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
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