Saugus Lynnfield Youth Hockey

My my My my

2016/2017 Saugus / Lynnfield Youth Hockey

‘Learn to Skate’

Registration Form


For kids ages 3 & up who are interested in learning to skate.

This year, we have split the program into two sessions.

All Sessions are at Kasabuski Rink 10:50 AM-11:40 AM

Session 1 Dates :September 24 - December 10th

Session 2 Dates :January 14th - March 25th

Cost :$225 for both sessions or $150 for individual session.


Please Note that your Child must sign up for a USA Hockey Registration Number Prior to Registering for our Program.  You can get the Number here:


     Frequently asked questions:
1.     What should my child wear? A hockey helmet with mask is strongly recommended. A bicycle helmet is the minimal requirement. Kneepads without plastic padding (plastic makes it difficult to stand up) are recommended. Hockey gloves, mittens or winter gloves are required. Since the children are learning and will fall, snow or nylon pants are also recommended so the children remain dry during the lesson.
2.      Can the parents skate with their child? Volunteers that have filled out CORI forms will be assigned to a group of children. Parents that do not have a helmet and have not filled out the proper paperwork will not be allowed on the ice.
* For additional information – please visit our website  or call Tom Carney 617-216-7203
Application Form

Please make checks payable to: Lynnfield Youth Hockey P.O. Box 192 Lynnfield, MA 01940
Student Name: _________________________________________ Experience: ______________
Parent/Guardian Name: _____________________________________
Address: _____________________________________City: __________________ State:______
Home Phone: __________________________ Emergency Contact Phone:_____________________________
Date of Birth: __________________________ Email address­­­­­­­­­­­­­­­­­­­: ________________________________________

Both Sessions ___      Session 1___   Session 2 ___

Waiver and Release of Liability

In consideration of being allowed to participate in any of the Saugus/Lynnfield Youth Hockey Learn to Skate Programs, related events and activities, under the signed acknowledge, appreciate and agree 1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment and discipline may reduce this risk, the risk of serious injury does exist and 2. I knowingly and freely assume ALL such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsibility for my minor child’s participation and, 3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I observe any unusual significant hazards during my presence of my child’s participation, I will remove my child from participation and bring attention to the nearest official and, 4. I as parent/guardian with legal responsibility for this participant, do consent and agree to release and hold harmless the Saugus/Lynnfield Youth Hockey Officers, officials and or employees, other participants and the lessors – of premises used to conduct the event (“releases”) with respect to ANY AND ALL injury, disability, death or loss or damage to person or property. Whether arising from the negligence of the releases or otherwise, 5. For myself, my heirs, assigns, and next of kin I release and agree to indemnify the releases from any and all liabilities incident to my minor as provided above, even if arising from their negligence.
Parent/Guardian Signature & Date: __________________________

Name Printed________________________