Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 3Player InformationTeam *— Select Team —Allegheny Badgers 14UAAAllegheny Badgers 15UAAAllegheny Badgers 18UAAAnaheim Jr. Ducks 16UAAAnaheim Jr. Ducks 18UAAApple Core 12U BlackApple Core 14UApple Core 16UArizona Bobcats 14UAAArizona Bobcats 15UAAArizona Bobcats 16UAAArizona Bobcats 18UAAArrows 10u Green AAArrows 10u Silver AAArrows 12u Silver AAArrows 14u Green AAArrrows 12u Green – GretzkyAshburn 16U AAAshburn Xtreme 12UA XAshburn Xtreme 14UA XAshburn Xtreme 16U AAshburn Xtreme 18U AAshburn Xtreme 18U AAAshburn Xtreme 2009Ashburn Xtreme 2010Ashburn Xtreme 2011Ashburn Xtreme 2012Ashburn Xtreme 2013Ashburn Xtreme 2014Ashburn Xtrerme 10UA XAshubrn Xtreme AA #2Aviator Hockey Club 10U Lemieux MinorAviator Hockey Club 10UAA MajorAviator Hockey Club 12UA Gretzky MajorAviator Hockey Club 14U McDavid MinorAviator Hockey Club 14UA Gretzky MajorAviator Hockey Club 16UA Gretzky MinorCentral CT Capitals 10UAACentral CT Capitals 12UAACentral CT Capitals 14UAACherry Creek 16UAACherry Creek 18UAAChesterfield Falcons 15UAAChesterfield Falcons 16UAAChesterfield Falcons 18UAAClearwater Ice Storm 14UAClearwater Ice Storm 14UAAClearwater Ice Storm Blue 16UAAClearwater Ice Storm Blue 18UAACyclones Academy 16U EliteCyclones Academy 18U EliteDarien 10UAADarien 12UAADarien 14UAADelaware Ducks 10U LemieuxDelaware Ducks 10U McDavidDelaware Ducks 12U GretzkyDelaware Ducks 12U McDavidDelaware Ducks 13UAADelaware Ducks 14UAADelaware Ducks 16UAADelaware Ducks 18UAADelaware Ducks 9UAADix Hills Hawks 16U – GretzkyDix Hills Hawks 18UADix Hills Hawks Ban – GretzkyDix Hills Hawks PW – GretzkyDix Hills Hawks Squirt – LemieuxFlorida Everglades 16UAAFrederick Freeze 10U LA LemieuxFrederick Freeze 12U GretzkyFrederick Freeze 12U LA LemieuxFrederick Freeze 14U LA LemieuFrederick Freeze 14U McDavidFrederick Freeze 16U GretzkyFrederick Freeze 16U LA LemieuxGrundy Senators 14U McDavidGrundy Senators 14U St. John – LemieuxGrundy Senators 14UAAGrundy Senators 16U GretzkyGrundy Senators 16U LemieuxGrundy Senators 18U LemieuxGrundy Senators Delfin 12U McDavidGrundy Senators Ebert 10U McDavidGrundy Senators Miller 14U – McDavidGrundy Senators Milliken 12U McDavidGrundy Senators Schafer 10 McDavidHartford Jr. Wolf Pack 2012 11UAAHartford Jr. Wolf Pack 2013 10UAAHartford Jr. Wolf Pack 2014 9UAAHaverford Hawks 10U LemiuexHaverford Hawks 10U McDavid – WhartonHaverford Hawks 10U McDavid – YoungHaverford Hawks 10UAAHaverford Hawks 12U LemiuexHaverford Hawks 12U McDavidHaverford Hawks 12UAAHaverford Hawks 14U GretzkyHaverford Hawks 14U LemiuexHaverford Hawks 14U McDavidHaverford Hawks 14UAAHaverford Hawks 16U GretzkyHaverford Hawks 16U LemiuexHaverford Hawks 16UAAHaverford Hawks 18U AAHollydell Hurricanes 10U LemieuxHollydell Hurricanes 10UAAHollydell Hurricanes 11UAAHollydell Hurricanes 12U LemieuxHollydell Hurricanes 12U McDavidHollydell Hurricanes 12UAAHollydell Hurricanes 13UAAHollydell Hurricanes 14U McDavidHollydell Hurricanes 9UAAHollydell Hurricanes Red – GretzkyHollydell Hurricanes Red 10U McDavidHollydell Hurricanes Red 16U LemieuxHollydell Hurricanes White – 10U McDavidHollydell Hurricanes White – LemieuxHollydell Hurricanes White 16U LemieuxIgloo Jaguars 10UA GretzkyIgloo Jaguars 10UB McDavidIgloo Jaguars 12UA Black LemieuxIgloo Jaguars 12UA Green LemieuxIgloo Jaguars 14UA Black GretzkyIgloo Jaguars 14UA Green LemieuxIgloo Jaguars 14UAAIgloo Jaguars 15UAA EliteIgloo Jaguars 16UA Black GretzkyIgloo Jaguars 16UA Green LemieuxIgloo Jaguars 16UAA PremierIgloo Jaguars 18UAA EliteIgloo Jaguars 18UAA PremierJersey Colts 16 Black 16UAAJersey Colts 16 White 16U LemiuexJersey Colts 18 Black 18UAAJersey Colts 18 White 18U GretzkyJersey Colts Bantam Black 14U GretzkyJersey Colts Bantam Green 14U McDavidJersey Colts Bantam Silver 14U LemieuxJersey Colts Bantam White 13UAAJersey Colts PW Black 12UAAJersey Colts PW Green 12U McDavidJersey Colts PW Silver 12U LemieuxJersey Colts PW White 11UAAJersey Colts Squirt Black GretzkyJersey Colts Squirt Green 10U McDavidJersey Colts Squirt Silver LemieuxJR Black Bears10U Black – McDavidJR Black Bears10U Red – McDavidJR Black Bears10U White – GretzkyJR Black Bears12U Black – McDavidJR Black Bears12U Red – LemiuexJR Black Bears12U White – GretzkyJR Black Bears14U Black – LemieuxJR Black Bears14U Gold – McDavidJR Black Bears14U Red – GretzkyJR Black Bears14UAA WhiteJR Black Bears16U Red – GretzkyJR Black Bears16UAA WhiteLancaster Firbirds 14U Orange – McDavidLancaster Firbirds 14UAA BlackLancaster Firbirds 16U Orange – LemieuxLancaster Firbirds 18U AALancaster Firebirds Squirt Black – GretzkyLancaster Firebirds Squirt Orange – LemieuxLehigh Valley Phantoms Youth 14B – McDavidLehigh Valley Phantoms Youth U10 A1 – LemieuxLehigh Valley Phantoms Youth U10A2 – LemieuxLehigh Valley Phantoms Youth U10AALehigh Valley Phantoms Youth U11 AALehigh Valley Phantoms Youth U12 A – LemiuexLehigh Valley Phantoms Youth U12 AALehigh Valley Phantoms Youth U12B – McDavidLehigh Valley Phantoms Youth U13AALehigh Valley Phantoms Youth U14A – GretzkyLehigh Valley Phantoms Youth U14AALehigh Valley Phantoms Youth U15AALehigh Valley Phantoms Youth U16A – LemieuxLehigh Valley Phantoms Youth U16AALehigh Valley Phantoms Youth U18A1Lehigh Valley Phantoms Youth U18AALong Island Whalers Squirt Blue 10U – GretzkyLong Island Whalers Squirt Green 10U McDavidLong Island Whalers Squirt Minor 9UAALong Island Whalers Squirt Major 10UAALong Island Whalers Peewee Minor 11UAALong Island Whalers Bantam Minor 13U GretzkyLong Island Whalers Bantam Major 14UAAMercer Chiefs 12UAAMercer Chiefs 14UAAMercer Chiefs 16U GretzkyMercer Chiefs 18U LemieuxMercer Chiefs Black 10U – LemieuxMercer Chiefs Black 12U LemieuxMercer Chiefs Black 14U – LemieuxMercer Chiefs Red – McDavidMercer Chiefs Red 12U McDavidMercer Chiefs Red 14U – LemieuxMission Arizona 16UAAMission Arizona 18UAAMYHA 10U AAMYHA 10U UA Blue – GretzkyMYHA 11U AAMYHA 12U AA BlueMYHA 12U B Blue – McDavidMYHA 12U LA Blue – LemieuxMYHA 12U LA Gold – LemieuxMYHA 12U LA White – LemieuxMYHA 12UA Blue – GretzkyMYHA 13U AAMYHA 14U AAMYHA 14U B Blue – McDavidMYHA 14U LA Blue – LemieuxMYHA 14U LA Gold – LemieuxMYHA 14U UA Blue – GretzkyMYHA 15U AAMYHA 16U AA BlueMYHA 16U LA – LemieuxMYHA 16U UA – GretzkyMYHA 18U AA BlueMYHA 18U AA BlueMYHA 18U AA GoldMYHA 9U AAMYHA LA Blue – LemieuxMYHA LA Gold – LemieuxNaperville Sabres 14UAANaperville Sabres 15UAANaperville Sabres 16UAANaperville Sabres 18UAANJ Bandits 10A GretzkyNJ Bandits 10AANJ Bandits 10B Red McDavidNJ Bandits 10B White McDavidNJ Bandits 11AANJ Bandits 12A Red GretzkyNJ Bandits 12A White McDavidNJ Bandits 12AA BlackNJ Bandits 12AA GreyNJ Bandits 13AANJ Bandits 14A LemieuxNJ Bandits 15AANJ Bandits 16A LemieuxNJ Bandits 16AANJ Bandits Girls 12U McDavidNorth Jersey Avalanche 10UAANorth Jersey Avalanche 11UAANorth Jersey Avalanche 12UAANorth Jersey Avalanche 13UAANorth Jersey Avalanche 14UAANorth Jersey Avalanche 15UAANorth Jersey Avalanche 16UAANorth Jersey Avalanche 18UAANorth Jersey Avalanche Blue 10U LemieuxNorth Jersey Avalanche Blue 12U LemieuxNorth Jersey Avalanche Blue 14U GretzkyNorth Jersey Avalanche Blue 18U GretzkyNorth Jersey Avalanche Gold 10U McDavidNorth Jersey Avalanche Gold 12U LemieuxNorth Jersey Avalanche Gold 14U LemieuxNorth Jersey Avalanche Gold 18U GretzkyNorth Jersey Avalanche White 14U LemieuxNorth Jersey Kings Black 16UAANorth Jersey Kings Blue 10UA LemieuxNorth Jersey Kings Blue 12UA GretzkyNorth Jersey Kings Blue 14UA GretzkyNorth Jersey Kings Blue 16UAANorth Jersey Kings Blue 18UAANorth Jersey Kings Grey 12U McDavidNorth Jersey Kings Grey 14U McDavidNorth Jersey Kings Red 16UA LemieuxNorth Jersey Kings Yellow 10UB McDavidNorth Jersey Kings Yellow 12UA LemieuxNorth Jersey Kings Yellow 14UA LemieuxNorth Jersey Kings Yellow 15UAANorth Jersey Kings Yellow 18UA LemieuxNorth Jersey Skylands Kings 11UAANorth Jersey Skylands Kings 13UAANorth Jersey Skylands Kings 14U White LemieuxNorth Jersey Skylands Kings 15UAANorth Jersey Skylands Kings 16UA LemieuxNorth Jersey Skylands Kings 18U GretzkyNorth Jersey Skylands Kings 18UAANorth Jersey Skylands Kings Navy – McDavidNorth Jersey Skylands Kings Navy 10UAANorth Jersey Skylands Kings White – McDavidNYC Skyliners 10UAANYC Skyliners 12UAANYC Skyliners 14UAANYC Skyliners 16UAAPAL Blue Knights 10UA LemieuxPAL Blue Knights 12U McDavidPAL Blue Knights 12UAAPAL Blue Knights 14UA LemieuxPAL Blue Knights 14UAAPAL Blue Knights 16UAAPAL Sound Tigers 10U McDavidPAL Sound Tigers 12U LemieuxPAL Sound Tigers 12U McDavidPAL Sound Tigers 14U LemieuxPalmyra Black knights 12U McDavidPalmyra Black knights 12UAAPalmyra Black knights 13UAAPalmyra Black knights 14UA LemieuxPalmyra Black knights 14UAAPalmyra Black knights 16UA GretzkyPalmyra Black knights 16UAAPalmyra Black knights 18UAAPalmyra Black knights- Castiglia 12UA LemieuxPalmyra Black knights- FREY 10U McDavidPalmyra Black knights- Hallman 12U LemieuxPalmyra Black knights- Kullman 12U LemieuxPalmyra Black knights- Mihan 16UA LemieuxPalmyra Black knights-EAST 14UA LemieuxPalmyra Black knights-EAST 18UAPalmyra Black knights-Merrill 10U McDavidPalmyra Black knights-Rochefort 10U GretzkyPHA Icemen 11UAAPHA Icemen 12UAAPHA Icemen 13UAAPHA Icemen 14UAAPhiladelphia Blazers 10UA LemieuxPhiladelphia Blazers 11UAAPhiladelphia Blazers 12UA GretzkyPhiladelphia Blazers 12UA LemieuxPhiladelphia Blazers 13UAAPhiladelphia Blazers 15UAAPhiladelphia Blazers 16UA LemieuxPhiladelphia Blazers 18UAPhiladelphia Blazers 18UAAPhiladelphia Jr Flyers CoenPhiladelphia Jr Flyers DanishPhiladelphia Jr Flyers KaminskyPhiladelphia Jr Flyers ToomeyPittsburgh Huskies 13UAAPittsburgh Huskies 15UAAPittsburgh Huskies 16UAAPTL Elite 12U – GretzkyRams Hockey 15UAARebels 15U AARebels 16U AARebels 18U AARebels Ban Major 14UAARebels Ban Minor 13U AARebels PW Major 12UAARebels PW Minor 11UAARebels Sq Major 10UAARebels Sq Minor 9UAARHC Bantam 14UA LemieuxRHC Bantam 14UAARHC Mite Gold 8U BeginnerRHC Mite Silver 6U BeginnerRHC PW 12U LemieuxRHC PW Major AARHC PW Minor 12UA LemieuxRHC Squirt 10U McDavidRHC Squirt 10UA GretzkyRHC Squirt Major 10UAARHC Squirt Minor 9UAARHC U13 AA BlackRHC U13 AA Red LemieuxRHC U15AARHC U16 AARHC U18 ARinx 10U LemieuxRinx 11U McDavidRinx 12U LemieuxRinx 14U LemieuxRinx 16U LemieuxRye Rangers 10UAARye Rangers 12UA LemieuxRye Rangers 14UA GretzkyRye Rangers TB 12UAARye Rangers TB 14UAASouth Pittsburgh Rebellion 14UAASouth Pittsburgh Rebellion 15UAASouth Pittsburgh Rebellion 16UAASouthern Maryland Sabres 10U Black McDavidSouthern Maryland Sabres 10UA Gold GretzkySouthern Maryland Sabres 12UA Black LemieuxSouthern Maryland Sabres 12UA Gold GretzkySouthern Maryland Sabres 14UA Gold GretzkySouthern Maryland Sabres 16UA Gold LemieuxSt Louis Knights 11UAASt Louis Knights 13UAASt Louis Knights 14UAASTJ 10UA Navy GretzkySTJ 10UA White LemieuxSTJ 10UAA GoldSTJ 12UA Navy GretzkySTJ 12UA White LemieuxSTJ 12UAA GoldSTJ 14U Light Blue McDavidSTJ 14UA Navy GretzkySTJ 14UA White LemieuxSTJ 14UAA GoldSTJ 16UA Gold GretzkySTJ 16UA Navy LemieuxSTJ 18UA NavySTJ 18UAA GoldTeam Philadelphia 10U McDavidTeam Philadelphia 10UA GretzkyTeam Philadelphia 10UAATeam Philadelphia 11UAATeam Philadelphia 12U McDavidTeam Philadelphia 12UAATeam Philadelphia 13UAATeam Philadelphia 14UAATeam Philadelphia 15UAATeam Philadelphia 16UAATeam Philadelphia 18UATeam Philadelphia 18UAATeam Philadelphia 9UAATeam Philadelphia Atom Silver BeginnerTeam Philadelphia Atom Teal BeginnerTeam Philadelphia Atom Yellow BeginnerTeam Philadelphia Black 12UA GretzkyTeam Philadelphia Black 14UA GretzkyTeam Philadelphia Black 16UA GretzkyTeam Philadelphia Orange 12UA LemieuxTeam Philadelphia Orange 14UA LemieuxTeam Philadelphia Orange 16UA LemieuxTomorrows Ice North Stars Red 10UA LemieuxTomorrows Ice North Stars White 10U McDavidTomorrows Ice North Stars Red 12U McDavidTomorrows Ice North Stars Red 14U McDavidTomorrows Ice North Stars Red 16UA LemieuxTomorrows Ice Selects 12UA GretzkyTomorrows Ice Elite Selects 13UAATomorrows Ice Premier Selects 16UAATri City Eagles Blue Lemieux 10UATri City Eagles White McDavid 12UTri City Eagles Gold Lemieux 12UATri City Eagles Blue Gretzky 12UATri City Eagles Red McDavid 14UTri City Eagles White Gretzky 14UATri City Eagles Gold 13UAATri City Eagles Blue 14UAATri City Eagles Red Lemieux 16UATri City Eagles White Gretzky 16UATri City Eagles Gold 15UAATri City Eagles Blue 16UAATri City Eagles Gold 18UAATri City Eagles Blue 18UAAVFC 15 AA ScandoneVFC 16 A Dunleavy – LemieuxVFC 16 A Frederick – GretzkyVFC 16 A Kelly – LemieuxVFC 16 AA McCourtVFC 18 A VassalluzzoVFC Bantam 13 AA BarronVFC Bantam 14 AA FieldsVFC Bantam 14A Fitzgerald – LemieuxVFC Bantam B Drost – McDavidVFC PW 11 AA FaganVFC PW 12 AA CroceVFC PW A Herhal – GretzkyVFC PW B Fields – McDavidVFC PW B Weaver – McDavidVFC Squirt A Bergy – LemieuxVFC Squirt B Johnson – McDavidVFC Squirt B Jones – McDavidWildcats 10U A – LemieuxWildcats 10U AAWildcats 10U McDavidWildcats 12U A – LemieuxWildcats 12U AAWildcats 12U McDavidWildcats 13 AAWildcats 14U A Black – GretzkyWildcats 14U A Red – LemieuxWildcats 14U AAWildcats 14U B Gray – McDavidWildcats 14U B White – McDavidWildcats 16U A Black – LemieuxWildcats 16U A Red – LemieuxWildcats 16U A White – LemieuxWildcats 16U AAWildcats 18U A – LemieuxWildcats 18U AAWildcats 6U GrayWilkes-Barre / Scranton Jr Knights 14UA GretzkyWilkes-Barre / Scranton Jr Knights 16UAAWilkes-Barre / Scranton Jr Knights 8U IntermediateWilkes-Barre / Scranton Jr Knights 9UAAWinterpsport Royals 12U A Blue LemieuxWintersport Royals 10U A Gray GretzkyWintersport Royals 10U AA 2013Wintersport Royals 10U Gold McDavidWintersport Royals 11U AA WhiteWintersport Royals 12U AA GoldWintersport Royals 12U Gray McDavidWintersport Royals 13U AA BlueWintersport Royals 14U A Gold GretzkyWintersport Royals 14UA White LemieuxWintersport Royals 15U AA GoldWintersport Royals 16U A Blue LemieuxWintersport Royals 18U AWintersport Royals 8U Blue IntermediateWintersport Royals 8U Gold McDavidWintersport Royals 8U Gray McDavidWintersport Royals 8U White McDavidWintersport Royals 9U AA WhiteWintersports Royals 14U Gray McDavidWissahickon Warriors 14UAAWissahickon Warriors 16UAAWissahickon Warriors 18UAWissahickon Warriors Blue 12U McDavidWissahickon Warriors Red 10UA LemieuxWissahickon Warriors Red 12UA GretzkyWissahickon Warriors Red 14UA GretzkyWissahickon Warriors White 10U BeginnerWissahickon Warriors White 12UA LemieuxWissahickon Warriors White 14UA LemieuxWissahickon Warriors White 16UA LemieuxYork Devils 10UA LemieuxYork Devils 12UA GretzkyYork Devils 15UAAYork Devils 16UA LemieuxYork Devils 18UAAYork Devils Black 14UA GretzkyYork Devils Red 14U McDavidFirst Name *Last Name *Email *Phone *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryDOB *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Are you the parent/guardian, or a player 18 years or older? *Parent/GuardianPlayer 18+Parent/Guardian InformationFirst Name *Last Name *Email *Phone *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryDOBMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Would You Like To Add 2nd Parent/Guardian?YesFirst NameLast NameEmailPhoneAddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryDOBMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousNextPermission & Agreement *Accept WaiverAtlantic Hockey Federation Waiver It is the purpose of this agreement (the “Agreement”) to exempt, waive and relieve Releasees from all forms of liability as a result of participation in events sponsored by releases for any and all reasons including without limitation for personal injury, property damage, and wrongful death, including without limitation if caused by negligence, including the negligence, if any, of Releasees. “Releasees” include Atlantic Hockey Federation, LLC, and any of their respective affiliates, officers, directors, managers, members, agents and employees (all referred to together as “AHF”). The team, participant (“Participant”) (and Participant’s parent(s)/guardian(s) also certify and warrant to AHF that the team manager or custodian of team records has, on file, written waivers from liability (USA Hockey or Hockey Canada Registration) for each team player identified on the team roster and each player participating in this league and/or event(s). The team, parent(s), Participant(s) and/or guardian(s) understand that AHF shall rely upon the statements in this form in agreeing to accept the Participant’s and/or team’s participation in this league and/or event(s). For and in consideration of the undersigned Participant’s registration with AHF, and being allowed to participate in AHF events and related activities, Participant (and the parent(s) or legal guardian(s) of Participant, if applicable) waive, release and relinquish any and all claims for liability and cause(s) of action, including, but not limited to, for personal injury, property damage or wrongful death occurring to Participant, arising out of participation in AHF events, the sport of ice hockey, and/or activities incidental thereto, whenever or however they occur and for such period said activities may continue, and by this agreement any such claims, rights, and causes of action that Participant (and Participant’s parent(s) or legal guardian(s), if applicable) may have are hereby waived, released and relinquished, and Participant (and parent(s)/guardian(s), if applicable) does(do) so on behalf of my/our and Participant’s heirs, executors, administrators and assigns Participant (and Participant’s parent(s)/guardian(s), if applicable) acknowledge, understand and assume all risks relating to ice hockey and any team activities, and understand that ice hockey and team activities involve risks to Participant’s person including bodily injury, partial or total disability, paralysis and death, and damages which may arise therefrom and that I/we have full knowledge of said risks. These risks and dangers may be caused by the negligence and/or willful misconduct of the Participant or the negligence and/or willful misconduct of others, including the “Releasees” identified above. These risks and dangers include, but are not limited to, those arising from participating with bigger, faster and stronger Participants, and these risks and dangers will increase if Participant participates in ice hockey and team activities in an age group above that which Participant would normally participate in. I/We further acknowledge that there may be risks and dangers not known to us or not reasonably foreseeable at this time. Participant (and Participant’s parent(s)/guardian(s), if applicable) acknowledge, understand and agree that all of the risks and dangers described throughout this agreement, including those caused by the negligence of Participant and/or others, are included within the waiver, release and relinquishment described in the preceding paragraph. I/We acknowledge that all players are required to have and do have his/her own medical insurance coverage. I/We further agree and acknowledge that complete hockey equipment, including mandatory equipment required by the team’s home and league’s governing body is required to be worn during AHF events and it is understood by the team that any player who does not possess the required equipment will be prevented by the team from participating in any game. I/We also agree that we are members of USA Hockey, Inc. and are bound by all of USA Hockey, Inc.’s rules and regulations. Participant (and Participant’s parent(s)/guardian(s), if applicable) acknowledge, understand and assume the risks, if any, arising from the conditions and use of ice hockey rinks and related premises and acknowledge and understand that included within the scope of this waiver and release is any cause of action (including any cause of action based on negligence and or willful misconduct) arising from the performance, or failure to perform, maintenance, inspection, supervision or control of said areas and /or events and for the failure to warn of dangerous conditions existing at said rinks and/or events, for negligent selection of certain Releasees, or negligent supervision or instruction by Releasees. As further consideration for registration and participation in AHF events and member team activities, Participant (and the parent(s) or legal guardian(s) of Participant, if applicable), hereby (1) consents and agrees that AHF, its licensees and designees and affiliates may make video and/or audio recordings of and/or otherwise film, photograph or memorialize some or all of Participant’s participation in such events and activities, and (2) grants to AHF, its licensees, designees and affiliates, successors and assigns, a worldwide, perpetual, irrevocable, fully-paid, royalty-free, transferable and sublicensable right and license to use, copy and disseminate Participant’s image and personal attributes, and to modify and present same in any form, manner and media, now known or hereafter devised, for any purpose whatsoever. I willingly agree to comply with the stated and customary terms and conditions for participation in the AHF events and member team activities. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately. Participant (and Participant’s parent(s)/guardian(s), if applicable), agree if any third party claim for Participant’s personal injury or wrongful death is commenced against Releasees, he/she shall defend, indemnify and save harmless Releasees from any and all claims or causes of action by whomever or wherever made or presented for Participant’s personal injuries, property damage or wrongful death. Participant and Participant’s parent(s)/guardian(s), if applicable), acknowledge that they have been provided and have read the above paragraphs and have not relied upon any representations of Releasees, that they are fully advised of the potential dangers of ice hockey and understand these waivers and releases are necessary to allow amateur ice hockey to exist in its present form. Significant exclusions may apply to USA Hockey, Inc.’s insurance policies, which could affect any coverage you may have. For example, there is no liability coverage for claims of one player against another player, and Participant and Participant’s parent(s)/guardian(s) waive any rights to make a claim against the Releasees for this or any other reason. This Agreement will be governed by and construed under the laws of the State of Delaware (without reference to its choice of laws rules, as if to be entered into and performed wholly within the State of Delaware by residents of the State of Delaware). If any clause or provision of this Agreement is determined to be illegal, invalid, or unenforceable under present or future laws, the remainder of this Agreement shall not be affected by such determination, and in lieu of each clause or provision that is determined to be illegal, invalid or unenforceable, there shall be added as a part of this Agreement a clause or provision as similar in terms to such illegal, invalid or unenforceable clause or provision as may be possible and be legal, valid and enforceable. Subject to strict adherence with the terms and conditions of the Dispute Resolution mechanisms in this agreement, ALL PARTIES TO THIS AGREEMENT HEREBY FREELY WAIVE ANY OF THEIR RESPECTIVE RIGHTS TO A TRIAL BY JURY, BASED UPON, RELATED IN ANY MANNER TO OR ARISING OUT OF THIS AGREEMENT OR ANY DEALINGS BETWEEN THEM RELATING TO THIS AGREEMENT OR THE MANAGEMENT OR OPERATION OF THE COMPANY. The scope of this waiver is intended to be all-encompassing of any and all disputes filed in any court for any reason relating to this Agreement including, without limitation, contract, tort, breach of duty and all common law and statutory claims. All parties to this Agreement acknowledge that they have and are receiving the benefits of this Agreement and that this waiver was and is a material inducement to enter into this Agreement, that each has already relied on the waiver in entering into this Agreement, and that each will continue to rely on the waiver in their related future dealings. Each party to this Agreement represents and warrants to the other parties to this Agreement that it will strictly comply with the terms and conditions of the Dispute Resolution section of this agreement and that each party has reviewed this waiver with its legal counsel, and that each knowingly and voluntarily waives its jury trial rights following consultation with legal counsel. THIS WAIVER IS IRREVOCABLE, MEANING THAT IT MAY NOT BE MODIFIED EITHER ORALLY OR IN WRITING, AND THE WAIVER APPLIES TO ANY SUBSEQUENT AMENDMENTS, RENEWALS, SUPPLEMENTS OR MODIFICATIONS TO THIS AGREEMENT. Dispute Resolution: All Members and parties to this Agreement agree and consent that any dispute, controversy or claim arising under this Agreement among the parties hereto shall be resolved exclusively by arbitration conducted in Washington, DC, in accordance with the Commercial Arbitration Rules of the American Arbitration Association, which rules are incorporated by reference into this Section. A single arbitrator shall be chosen by mutual agreement of the parties. If the parties cannot agree on a single arbitrator, then the arbitration shall be conducted by three (3) arbitrators whereby each party shall choose one (1) arbitrator and those two (2) arbitrators shall select a third arbitrator. The arbitration shall be conducted in a single hearing, and the arbitrator shall render his/her/their decision within a reasonable time after the conclusion of the hearing. The decision of the arbitrator(s) shall be final and not appealable. Judgment upon any decision rendered by the arbitrators may be entered by any court having jurisdiction. The Parties each irrevocably agree to submit personally to venue and jurisdiction in Washington, DC for purposes of the arbitration and further agree that a fully binding and enforceable arbitration hearing may be conducted there, and that a fully binding and enforceable arbitration award may be issued, notwithstanding any law or rule that might otherwise limit the arbitrator’s jurisdiction over any party or any dispute subject to this arbitration agreement. Once commenced, the arbitration shall proceed to an enforceable, final award regardless of any party’s failure or refusal to participate. The arbitrator shall apply the substantive laws of the State of Delaware in all respects and notwithstanding any choice of law rules to the contrary. To the fullest extent provided by law, the parties hereto irrevocably and unconditionally waive any right to appeal or seek modification of any ruling or award by the arbitrator. The parties hereto shall maintain the confidential nature of the arbitration proceeding and the award, including when seeking to confirm or vacate the award in court, unless otherwise required by law or judicial decision. With regard to any arbitration or other proceeding filed or brought by any of the parties against another party hereto, and/or the AHF, the Prevailing Party (defined below) shall be entitled to recover all of its reasonable costs and expenses incurred in connection with such dispute, including the fees and expenses of counsel of to the parties thereto, which may include printing, photostating, duplicating and other expenses, air freight charges, and fees billed for law clerks, paralegals and other persons not admitted to the bar but performing services under the supervision of an attorney, and the costs and fees incurred in connection with the enforcement or collection of any judgment obtained in any such proceeding (“Costs and Expenses”). The term “Prevailing Party” means that party whose position is substantially upheld in a final judgment rendered in such proceeding. The provisions of this section shall survive the entry of any judgment, and will not merge, or be deemed to have merged, into any judgment. This provision of this section, and the obligation of payment of any Costs and Expenses of the Prevailing Party, shall inure to the benefit of and protect each party hereto, and the AHF, as the case may be, from and against any party that brings an action or otherwise asserts a claim in Dispute Resolution: All Members and parties to this Agreement agree and consent that any dispute, controversy or claim arising under this Agreement among the parties hereto shall be resolved exclusively by arbitration conducted in Washington, DC, in accordance with the Commercial Arbitration Rules of the American Arbitration Association, which rules are incorporated by reference into this Section. A single arbitrator shall be chosen by mutual agreement of the parties. If the parties cannot agree on a single arbitrator, then the arbitration shall be conducted by three (3) arbitrators whereby each party shall choose one (1) arbitrator and those two (2) arbitrators shall select a third arbitrator. The arbitration shall be conducted in a single hearing, and the arbitrator shall render his/her/their decision within a reasonable time after the conclusion of the hearing. The decision of the arbitrator(s) shall be final and not appealable. Judgment upon any decision rendered by the arbitrators may be entered by any court having jurisdiction. The Parties each irrevocably agree to submit personally to venue and jurisdiction in Washington, DC for purposes of the arbitration and further agree that a fully binding and enforceable arbitration hearing may be conducted there, and that a fully binding and enforceable arbitration award may be issued, notwithstanding any law or rule that might otherwise limit the arbitrator’s jurisdiction over any party or any dispute subject to this arbitration agreement. Once commenced, the arbitration shall proceed to an enforceable, final award regardless of any party’s failure or refusal to participate. The arbitrator shall apply the substantive laws of the State of Delaware in all respects and notwithstanding any choice of law rules to the contrary. To the fullest extent provided by law, the parties hereto irrevocably and unconditionally waive any right to appeal or seek modification of any ruling or award by the arbitrator. The parties hereto shall maintain the confidential nature of the arbitration proceeding and the award, including when seeking to confirm or vacate the award in court, unless otherwise required by law or judicial decision. With regard to any arbitration or other proceeding filed or brought by any of the parties against another party hereto, and/or the AHF, the Prevailing Party (defined below) shall be entitled to recover all of its reasonable costs and expenses incurred in connection with such dispute, including the fees and expenses of counsel of to the parties thereto, which may include printing, photostating, duplicating and other expenses, air freight charges, and fees billed for law clerks, paralegals and other persons not admitted to the bar but performing services under the supervision of an attorney, and the costs and fees incurred in connection with the enforcement or collection of any judgment obtained in any such proceeding (“Costs and Expenses”). The term “Prevailing Party” means that party whose position is substantially upheld in a final judgment rendered in such proceeding. The provisions of this section shall survive the entry of any judgment, and will not merge, or be deemed to have merged, into any judgment. This provision of this section, and the obligation of payment of any Costs and Expenses of the Prevailing Party, shall inure to the benefit of and protect each party hereto, and the AHF, as the case may be, from and against any party that brings an action or otherwise asserts a claim in any other forum or jurisdiction in contravention to the arbitration provisions of this section, such that any Costs and Expenses incurred by the Prevailing Party in any such action shall be paid by the non-Prevailing Party. This agreement affects your legal rights, and you may wish to consult an attorney concerning this agreement. Participant (and Participant’s parent(s)/guardian(s) hereto further warrant and represent that it has reviewed or had the opportunity to review this agreement with its legal counsel and that it knowingly and voluntarily enters into this agreement and waives any rights covered hereunder. If any part of this agreement is determined to be void and unenforceable, the remainder shall remain in full force and effect. I acknowledge that the novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and spreads from person-to- person contact. AHF and/or the Releasees have put in place preventative measures to reduce the spread of communicable diseases; however, we cannot guarantee that you or your child(ren) will not become infected while attending our facilities. While we’ve implemented reasonable preventive measures, we depend on each and every visitor and their families to follow the guidelines from the Center of Disease Control, and all applicable federal, state, and local health department guidelines, rules, laws, and regulations before and while visiting our premises. We are all in this together and rely on each other to adhere to the above-mentioned guidance and legal restrictions. The undersigned fully understands and acknowledges both the known and potential dangers of utilizing the/our facilities, services, and programs and acknowledge that use thereof by the undersigned and/or such participating children may, despite our reasonable best efforts to mitigate such dangers, result in exposure to communicable diseases, which could result in quarantine requirements, serious illness, disability, and/or death. This Waiver may be executed by signatures transmitted via facsimile or electronic transmission, such as a “pdf” document transmitted through electronic mail, which shall have the same force and effect as an original signature. If you have any questions, contact Atlantic Hockey Federation, LLC. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. By checking the box above, I certify that I have read, acknowledge, and accept the federation participant waiver.Signature **DISCLAIMER: By typing your name above, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.PreviousSubmit