ࡱ> GIFy bjbjEE 88''7  MM8 )l~$v L#####MM;8#^MR#"@JAr^N0~d rd d h0"&B##Q0~####d   : Butler County Youth Hockey Association 2008/2009 Registration Player InformationLast Name:First NameM.I:Street Address:City:State:Zip:Home Phone #:e-mail:D.O.B:Sex: M or FFather:Cell or Work #:Mother:Cell or Work #:Guardian:Cell or Work #: Did you play for BCYHA last year? Yes / No If no, what team & association? ______________________________________ You will need a new jersey(s) this year? If new player, 3 number choices: ______ ______ ______ Please circle age group you registering for (age as of 12/31/08)? SquirtPee WeeBantam Release As parent or legal guardian of____________________________________________________, I hereby give my approval for his/her participation in any and all activities of Butler County Youth Hockey Association during the current season. I assume all risks and hazards incidental to such activities: and I do hereby waive, release, absolve, indemnify and agree to hold harmless, the Butler County Youth Hockey Association, all organizers, supervisors, participants, and persons transporting our child to and from activities, from any claim arising out of injury to said child. I will furnish a copy of a birth certificate for the above named child, when and if the officials of the Butler County Youth Hockey Association request such a certificate. I understand that injuries resulting from participation in the sport of ice hockey are not uncommon, and that my child may sustain an injury while participating in the activities sponsored by the Butler County Youth Hockey Association, or while traveling to or from these activities. In the event that either parent or legal guardian is immediately available at the time of an injury to my child, I authorize the head coach or team manager to obtain all emergency medical or dental services as recommended by the attending physician or dentist. I also agree to assume full financial responsibility for all the medical or dental services provided to my child under such circumstances. Insurance Company: _________________________________________________Policy #: _______________________ Signed: ___________________________________________________________Date: __________________________ I, __________________________________ _____________________have read and shared with my skater, spouse, skaters guardian, and family the BCYHA Codes of Conduct as posted on the BCYHA website (www.butlercountyredhawks.com), including any changes or additions. By registering with BCYHA, I, my spouse, my childs guardian, and all family members (or representatives, including nannies, babysitters, etc.) agree to abide by the BCYHA Codes of Conduct as posted on the BCYHA website, including any changes or additions. BCYHA reserves the right to change and update the BCYHA Codes of Conduct at any time; such changes apply prospectively to all participants in BCYHA, including me, immediately upon posting on the website. I also agree to pay all fees and expenses as required by BCYHA. Should I fail to pay these fees and expenses according to the fee schedule that BCYHA determines, I realize my skater will not be able to participate in any BCYHA activities until the fee payments are paid in full. I also realize that should my skaters fees and expenses not be paid in full by years end, he/she will not be able to participate in any other USA Hockey sanctioned association until all fees and expenses are paid in full to BCYHA. Signed: _____________________________________________________________Date: ________________________ $25.00 Evaluation Fee paid for in Advance by April 7, 2008 $30.00 paid the day of Evaluations. Please make checks payable to BCYHA and mail with form to: P.O. Box 593, Oxford, Ohio 45056     Check #:Amount:Date Recd: '*+/0=>QRmn~   лллбблллЧhZCJOJQJh'CJOJQJh9mCJOJQJhC!zCJOJQJh9mCJOJQJhC!zCJOJQJhC!z5CJOJQJhC!zOJQJh}CJ OJQJhVyCJ OJQJh9mCJ OJQJhC!zCJ OJQJ6'>QR]hm d$Ifgde_kd$$IfTlh*P+04 laT d$Ifgdegd9mmn~ym d$Ifgdekd$$IfTlhFX$*\ 00    4 laT~ d$Ifgde_kd@$$IfTlh*P+04 laTymm d$Ifgdekd$$IfTlhFX$*\ 00    4 laT d$Ifgderkd$$IfTlh0X*04 laTymm d$Ifgdekd $$IfTlhFX$*\ 00    4 laT d$Ifgderkd$$IfTlh0X*04 laT d$Ifgderkdv$$IfTlh0X*04 laT   A B I Q X ||| $$Ifa$gd'rkd$$IfTlh0X*04 laT  & = > B H I P Q W X Y Z b  Ķΰ||qf[qh145CJOJQJh;k5CJOJQJh9m5CJOJQJh)bCJOJQJh)bOJQJhC!zCJOJQJhC!zCJOJQJhC!zOJQJ hC!zCJ h)bCJhehVy5CJOJQJheCJOJQJhVyCJOJQJhsCJOJQJh9mCJOJQJhC!zCJOJQJh'CJOJQJ#X Y Z b `aOMMKIIIIkd$$IfTlF,\ 0    4 lapTi| !ikd$$Ifl*+  04 lap $Ifgde $Ifgd9m .>HIhiȾhC!zh'5CJOJQJh'hT&jhT&UhC!zOJQJh9mh'CJOJQJh}CJOJQJhC!zCJOJQJhC!z5CJOJQJhZ5CJOJQJhe5CJOJQJh9m5CJOJQJh145CJOJQJ $$Ifa$}{ywy{yyyyyq !kdD$$Ifl^F\ l0*\ 0    4 lal 6&P1h:p/ =!"# $%@ $$If!vh5P+#vP+:V lh0,5P+4T$$If!vh55\ 50#v#v\ #v0:V lh0,55\ 504T$$If!vh5P+#vP+:V lh0,5P+4T$$If!vh55\ 50#v#v\ #v0:V lh0,55\ 504T$$If!vh55#v#v:V lh0,554T$$If!vh55\ 50#v#v\ #v0:V lh0,55\ 504T$$If!vh55#v#v:V lh0,554T$$If!vh55#v#v:V lh0,554T$$If!vh55#v#v:V lh0,554T$$If!vh555#v:V l 0,5/ 4pT$$If!vh5+#v+:V l  05+4p $$Ifl!vh5\ 55#v\ #v#v:V l^05\ 554al^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH F@F  Heading 1$@&5OJQJ\^JDA D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List 2>@2 Title$a$5\6U6 Hyperlink >*B*ph6J@6 Subtitle$a$CJ 2B@"2 Body TextCJ4@24 Header  !4 @B4 Footer  !PK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]  8 2469  m~ X  /Xb$n8N`Zb$D'<n@0(  B S  ?D!$ =*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsplace '*+/0QR&&=>BHHPPWWXab  h'*+/0&&=>HHPPWWXZa  hY 14q6FbU)b;kVyC!z'u7}T&/PZsU9me@`*X@UnknownG*Ax Times New Roman5Symbol3. *Cx ArialA BCambria Math"1h!&.&:Ks4 4 # 42HX?}2!xxCheck NoAngieJudyOh+'0H    (08@ Check NoAngieNormalJudy5Microsoft Office Word@2~@D!le@\r@|-r4 ՜.+,0 hp|    Check No Title  !"#$&'()*+,-./012345789:;<=?@ABCDEHRoot Entry FArJData 1Table%d WordDocument88SummaryInformation(6DocumentSummaryInformation8>CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q