SUMMER SKILLS EVENING SESSIONS

2022 Evening Summer Skills Registration

Join us for our 4th Annual Summer Evening Skills Sessions.   This program allows players to enjoy the beach and their summer routine but also start to sharpen their skills and fitness before their season begins.

• Dates: July 11th - August 19th, Monday and Wednesday Evenings
• Location: "The Vet" Somerville; 570 Somerville Ave. Somerville, MA 02144
• Mondays and Wednesdays 6:00 - 7:50 PM
• Birth Years: 2010 - 2003

Please fill out the form below to register for our evening summer skills. Limited spots available so register today!

Player Name *

First

Last

Date of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Gender *

• Boy
• Girl

Position *Select Your Position...ForwardDefenseGoalie

Jersey Size *Select Your Jersey SizeYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-LargeYouth GoalieAdult Goalie

Each participant gets a jersey! Please let us know your approximate size.

Level *Select Your Level...BeginnerTown/Select (Intermediate)Elite/AAA (Advanced)

Please select (to the best of your ability) your skill level. This is so we can plan the curriculum and groups to ensure maximum success for the player.

Current Club or Town Program *

League *League...Valley LeaguePHLBHLE9EHF (Platinum)EHF (Tier 1/Other)Middlesex Yankee Girls ConferenceESGHLNEGHLOther

Parent/Guardian Information

Please enter the name of the parent or guardian who should be contacted in the case of an emergency.

Parent Name *

First

Last

Parent Email *

Mobile Phone *

Sessions AttendingPlease select...12(All) - $ 480.0010 - $ 450.008 - $ 400.006 - $ 300.004 - $ 250.001 (Same Day Only) - $ 75.00

Coupon Code

* If applicable.

Program Fee (Free Voucher)

Price: $ 0.00

100% off cost of attendance

Stripe Credit Card *

Card

Name on Card

Total Charged To Card:

$ 0.00

TERMS AND CONDITIONS PLAYER  AGREEMENT - PARENTAL CONSENT

Non-Refundable

I understand that due to limited slots available that this activity is non-refundable.

Release of Liability/Acknowledgment of Risk

In consideration of being allowed to participate as a student, player, instructor, coach, counselor, assistant, parent or volunteer in any Boston Imperials Ice Program, the undersigned acknowledges and agrees that:

(1) I knowingly and freely assume all such risks, both known and unknown, and assume full responsibility for my child’s participation.

(2) I understand and agree that none of the Boston Imperials, its owners, officers, managers, directors, administrators, employees, agents, and coaches, or any referees, any ice rink or any employees of any ice rink used by the Boston Imperials shall be responsible or held liable for any accidents, injury (including paralysis and/ or death), loss of equipment or any other costs, expenses, damages or losses in connection with my child’s participation.

(3) The parent/participant is responsible for all medical costs for any injuries arising from, or by reason of, my child’s participation in Boston Imperials activities.

(4) I hereby represent to the Boston Imperials that my child does not have any known medical condition that restricts or prohibits participation in ice hockey, ice-skating or any related activity, and does not have any known medical condition that puts my child at greater risk of injury or death resulting from any risks associated with participating in Boston Imperials activities.

(5) In the event of injury or illness to my child, I give permission to the Boston Imperials or its designee to provide, or to arrange for the provision of, emergency first aid.

 I have read this release of Liability/Acknowledgment of Risk, fully understanding its terms. I understand that I have given up substantial rights by signing it freely and voluntarily without any inducement.

I, as the Parent/Guardian fully understand and agree to the above contract:

Terms and Conditions Acknowledgement

Clear Signature

Submit