TuneUp2020 – My Rink Finder

Woodbridge Community Center
TUNE UP SKATE
Registration Form 2021

WCC Tune Up skates are sponsored by the Woodbridge Community Center to serve as an informational event for youth players interested in our programs. Tune Up skates are not intended to serve as an evaluation or tryout and should not be construed as such.

Players must provide a copy of their current USA Hockey Registration.

USE THIS LINK TO LOOK UP YOUR USA NUMBER
https://membership.usahockey.com/duplicate-confirmation

PLAYER INFORMATION SECTION

Player - First Name

Player - Last Name

Date Of Birth (mm/dd/yyyy)

Last Team / Level Played (Example: Wolfpack PeeWee A)

What level will your child play next season?

[group mite]
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[group squirt]
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[group peewee]
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[group bantam]
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[group midget]
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What Position Does Your Child Play (check all that apply)
GoalieForwardDefense

PARENT GUARDIAN INFORMATION SECTION

Parent / Guardian / Emergency Contact - FULL NAME

Street Address

City

State

Zip Code

Email Address (Email will be used to send registration confirmation)

Mobile Phone Number XXX-XXX-XXXX

Waiver Release - Please Read

I hereby certify that I am the legal parent or guardian and give my approval for the above named applicant to participate in the Woodbridge Community Center Program. I assume all risks inherent in and incidental to such participation and I hereby release, absolve, indemnify and hold harmless Township of Woodbridge, Woodbridge Community Center, its partners, officers, employees and staff, of any claim arising out of any injury to the applicant and that may require professional medical attention. I hereby authorize and request the Woodbridge Community Center to act on my behalf under prevailing circumstances in the event of any injury, in the event that I cannot be reached in case of an emergency.

You must check this box and agree to the above waiver in order to submit this form.