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True Goal Tournament Registration
Child's First Name
Child's Last Name
Primary Email for ALL Future Correspondence
Child's Home Address
Address continued if needed...
Country
City
State
Zip/Postal Code
GRADE (choose from the drop-down menu)
1
2
3
4
5
6
GENDER (choose from the drop-down menu)
Male
Female
Parent/Guardian FIRST Name(s)
Parent/Guardian LAST Name(s)
Name of PRIMARY Emergency Contact
PRIMARY Contact Number
Name of SECONDARY Emergency Contact
SECONDARY Contact Number
Has your child played organized hockey? YES or NO. If your answer was "YES," for how many years?
Please carefully read the following statements and TYPE YOUR NAME AFTER EACH ONE, as an indication that you agree with each one:
#1) I am giving permission for my child to participate in the True Goal Floor Hockey Tournament October 11 - 22, 2022, at Pequea Baptist Church. I understand reasonable safety precautions will be taken throughout the tournament to ensure the safety of my child. I authorize any treatment by an accredited hospital and/or medical professional deemed necessary for my child in case of an emergency. I understand that there are inherent risks involved with any activity and, therefore, I agree (on behalf of myself, my spouse, and/or child) that Pequea Baptist Church, together with its employees, leaders and volunteer staff shall not be responsible for and are hereby released from any liability for personal damages, losses, diseases, or injuries incurred by my child. I also understand that participation by me and/or my child is voluntary.
#2) I understand that my child is required to be present for both practice and evaluation evenings (October 11 and October 13) unless noted in advance, and that his/her presence is also required for both Saturday mornings (October 15 and October 22).
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