Player Name *

First Name

Last Name

Player Date of Birth *

MM

DD

YYYY

Player Skill Level

Beginner

Intermediate

Advanced

Primary Contact *

The primary caregiver/contact for the player.

First Name

Last Name

Primary Contact Phone *

(###)

###

####

Other Contact Name

First Name

Last Name

Other Contact Phone

(###)

###

####

Permission to Photograph *

We take photos and video during practices, games and get togethers and share them on our social media feeds, with ASHA, the NHL and others to help share why special hockey is so great. We need your permission to use those images and videos.

Yes

No

Agreement to Consent to Treat, Waiver of Liability and Ice Dogs Policies *

I have read and agree to the terms of the Consent to Treat, Waiver of Liability, which includes the COVID-19 Waiver, and the Ice Dogs Policies.

Yes

Terms of Use *

I have read, understand and accept the Washington Ice Dogs Terms of Use, Privacy Statement and Children’s Privacy Statement governing use of the Washington Ice Dogs websites. (This must be changed to Washington Ice Dogs and Terms and Privacy Statements must be changed also.) I confirm that I am 13 years of age or older. All this means is that you know we take your privacy and the information that you're giving us very seriously and we do everything in our power to protect it.

Yes