Rob Little's Hockey for Her Registration
Please print and mail.

A deposit of $50.00 payable to Rob Little's Hockey For Her, Inc. must accompany this application. Mail to:

Rob Little's Hockey for Her
5212 Duggan Plaza
Edina, MN 55439

Assume Application Accepted Unless Notified Otherwise

MEDICAL RELEASE
In the event my child is injured during absence of parent or legal guardian, I give my permission for the person in charge to seek medical attention for my child.

RELEASE OF LIABILITY/ACKNOWLEDGMENT OF RISK
Upon entering events sponsored by USA Hockey and/or its member districts, I/We agree to abide by the rules of USA Hockey as currently published. 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 USA Hockey, its affiliate, their sponsors, event organizers, officials and Rob Little's Hockey for Her, Inc. from any liability therefore.

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Participant's signature (if over 18)

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Parent/Guardian signature (if player under 18)

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