Register as a Free Agent – River City Floor Hockey League

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Check this box if the shirt deadline has passed

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Season

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League

Season*

Player Info

First Name*

Last Name*

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Full Name

Date of Birth*

Phone*

Email*

What Position(s) do you play?*

Are there other players in the league that you would like to play with? Please list names or a team name.

Note: this must be a mutual agreement

Shirt Name*

(12 chars. max)

Shirt Number*

If you only want a single digit, do NOT enter "0". e.g. "09". Just enter "9".

Shirt Size

Would you like to upgrade to a Dri-Fit performance t-shirt for an extra $5?*

Yes
No

Credit Card Info

Player Registration*

Price:

This is a one-time, flat fee for all players

Shirt Base Fee*

Price:

This is flat fee for all players that are requesting a new shirt for next season

2XL Shirt Size Upcharge*

Price:

3XL Shirt Size Upcharge*

Price:

Drifit Upcharge*

Price:

Total

$0.00

Credit Card*

Card Details

Cardholder Name

I understand the league fee is non-refundable unless the season is canceled:*

Yes

Liability Waiver

READ BEFORE SIGNING

In consideration of being allowed to participate in any way with the River City Floor Hockey League (RCFHL) athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS River City Floor Hockey League, River City Floor Hockey LLC, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

I have read, understand, and agree to the above liability waiver.*

Yes

Please type your full name as your electronic signature*