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1 on 1 Coaching
Active Players
Calendar: D MN Skates
Calendar: Forward MN Skates
on ice training
2025 Registration Form
PLAYER DETAILS
First name
Last name
Is player a minor?
*
Yes
No
Parent First Name
Parent Last Name
Parent Phone
Insurance Policy Holder Name
Insurance Policy Number
Insurance Group Number
Hospital of Choice
EMERGENCY CONTACT DETAILS
Contact First Name
Contact Last Name
Contact Phone Number
Parent/Guardian Agreement: I have read this fact sheet on concussions and talked with my Player about what to do if they have a concussion or serious brain injury.
USA Hockey Concussion Management
Athlete Agreement: I have learned about concussions and understand what to do if I have a concussion or serious brain injury.
USA Hockey Concussion Management
Release of Liability
By completing this registration process, I acknowledge that participation in ice hockey training is not without risk. I am participating in this program voluntarily. I have read and accept the full Release of Liability.
By completing this registration process, I acknowledge that participation in ice hockey training is not without risk. The Player is participating voluntarily with my consent and approval. I have read and accept the full Release of Liabilty.
Parent Signature
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Player Signature
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I accept Atherton Hockey's terms of service and Privacy Policy.
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