| TOP SHELF HOCKEYSM SCHOOL Competitive Scrimmage Registration We Aim To Make A Difference www.topshelfhockeyschool.com 508-778-5585 |
| BANTAM * HIGH SCHOOL * PREP SCHOOL * COLLEGE |
| Each session will provide competitive, fast-paced scrimmages ideal for Bantam, High School, and Prep School players. Keep your competitive edge going until the end of the summer. Immediately follows the Powerskating Session for Bantam, High School, Prep School, and College players. |
Rink Location: Tony Kent Ice Arena, 8 South Gages Way, S. Dennis MA 02660 508-760-2400
Enrollment guaranteed upon receipt of check. (Mail Check and form below.) Enrollment implies consent that
player’s image may be used on the Top Shelf HockeySM School website and other promotional materials.
Make checks payable to: TOP SHELF HOCKEYSM SCHOOL, P.O. BOX 2756, HYANNIS MA 02601
*****************************************************************************************************************************
Skater's Name________________________________________ Birthdate______________________
Circle One: Bantam High School Prep School College Amount Enclosed________
Parent/Guardian_____________________________ Tel #__________________Alt. # ______________
Address_____________________________________________________________________________
Email(must)________________________________________
RELEASE OF LIABILITY: I hereby release Tony Kent Ice Arena and its owners as well as Top Shelf
HockeySM School, instructors, and staff from any possible claims, liabilities, obligations, or responsibilities,
and from any and all accidents or injuries, whether they be on the ice or off, hockey related or not, while I
or my child participates in the program. I further certify as to my or my child’s sound health of mind and
body. I intend this instrument to take effect as a sealed instrument.
Signature (Parent/Guardian if nec.):______________________________________Date_________
TOP SHELF HOCKEY SCHOOL COMPETITIVE SCRIMMAGE - 2011
Enrollment guaranteed upon receipt of check. (Mail Check and form below.) Enrollment implies consent that
player’s image may be used on the Top Shelf HockeySM School website and other promotional materials.
Make checks payable to: TOP SHELF HOCKEYSM SCHOOL, P.O. BOX 2756, HYANNIS MA 02601
*****************************************************************************************************************************
Skater's Name________________________________________ Birthdate______________________
Circle One: Bantam High School Prep School College Amount Enclosed________
Parent/Guardian_____________________________ Tel #__________________Alt. # ______________
Address_____________________________________________________________________________
Email(must)________________________________________
RELEASE OF LIABILITY: I hereby release Tony Kent Ice Arena and its owners as well as Top Shelf
HockeySM School, instructors, and staff from any possible claims, liabilities, obligations, or responsibilities,
and from any and all accidents or injuries, whether they be on the ice or off, hockey related or not, while I
or my child participates in the program. I further certify as to my or my child’s sound health of mind and
body. I intend this instrument to take effect as a sealed instrument.
Signature (Parent/Guardian if nec.):______________________________________Date_________
TOP SHELF HOCKEY SCHOOL COMPETITIVE SCRIMMAGE - 2011
| 7 Sunday Nights July 10th - August 21st 9:00 -9:50 PM Seven Sessions $110 Walk-ons $18 IF Space Available |