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Current Grade (2023-24)
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 #1 Cell
Parent #1 Email
Parent #2 Name
Parent #2 Cell
Parent #2 Email
Address Line 2
District of Columbia
Northern Mariana Islands
U.S. Virgin Islands
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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.
By checking "I Agree" you agree and commit to all the policies in the above waiver
I am the parent and personal representative of the participant mentioned above, I authorize 5 Towns Sports/Flag Football/Soccer to use and disclose the camper's name, image, likeness, photograph, and voice (Identifying Information ) for all public relations and marketing purposes, and for the development of a client contact list, including through written and electronic communications and publications. I understand that the League is not providing or receiving any goods or services in consideration for its use and disclosure of the participants Identifying Information.
The league cost is $360 + $10 processing fee per child – after December 5th after its $370 + $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
Late Registration Fee