REGISTER

NAME

CHILD'S NAME

EMAIL ADDRESS

YEAR OF BIRTH

CURRENT TEAM

LEVEL Select a Level AAA AA A Select House League

PHONE NUMBER

COMMENTS

WAIVER DISCLAIMER The undersigned parent of the above-named child (the “Child”) acknowledges that ice-skating and hockey involves inherent risk of injury. I hereby release SK8ON Inc., its officers, directors and employees, from all claims for injury or damages suffered by the Child or the undersigned that may arise as a result of the Child’s participation in a SK8ON Program. I further agree to indemnify and save SK8ON Inc., its officers, directors and employees harmless from all claims made by the Child or any party in any way resulting from the Child’s participation in a SK8ON Program.

 I Agree To The Waiver Disclaimer

VERIFICIATION CODE

Please enter the numbers as they are shown in the image above.