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Online Registration

Top Gun Youth Hockey
Tryout Registration Form
2010 - 2011 Season

When finished Click the Button at the bottom of the page
Online Registration Requires a $60 payment through PayPal, Major CC's Accepted

* = Required

Your Email Address:*
This address is used to send a copy of the registration form for your records.

Player's First Name:*
Player's Last Name:*
Player's Date of Birth:*	(mm/dd/yy)

Address:*
City/Town:*
State:*
Zipcode:*
Email (Player):*

Father's First Name:
Father's Last Name:
Father's Home Phone:
Father's Work Phone:
Father's Email:

Mother's First Name:
Mother's Last Name:
Mother's Home Phone:
Mother's Work Phone:
Mother's Email:

Player is trying out for:*

(Program - Birth Year)

Please list in this section if your son or daughter is on a 2009/2010 Team/EHF Roster as either a full time player or alternate.

Does Not Apply: or
Program Name:	Level:

Player's last two years playing experience:

Program Name:		Level:
Program Name:		Level:

Release Form: Must be read and signed by parent or guardian at first day of tryouts

As parent/guardian of the above named child, I hereby grant permission for him/her to participate in the activities of Top Gun Youth Hockey. I hereby waive, release and forever discharge said Top Gun, it’s officers, members, agents, representatives and employees from all claims and demands which I, my heirs, executors and administrators, and those of the above named child have or may have by reason of any personal injury or injuries, property damage or damage of any nature whatsoever resulting from the participation of the above named child in the activities of Top Gun Youth Hockey and any consequences arising there from. I understand that I must pay the required player fee for the 2010/2011 season on or before December 1, 2010 for my child to continue to participate in the team activities.

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Top Gun Hockey

Contact:
Peter Ferriero - 978.768.7288
Michael Vigue - 603.560.2552

info@topgunhockey.org

Send Kids Home with a Smile on their Face!