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North Shore Shamrocks
Youth Hockey the way it was meant to be... North Shore Shamrocks
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Online Tryout Registration 2017-2018

2017-18 Tryout Application

Player's Name *
Date of Birth *
Parent's Name *
Email *
Address *
City *
State/Zip *
Telephone *
Alt Email
Hockey Information
Position(s) *



Level *
(Ex: Mite, Squirt, etc.)
Height *
Current Team *
Medical Information
Personal Physician
Telephone
Billing Address 
Billing Address *
Billing City *
Billing State/Zip *
Payment
Amount
$65.00
Payment Method *
     
Name on Card *
Card Number *
Expiration Date *
Waiver
Release of Liability/Acknowledgement of Risk
I/we acknowledge that ice hockey is a contact sport and there is a potential for injury. Participating or observing in the North Shore Shamrocks may constitute serious injury, including death and/or permanent paralysis. I/we fully understand the risk and release the North Shore Shamrocks, it's owners, event organizers, coaches, referees, affiliates, sponsors, and ice arena/facilities from any liability (both financial and otherwise) that may be associated with participation or injury.
Signature *
 
EHFMike Boyle Strength & ConditioningUSA HockeyEMHL
Look like a pro  -  Practice like a pro  -  Train like a pro  -  Practice where the pros train.