King of the Hill
Summer Ice Hockey League Application

Clifton Park Ice Arena           2010

What:	Individual Entry Form
Cost:	$205 Squirt	$225 Pee Wee & Bantam
___ Squirt (Born in 2000 or 2001)		3 - 12 min Periods
___ Pee Wee (Born in 1999 or 1998)		3 - 15 min Periods
___ Bantam (Born in 1997 or 1996)		3 - 15 min Periods

      Facts:        12 games per team plus championship games  (included)
                                 2 - preseason conditioning clinics   (included)
                                 3 - Goalie Clinics (included)
                                 1 - Game Jersey  & Game Socks  (included) 

King of the Hill mission statement:  The King of the Hill summer ice hockey
league is an opportunity to enter a competitive summer ice hocky league as a
team or individual.  A player evaluation & Draft will help insure comp -
etitive balance.  Emphasis will be put on real game situations. 

Clifton Park Ice Arena reserves the right to refuse or adjust any team or
individual player entry in order to insure competitive balance and fairness.

Name: ____________________________ Date of Birth: ____________

Address: __________________________

City: ______________________ State: _______ Zip: __________

Evening Phone: ________________ Daytime Phone: _____________

Email:   ______________________

2009 – 2010 Team: __________________  
(Example: Clifton Park Squirt A )

Please Read - Waiver
I assume all risk and damage incidental to the game of hockey including but
not limited to the danger of being injured by puck, hockey stick and other
players. I do hereby forever release and discharge all claims, actions, and
causes of action against players, coaches, and persons associated with Clifton
Park Ice Arena LLC and “The King of the Hill” Summer Ice Hockey League
for injuries to life, limb, or property, directly or indirectly arising out of playing
hockey.

Parent / Guardian: ___________________________ Date: _____________
(Please sign & date)

Checks payable to: Clifton Park Ice Arena P.O. Box 5384
Clifton Park, NY 12065

First Come / First Served