SANDY MACDONALD STEP 2 LEARN TO PLAY Welcome! ICETIME SPORTS COMPLEX We thank you for choosing Mid-Hudson Civic Center Inc. Sandy MacDonald Developmental Program! Our youth hockey program offers children a chance to learn and play the great game of hockey at an affordable price in a fun, safe, and positive atmosphere. With an emphasis on skill development, teamwork, respect, sportsmanship, team camaraderie, and building life- long friendships, the youth hockey REGISTER program offers young players a great opportunity to grow, not only as TODAY! players, but as individuals as well. All players MUST be registered with USA Hockey and submit a copy of their confirmation before their first practice. Without this registration, players will not be allowed onto the ice. Visit usahockey.com to register.

Equipment

• with Full Facemask • Ice Hockey Gloves and Pants • Ice Hockey Skates and Stick • Mouth & • Elbow, Shin, & • Athletic Cup • Ice Hockey

Pricing Players (ages 5-14) $200 for 8 weeks Learn to Play Program Run by MHCC Hockey Director Jeremy Jacobus Payment Policies Payment in full due upon registration, no exceptions. Returned checks will be Icetime Sports Complex charged a fee of $40. There will be no Newburgh, NY refunds, no exceptions. Family Discount: Second family member qualifies for 10% off the lowest priced program.

Wednesdays: April 1 - May 20, 6:00pm–7:00pm Attendance Policy For safety reasons, parents are required to drop off and pick up skaters inside the building. MHCC Inc. and it’s employees do not assume responsibility for children Learn to Play Ice Hockey! participating in classes at any time. Makeups or Credits: There will be no Open to boys & girls ages 5–14! makeups or substitutions.

Sandy MacDonald Step 2: Learn to Play will teach your child the basic skills of stick-handling, Registration Information passing, and shooting through 8 one-hour les­sons. In addition, they will learn about hard-work and commitment. This program is designed for children ages 5 - 14 years old with little or no Register at: hockey experience. Each session is limited and space will be filled on a first-come, first-served basis. Icetime Sports Complex Pre-registration is required. No equipment is provided. (845) 567-0005 or Online: Please note: Mccann Ice Arena and IceTime Sports Complex follow a strict USA Hockey Zero-Tolerance policy. bit.ly/MHCCRegister For more information, contact Jeremy Jacobus @ [email protected]

ICETIME SPORTS COMPLEX | 21 LAKESIDE ROAD, NEWBURGH, NEW YORK 12550 | MIDHUDSONCIVICCENTER.ORG 2020 REGISTRATION FORM

PARTICIPANT INFO

NAME AGE DOB / /

GENDER ADDRESS

CITY STATE ZIP

PHONE # EMAIL ADDRESS

PARENTS NAME HOW DID YOU HEAR ABOUT US?

SEND FORM TO JEREMY JACOBUS AT [email protected]

STEP 2: LEARN TO PLAY $200 ❏ ICETIME SPORTS COMPLEX Starts Wednesdays April 1-May 20, 6pm - 7pm

PAYMENT INFO Please make checks payable to Mid-Hudson Civic Center Inc. MasterCard or Visa only for credit card payments.

 CARDHOLDER NAME  EXP DATE

 ACCT #  3 DIGIT SECURITY CODE

WAIVER The undersigned parent(s) or guardian(s) of the below-names minor or participant in the athletics/sports program and related events and activities at Mid-Hudson Civic Center, Inc.: 1. Acknowl- edge(s) that the participant will be engaging in activities that involve risk of injury and property damage and the undersigned agree(s) to assume all risk and responsibility in connection there- with. 2. Agree(s) to inspect the facilities and equipment and will advise the coach or supervisor of any unsafe condition and will instruct the participant to do the same and the participant will not participate until safety is restored. 3. Agree(s) to be responsible for providing the participant with protective equipment, including helmet. 4. Release(s) and discharge(s) the Mid-Hudson Civic Center, Inc., Civic Properties, Inc. and their officers, directors, employees, and agents from any and all claims, demands, actions and causes of action arising out of the activities to be engaged in by the minor, including without limitation, injuries to life, limb, or property. 5. Grants permission for the Mid-Hudson Civic Center to publish photos or videos of self and children to the website, on-line and off-line publications. I give Mid-Hudson Civic Center, Inc. the perpetual, royalty-free right to use photos or videos. No confidential member information shall be published. All photographs and video footage shall remain the sole property of MHCC, Inc. I understand that no compensation will me made for this use. In the case of a press release regard- ing a test passes or annual ice exhibition I do give permission to use my child’s full name. EQUIPMENT INFORMATION The following equipment MUST be worn at all times for Mid-Hudson Civic Center, Inc. Learn to Play Hockey: Ice with face mask, mouth guard, neck guard, elbow pads, gloves, athletic cup, shin pads, & shoulder pads. Players without the proper equipment will not be allowed to participate in on-ice events. I/WE HAVE READ THE ABOVE DISCLOSURE, WAIVER AND RELEASE AND UNDERSTAND IT AND SIGN IT VOLUNTARILY.

 SIGNATURE  DATE

 PRINT NAME