Saugus Lynnfield Youth Hockey
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2014/2015 Saugus / Lynnfield Youth Hockey

‘Learn to Skate’

Registration Form
     Learn to Skate: For kids ages 3 & up who are interested in learning to skate.
                  Dates: October 18, 2014 consisting of 21 weeks 
Cost: $195.00

Time: Saturdays 10:20am – 11:20am

Location: Hockeytown Rink, Route 1 South, Saugus, MA 01915

     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 websites or  or call Tom Carney 617-216-7203 or John Sweeney 203-550-0654
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: ________________________________________


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________________________