[email protected]
201-574-6231
HOME
U20
U16
Registration
CONTACT
HOME
U20
U16
Registration
CONTACT
[email protected]
201-574-6231
Registration
Player Registration
First Name
(Required)
Last Name
(Required)
Birth Year
(Required)
DD dash MM dash YYYY
Previous Team
(Required)
Position
(Required)
Position*
C
RW
LW
LD
RD
G
Untitled
(Required)
Shot*
R
L
Height
(Required)
Height*
5'
5' 1"
5' 2"
5' 3"
5' 4"
5' 5"
5' 6"
5' 7"
5' 8"
5' 9"
5' 10"
5' 11"
6'
6' 1"
6' 2"
6' 3"
6' 4"
6' 5"
6' 6"
6' 7"
6' 8"
6' 9"
6' 10"
6' 11"
7'
Weight
(Required)
Weight*
100
105
110
115
120
125
130
135
140
145
150
155
160
165
170
175
180
185
190
195
200
205
210
215
220
225
Phone
(Required)
Email
(Required)
Academics
High School
(Required)
GPA
(Required)
SAT/ACT
Grade Entering
(Required)
Grade Entering*
9
10
11
12
Graduate
Have you taken any AP courses prior to graduating high school?
(Required)
Yes
No
Parent(s)
Parent 1:
(Required)
Relationship
(Required)
Relationship
Father
Mother
Guardian
Mother Phone
(Required)
Parent Email 1
(Required)
Parent 2:
Relationship 2
Relationship
Mother
Father
Guardian
Father Phone
Father Email
Apparel/Jersey
Jersey:
(Required)
M
L
XL
Goalie
T-Shirt:
(Required)
M
L
XL
XXL
Shorts:
(Required)
M
L
XL
XXL
Payment
Camp
(Required)
Select Your Camp
U20
U16
Credit Card
(Required)
Cardholder Name
Card Details
Waiver
Please enter your name to acknowledge you have read and agree to terms in waiver.
Terms
Paragon Sports Consulting, LLC Paragon Sports Development, August 8-11, 2022 WAIVER AND RELEASE This injury and release of liability is required as a precondition to participation. PLEASE READ CAREFULLY For and in consideration of participant’s registration with the [Paragon Sports Consulting, LLC], [Paragon Sports Development Camp] and being allowed to participate in events and activities, the parent(s) or legal guardian(s) of participants relinquish any and all liability for and cause of action for personal injury, property damage or wrongful death occurring to participant arising out of participation in [“Paragon Sports Development Camp”], the sport of ice hockey, and/or activities incidental thereto, whenever or however they occur for such period said activities may continue, and by this agreement any such claims, rights, and causes of action that participant may have are hereby relinquished and the participant (or parent(s)/guardian(s)) does (do) so on behalf of my/our and participant’s heirs, executors, administrators and assigns. Participant and/or participant’s parent(s)/guardian(s) acknowledge, understand and assume all risks inherent in ice hockey and any activities and events, and understand that said sport and activities involve risks to participant’s person including bodily injury (including concussions), partial or total disability, paralysis, death, and damages which may arise therefrom and that I/we have full knowledge of said risks. These risks and dangers may be caused by negligence of the participant or negligence of others, including the “releases” identified below. It is further acknowledged that there may be risks and dangers not known to us or are not reasonably foreseeable at this time. Participant and/or participant’s parent(s)/guardian(s) acknowledge, understand and assume all risks, if any, arising from the conditions and use of ice hockey rinks and related premises acknowledges and understands that included within the scope of this waiver and release is any cause of action, arising from the performance, or failure to perform maintenance, inspection, supervision or control of said areas and for the failure to warn of dangerous conditions existing at said rinks, for negligent selection of certain releases, or negligent supervision of instruction by releases. Participant and/or participant’s parent(s)/guardian(s) agree if any claim for participant’s personal injury or wrongful death is commenced against releases, he/she shall defend, indemnify and save harmless releases from any and all claims or causes of action by whomever of wherever made or presented for participant’s personal injuries, property damage, or wrongful death. It is the purpose of this agreement to exempt, waive, and relieve releases from liability for personal injury, property damage, and wrongful death caused by negligence, including the negligence, if any, of releases. ‘Releasees' include [Paragon Sports Consulting, LLC], and its associates, as well as coaches, officials, and other participants and operators of the premises used to conduct any event and each of them, their officers, directors, agents and employees. Participant and/or participant’s parent(s)/guardian(s) acknowledge that they have been provided and have read the above paragraphs and have not relied upon any representations of releases, that they are fully advised of the potential dangers of ice hockey and understand these waivers and releases are necessary to allow the [Paragon Sports Development Camp] to exist in its present form. I certify that the participant is in good health and able to participate in all camp activities.
Parent Name
(Required)
Parent Date
(Required)
MM slash DD slash YYYY
Participant Name
(Required)
Participant Date
(Required)
MM slash DD slash YYYY
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