Midnight Sun Hockey Summer Showcase 2004
Registration Form Print Out

Midnight Sun Hockey Showcase 2005

Please make payable to Midnight Sun Hockey Association
Please print out a copy of this form and mail to Midnight Sun Hockey Association, PO Box 74456, Fairbanks, AK, 99707
or Drop off at Sport King or Play It Again Sports

If you have any questions please phone (907) 455-4203, or email:info@midnightsunhockey.com

NAME: _________________________________________ AGE: ____________________

ADDRESS: _______________________________________________________________

CITY: _________________________________ STATE/PROV.: _____________________

ZIP/POSTAL CODE: _______________  HOME PHONE: __________________________

DAY PHONE: ___________________________ FAX: ______________________________

EMAIL: ____________________________________________________________________

LAST TEAM/AGE DIVISION: __________________________________________________

LAST COACH: _______________________________   POSITION: ___________________

HEIGHT: ________________________ WEIGHT: __________________________________

MEDICAL INFORMATION: (Allergies or any special conditions):__________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

ENCLOSED IS A CHECK PAYABLE TO MIDNIGHT SUN HOCKEY FOR THE FOLLOWING:

Midnight Sun Showcase ($99)
Squirt ___ Pee Wee ____ Bantam _____  Midget ____

ALCAN Hockey/UAF Nanook Hockey Academy: ($99): ____
Squirt ___ Pee Wee ____ Bantam _____

Total Enclosed: __________

MIDNIGHT SUN HOCKEY ASSOCIATION INSURANCE WAIVER

The applicant, his/her parents and/or guardians, acknowledge that ice hockey is a contact sport, and agree the MIDNIGHT SUN HOCKEY ASSOCIATION, & ALASKAN-CANADIAN HOCKEY SCHOOLS, its agents, servants, employees, instructors, and directors, shall be held harmless and not liable for any injury or damage to the participants as a result directly or indirectly caused by attending the school. The applicant, his/her parents and/or guardians also agree to indemnify the UAF PATTY CENTER, and the UNIVERSITY OF ALASKA FAIRBANKS, their employees, agents, and managers from all claims and damages.

NAME OF PLAYER: ________________________________ DATE: __________________

SIGNATURE OF PARENT OR GUARDIAN: ______________________________________

UAF is an affirmative action/equal oppurtunity employer & educational institution.
 
 

 Midnight Sun Showcase
Registration 
Midnight Sun Showcase
Online Registration 

 
ALCAN/UAF Hockey
Goal Scoring Clinic
Alaska Youth Hockey 
Safety Clinic

Midnight Sun Hockey Association
P.O. Box 74456
Fairbanks, Alaska, 99707
Phone: 907-455-4203
Email:info@midnightsunhockey.com