Rome Free Academy (RFA) Varsity Hockey 2012, Rome NY

SCHEDULED GAMES

HOCKEY EVENTS

Team Banquet - 4/3/2011 The RFA Hockey banquet will be held Sunday April 3rd at the Beeches from 11:00 AM - 2:00 PM. A brunc...

RFA Black Knights

Summer Youth Hockey Camp

*Denotes required field
Registration Form

Player:
*First Name:	*Last Name:
Address:
Age:
City:	State:	Zip:
School:	Grade:
Home Phone:	Cell Phone (If Applicable):
Birth Year:
Level Next Season:	Mite Squirt Pee-Wee Bantam
Last Team or Current Team:
Parents:
*First Name:	*Last Name:
Address: Same as above? If no, fill out below
Address:
City:	State:	Zip:
Home Phone:	Cell Phone (If Applicable):

Emergency Contact:
*First Name:	*Last Name:
Home Phone:	Cell Phone (If Applicable):
Any medical issues or needs that you feel we should be aware of:
Parents Consent:
I give my child permission to voluntarily participate in the RFA Hockey Booster Club summer camp. I understand that anyone who participates in any type of athletic activity in which the body is in motion or in which an object is in motion is exposing himself/herself to risk of severe injury, or even death. I understand this and will be responsible for any injury that may occur.
Parent or Guardian signature: First Name: Last Name: If submitting electronically, type in your name and it’ll be understood that you accept and agree to the Parent Consent.