Oldest skaters will have earlier times.  We will group kids according to birth year, not skill level.  I will send out an e-mail notifying you of your time once I receive registration forms. Please send in your forms promptly so I can get the times figured out.  The sooner I have them, the sooner I know how many skaters we have.  I would like to have all forms by May 28.  Once the times are set, you may be turned down if I do not have your form since we only take 18 skaters per sheet.

 

Please e-mail Keri Cridelich more information

 

cridelichj@aol.com

 

Thanks!

Release of Liability

Gary Feight Clinic

Summer 2101

 

 

Skater's Name:____________________________

 

Date of birth:______________________________

 

Parent or Guardian:_________________________

 

Phone Number:____________________________ 

 

Address:_________________________________

 

City, State, Zip: ____________________________

 

E-mail address:___________________________

 

Alternate phone number in case of emergency:

 

Name:_________________Number:_____________

 

 

 

Release of Liability:  

The undersigned parent or legal guardian of ______________________________, "The Registrant", 

recognizes that hockey is a vigorous sport and that the registrant may suffer temporary or permanent 

physical injuries.  With full knowledge of the above-referenced risks, I hereby accept and assume full

responsibility for any and all harm caused by negligence and release, discharge, and/or otherwise 

indemnify Gary Feight, and Keri Cridelich, and their families, and the facilities Naga-waukee Ice Arena 

utilized for hockey from any responsibility.

 

Signature of parent or legal guardian: ________________  Date: _________________

 

 

Mail form and fees to: Keri Cridelich, W360 S4850 Wildflower Ct. Dousman, WI 53118