Learn to Skate / Learn to Play Hockey Registration

city/town
parent name
phone
email
doctors care
Release Form: Must be read and signed by parent or guardian As parent/guardian of the above named child, I hereby grant permission for him/her to participate in the activities of LTS/LTPH. I hereby waive, release and forever discharge said NEFPHL, it’s officers, members, agents, representatives and employees from all claims and demands which I, my heirs, executors and administrators, and those of the above named child have or may have by reason of any personal injury or injuries, property damage or damage of any nature whatsoever resulting from the participation of the above named child in the activities of NEFPHL and any consequences arising there from. I understand that I must pay the required player fee for the registration period for my child to continue to participate in the program.