Register as a Player

Season

League

Season*

Team*

Player Info

First Name*

Last Name*

Full Name

Date of Birth*

Phone*

Email*

WOULD YOU LIKE TO REUSE A SHIRT FROM A PREVIOUS SEASON TO SAVE $13 ON YOUR REGISTRATION FEE?*

We can't guarantee that you can reuse your previous shirt as this depends on how your team chooses to proceed, but we will allow it if your team also opts to reuse jerseys (same logo and color).

Yes
No

Shirt Name*

(12 chars. max)

Shirt Number*

Shirt Size*

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

Yes
No

Payment Info

Promo Code

Player Registration (Reusing Shirt) (Late Fee)*

Price: $94.00

Player Registration (Late Fee)*

Price: $107.00

2XL Shirt Size Upcharge*

Price: $3.00

3XL Shirt Size Upcharge*

Price: $4.00

Dri-Fit Upcharge*

Price: $5.00

Camo Shirt Upcharge*

Price: $5.00

Winter Classic Winner Discount

Price: -$30.00

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

I understand the league fee is non-refundable unless the season is canceled. If a refund is issued there we will charge a 10% processing fee.*

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*

Fast & Fuhr-ious

GoonSquad

Heavy Metal

LSDemons

Puck Bunnies

Shootin Blanks

Skatium Arcadium

Spartans

The Dekes of Hazzard

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