Fall 2010 League 9/13 - 11/20/2010 Registration


Fall League
Sept-Nov 2010
Early Registration $90.00
After Sept. 1st $115.00
Goalie 1/2 price

*ALL PLAYERS MUST RENEW THEIR USA REGISTRATION** See directions under the link to the side. You must have your USA number BEFORE you register.

1. Submit registration on line. Fill out entire form and "submit". You do not need to print this form.
2.YOU CAN NOW PAY FOR HOCKEY ON LINE W/ CREDIT CARD. GO TO SIDE BAR (MAKE PAYMENT) --if you prefer check go to step 3

3. Send your payment $90.00 ($115.00 if not past marked by the 1st) ---MAKE SURE TO PUT PLAYER(S) NAME IN MEMO OF THE CHECK----- to REDDING HOCKEY. P O Box 494247 Redding, CA 96049-4247.-- YOUR SPOT/GEAR WILL NOT BE RESERVED UNTIL WE RECEIVE PAYMENT

Last Name of Player
First Name of Player
Will you need to use the new loner gear?
Birthdate of Player (MM/DAY/YEAR)
USA ConfirmationNumber 2007/08REQUIRED
Parents Names
Phone Number for contact of parent
Second Phone Contact
Mailing Address
City/Town
Postal Code
ALL UPDATES THROUGH THE SEASON SENT OUT BY EMAIL--PLEASE PUT IN THE ADDRESS YOU WANT UPDATES AND CHANGES TO GO TO (Email addresses not shared with anyone except coaches)
Email Address
PLAYERS EMAIL ADDRESS
Divison Wishing To Play In
League now requires every parent to volunteer 2 hours per season. Please select a job below and you will be contacted regarding scheduling..
*Players over the age of 14 may complete volunteers hours-please make the selcetion for them and someone will contact you**
Volunteer Position
School of attendance:
If there is a player your child needs to be on the same team as due to rides please let us know (we will do our best!)
Seasons Played
Will you allow your childs picture to be used on web site?	yes no
Please check boxes below if you have read and agree to codes of conduct--can be found on the web site under downloads
	I agree to the parent code of conduct
	I agree to the players code of conduct (please go over with your child)
Refund Policy If for some reason your child cannot play after you have paid a written request for a refund must be sent to the board of directors within the first 10 days of league (after Sept. 27th NO REFUNDS)

Your registration is not complete until you have mailed in your check or complete payment on line (Go to on line store)
I acknowledge and fully understand that my child/children will be engaging in a sporting activity that may involve the risk of serious injury. These injuries may include all activities associated with my child's participation in the league including practices and games and off-rink situations. Further, I understand that I hold harmless REdding Hockey and any contracted rink facilities for any injuries suffered by my child and family as a result of our participation with Redding Hockey. I understand that Redding Hockey is a non-profit league and that all members of the league are acting in good faith for the safety and instruction of my child; however, I realize that the ultimate safety of my child is my own responsibility. I agree that, prior to participating in any Redding Hoceky events, I will inspect the area of play, environmental conditions and personal equipment and will not allow my child to participate if I feel it is not safe.

Shasta Roller Hockey League 2007C