Woodbridge Rink Skills Sessions – 2025

PLAYER INFORMATION SECTION 2025

Player - First Name



Player - Last Name


Date Of Birth (mm/dd/yyyy)


Last Team / Level Played

What level will your child play next season?
---Select Level---Mite 6 & Under (2019-2021)Mite 8 & under (2017 & 2018)Squirt 10 & Under (2016-2015)PeeWee 12 & Under (2014-2013)Bantam 14 & Under (2012-2011)Midget Pure 15 (2010)Midget 16 & Under (2009)Midget 18 & Under (2008-2007)

Please Select Tryout Level
---Select Level---All Mites (BY 2017-2022)Tier I AAATier 2 AA A B

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
NJNYPACT

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 Skills Session programs 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, The Club at Woodbridge 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 Club at Woodbridge and 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.