2023 Hurricane Hockey Registration (Top Shelf Hockey)

Print 2023 Hurricane Hockey Registration
NOTE: U11 & U13 DIVISIONS ARE FULL! ALL U7 SPOTS ARE FULL. LOOKING FOR U9 SKATERS & GOALIES ONLY. PLEASE SIGN UP FOR WAITING LIST IN MENU BAR ABOVE!
    Player Info
    1. Players First Name
    2. Players Last Name
    3. RadDatePicker
      RadDatePicker
      Open the calendar popup.
    4. Primary email to be used for communication
    Parent / Guardian Info
    1. if different from above
    2. Example: ###-###-####
    3. Home, other parent, etc
    4. Gift Card for Volunteers
    5. Gift Card for Volunteers
    Hurricane Info
    1. U9 players will play on A & B Lines. U7 players will play exclusively on C line against other U7 players. No U9 players on C line. NOTE: U11 & U13 DIVISIONS ARE FULL! ALL U7 SPOTS ARE FULL. PLEASE SIGN UP FOR WAITING LIST ABOVE!
    2. Please be honest
    3. NOTE: U11 & U13 DIVISIONS ARE FULL! ALL U7 SPOTS ARE FULL. PLEASE SIGN UP FOR WAITING LIST ABOVE!
    4. Hockey Jersey - not your T-shirt size
    5. Will be do our best, but cannot guarantee all requests
    6. Will be do our best, but cannot guarantee all requests
    7. Will be do our best, but cannot guarantee all requests
    Additional Info
    Health Issues, Special Requests, etc.
    1. Health Issues, Special Requests, etc
    Payment Method
    Payments via PayPal or eTransfer are accepted. See Payment Options below for details.
    1. eTransfers to be sent to "[email protected]". See instructions below
    1. PAYMENT OPTIONS:
      Regardless of which method of payment you choose, you must submit this form to register for Hurricane Hockey. After clicking the Submit Form button below, a copy of this form will be sent to the email address provided above and a submission confirmation page will display.  

      - PayPal or Credit Card ($283.25 = $275.00 + 3% PayPal Fee) - From the submission confirmation page, you can click to pay online and you will be re-directed to our secure PayPal payment page. Follow the instructions on this screen to complete your payment. 

      - eTransfer ($275.00) -  Please send eTransfer payments to "[email protected]" and please include your child's name in the message section so we know who the payment is for.


      If you have missed any required fields, you will be taken to the field with missing information.
    Payment
    If you prefer to pay by email money transfer, please submit this form and then email $275.00 to [email protected]
    1. Proceed to PayPal payment page after submission
    1. 1.  I, being the parent or legal guardian of the child hereon registered, do authorize by my signature below to permit TOP SHELF HOCKEY and their staff to seek out and obtain any necessary medical attention in the case of accident or injury during the program. It is further agreed that the operators of this hockey program are released from and all claims from damage that may arise from any accident, injury, death, damage or loss, which is caused by or arises from participation of the applicant hereon during the program or in any location where the program is being held.

      2.  TOP SHELF HOCKEY has my permission to use photographs which may include my child publically for promotional purposes. I understand that these images may be used in print publications, the topshelfhockey.net website, and social media applications. I also understand that no royalty, fee or other compensation shall become payable to myself or my child by reason of such use.


    Acknowledgement of Conditions Above
    Human Validation