Participants Name:
First Name

Last Name

Grade when Season Starts

School

Participant can play goalie? - Please realize this is a season long commitment.

Has the participant played in the hockey league before?

Parent 1 Name

Parent 2 Name

Parent 1 Cell

Parent 2 Cell

Home Phone Number

Parent 1 Email

Parent 2 Email

Street Address

City, State, ZIP

If you would like to purchase a reversible jersey, they will be available for purchase for $25 at the first game.

I acknowledge that my son assumes all risks of being injured while participating in the 5 Towns Sports League and I agree to hold the 5 Towns Sports League, it's officials, coordinators and all other staff, harmless from any liability, loss, or personal expense arising out of my son's participation in the league. I have read and agreed to the terms stated in this application.

Liability Agreement
Agree

The cost of League Registration is $290 + $10 processing fee until June 16th after which its $310 + $10 Processing Fee. There will be a form to pay with credit card after you complete this application form.
I UNDERSTAND THAT MY APPLICATION WILL NOT BE PROCESSED UNTIL PAYMENT IS RECEIVED.
Please be aware all Registration Fees are Non Refundable

Registration Agreement
Agree

Please only click Register once!