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Box 731 Westwood, MA 02090 2007 2008 Program Year Registration Players Full Name _________________________________________ Date of Birth ______________________ Address _________________________________________ ( The above date of birth is for this child _________________________________________ Last Seasons Team ___________________ MANDITORY EMAIL ADDRESS REQUIRED (please write it twice and print clearly): EMAIL ________________________________________________ @ ___________________________________________ EMAIL ________________________________________________ @ ___________________________________________ Evening Phone: _________________________________ Daytime Phone: ____________________________________ Cell Phone: _______________________________________ Gender ( Male ( Female / U.S. Citizen? ( Yes ( No Mothers Name (or guardian)__________________________ Fathers Name (or guardian)_______________________________ I hereby give permission for _________________________________ to participate in the Westwood Youth Hockey Program and all related activities. Recognizing the volunteer status of those who supervise my childs participation, I agree to hold harmless the Westwood Youth Hockey Association, Inc., its officers, directors, coaches, referees, and other affiliated participants from and against any and all loss, damage, cost, charges, expenses and liabilities and any suits, claims, and causes of action, which any of them may sustain or incur by reason of an injury to my child, or any loss or damage to property, which are in any way connected with my childs participation in the Westwood Youth Hockey Program. The Registration Deposit for 2007/08 is $250.00 plus a $15 per player, $30 family maximum administrative fee. I understand that the $250 registration deposit is non-refundable, and will be deducted from the total hockey fees for the season. For girls division only, if you select registration for a girls team only and are not placed on a girls team, you will be refunded the $250.00 deposit. Otherwise, the $250.00 deposit is nonrefundable. Level for 2007-2008 Season P L E A S E C H E C K O N E B O X Mite ( Squirt ( Pee Wee ( Bantam ( Midget Girls Division: ( Girls 19 &U ( Girls 14 & U ( Girls 12 & U ( Girls 10 & U ( I will play on a girls team only ( I will play on any team I understand that Hockey Fees for the 2007-2008 season have not yet been established and are presently estimated. WYH anticipates no more than a 10-15% increase as follows: Mites, Squirts, Pee Wee and Bantams Estimated Fee Schedule $1,125 Includes $250 (nonrefundable deposit) plus $15 administrative fee, $30 family max is due at registration Payment Plans---please circle one: One Payment----- due on August 1st TBD (approx. $875) Three equal payments -----TBD (approx $292) due the following dates: 1st Installment due July 1st 2nd Installment due August 1st 3rd Installment due September 1st I understand that Westwood Youth Hockey is an organization run by volunteers dedicated to the skill and team development of its players. I understand that team practices are an important part of my players enjoyment of and benefit from Westwood Youth Hockey activities. I understand that excessive absenteeism from practices and games dilutes my childs benefits and can impact the success and enjoyment that his/her teammates get from the program. I understand that Westwood Youth Hockey Association, Inc. expects children with excessive conflicts with other sporting commitments will resolve those conflicts fairly between their Westwood Youth Hockey commitments and their other obligations. I understand that Westwood Youth Hockey Association coaches reserve the right to allocate playing time and to restrict or suspend ice privileges of players excessively missing team practice or game commitments. I ACKNOWLEDGE THAT I HAVE RECEIVED AND REVIEWED A COPY OF WYH POLICIES AND PROCEDURES AND CODE OF CONDUCT WHICH OUTLINES, AMONG OTHER THINGS, WYHS HOCKEY FEE SCHEDULE, PAYMENT SCHEDULE, LATE AND/OR NONPAYMENT PENALTIES, HOCKEY FEE REFUND POLICY, CODE OF CONDUCT AND DISCIPLINE POLICY AND PROCEDURE, AND I AGREE TO ABIDE BY THE TERMS AND CONDITIONS SET FORTH THEREIN. ___________________________ __________________________________________________ Date Parent or guardian signature Rev. 3/5/07 9;$p./56PQXY [ \  !12FGstK56CJmH sH  5>*CJ5CJ>*CJCJ j j55CJ$OJQJ 5OJQJ55CJj#G UVmHnHuB* OJQJphjB* OJQJUph@$%op$ Ta$$a$$ Ta$D$$Ifl0[|)!"4 la $$Ifa$ $$Ifa$"#_` [ BC`$`a$$&dP`a$$ & Fa$$^a$$a$UW!#%&'#'CJ 5>*CJ5CJCJH*5H*53kn%&'w ^`$`a$$a$ / =!@"@# $%DdxxB  S A? bk%D~UsoGD+n?%D~UsoPNG  IHDRxxgAMAPLTE3yD Wc   * !!$"!$''*9(5**333G56 7U7":::B=:EAABB0]H+ I)HIIJ!VKLM)SSS"T;gT2jW?vX2`[Y#a@ebUtdK7fNfffnfsphhui[k>pNsrqGsZtGzvqzZ|KE}a~~|~uZk\N_nl|N^t_hLQms̙fycYašqŭrиҹӿƼӮؿVN[ pHYs:PDIDATxZsX%l\ʇya:SXxIJ͖ؓU@v DAxRoፒ2 @vWt ox Ko:v4^.om,o$L*Fevf!N)!=inkH?=97,!ex |nVDr#|¶O&:@W7B+f%U_Iluz{`}9q#_:dNTBѰLo씉C=p8Ggw9 d2-~Ҹo~ݎ'(E'srI5{L:͑ux=:_G/CU阅Jj]kfu.'kEs ۮɊ?jWG+$ );1ɯ` *ۯl-+IN=[:(Q1uEiWVHӬ4nbٵ;&f(+6WjnDe]ǫ"y좯C"'ຮ72n)jIWוC8+ ޴Gxܨ ie[;?n9"Dj}}OiWY苂j\WH6i| |8#uu8) p1Tj}Ӑto  "苌1ؚ- wpGLcAˠrҔ[SfRx“Df O[,wgWU5 y#JjӉ-[x̀al7E[F!o^~j?w/5u34 Ж Dva)bG01ʄC?tEUDۆ x6&ӣ9.3JG]Hqׇ|GQj$+aϔxg:՟[4U(EeTlC/xh 3Pg.k6 :?FPVS uȤ@DbpMhj.$o!fWY`EY>*EZOэ\J'jBrQd_vn|~dzi1^CɈjAMh躈R7n2 J(ԠiDA tF!z F@G}t_f$q<g#q2Z0u ܒ;)+OJ‚v`63 /59i=IQ+_#GUuQ5z<T-tߚ0ͷvVM$,\ IG֓=%RfKLV$f9Z究2xn.L*Na2 d8`]5N褭1;VAr>\Y1ZI^ HG|/fK4B6,`ٌܱÚ2`J&? 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