2008 Summer Registration Form

    Name:      Birthdate: January February March April May June July August September October November December   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930  

    Address:     City:     State:     Zip:

    Phone: (Home)   (Work)   (Pager/Cell)

    E-Mail:   (Without an e-mail address, you will not be contacted)

    Select the League/Leagues and Team size that you wish to sign up for.

    League: Upper League = $175 Total Lower League = $175 Total Both Leagues = $300 Total          

     Team Size: Regular 14-Man Team Smaller 11-Man Team  (Add $50 to your Summer fees)    

    Season:  Summer  

    Preferred Position: Center Defenseman Goalie Wing (L or R)

    Will you be car pooling?    Yes    No

    If Yes, with whom?  (Names)    1.    (Want to be a team captain?, Enter CAPTAIN in box 1)

                                                       2.

                                                       3.

                                                       4.

                                                       5.

    I certify that I am cognizant of all the inherent dangers, risks and hazards associated with ice hockey. In consideration of being permitted to participate in the Findlay Men's Hockey League, I hereby voluntarily assume all risks of accident or injury to my person or property, whether foreseen or unforeseen. I hereby release the FINDLAY MEN'S HOCKEY ASSOCIATION, its employees, agents and representatives from any claim, liability, demand or suit of any kind sustained, whether or not caused by the negligence of the FINDLAY MEN'S HOCKEY ASSOCIATION, it employees, agents or representatives. I further agree to indemnify and hold the FINDLAY MEN'S HOCKEY ASSOCIATION, its employees, agents or representatives harmless from any claim, liability, demand, or suit arising out of any alleged malfeasance, misfeasance or nonfeasance arising in connection with the Findlay Men's Hockey League. This release shall be binding upon my heirs, administrators, executors and assigns. I represent that I am of lawful age and competent to sign this release; that I understand that the terms herein are contractual; and that I have signed this document as my own free act. By signing this release, I certify that I have read and fully understand the conditions herein provided.

    I have read and agree to the waiver above. Yes  No      

  (You will still be required to sign a paper copy of the Findlay Men's Hockey Association waiver prior to being allowed on the ice)

Remember that your payment total is due by May 14th, 2008.  Completion of this form simply indicates your interest in playing, without payment you are not officially registered, and you will not be placed on a team until your payment is received.

Make checks payable to FMHL or Findlay Men's Hockey League

Mail Checks to:  Scott Perrault 525 Hillcrest Ave. Findlay, OH  45840