is she a goalie?required

Yes

Parent 1 Namerequired

First Name

Last Name

Parent Email Addressrequired

Parent Cellphone Number

Parent 2 Name

First Name

Last Name

Waiver & Releaserequired

I hereby waive and release Georgetown Visitation staff, students, and any volunteers from any liability for any injury or illness, claims, or demands sustained while participating in the clinic, however arising, or traveling to and from the activities. By accepting this waiver, you are signing Georgetown Visitation's Ice Hockey Clinic Release of Liability Authorization, and you are agreeing to release and hold harmless all abovementioned parties from any liability which the participant may incur.

Electronic Signature of Parentrequired

Please type your name to electronically sign the waiver above.

Today's Daterequired

Must contain a date in M/D/YYYY format

Is there anything else we need to know about your student?

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Ice Cubs Registration