Register as a Player – River City Floor Hockey League

Season

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League

Season*

Team*

Player Info

First Name*

Last Name*

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Full Name

Date of Birth*

Phone*

Email*

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WOULD YOU LIKE TO REUSE A SHIRT FROM A PREVIOUS SEASON TO SAVE $15 ON YOUR REGISTRATION FEE?

Yes
No

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).

Shirt Name*

(12 chars. max)

Shirt Number*

Even if you plan to reuse a shirt, please enter your number for our reference. If you only want a single digit, do NOT enter "0". e.g. "09"

Shirt Size

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

Yes
No

Add Alternate Shirt?*

Yes
No

Make alternate shirt a Dri-Fit too for an extra $5?*

Yes
No

Credit Card Info

Discount Code

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

Alternate Shirt*

Price:

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

Two Team Discount*

Price:

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

Half Season Discount*

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:

Alternate Drifit Upcharge*

Price:

Drifit Upcharge*

Price:

Special Team Shirt Upcharge*

Price:

Special Team Shirt Upcharge*

Price:

Special Team Shirt 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*