Fun League Registration 2015 - 2016

Dofasco Women’s Hockey League Fun League Registration 2015 - 2016

“Fun League” games are held on Tuesdays at 8pm & 9:15pm and Thursdays at 9:15pm at the Dofasco Rec Park. All players involved with Dofasco Women’s Hockey MUST complete a registration form and return with payment by plant mail, dropped off at the F.H. Sherman Recreation Centre or sent by regular mail to ARCELORMITTAL DOFASCO INC. P.O. Box 2460, Hamilton, Ontario L8N 3J5, Attn: Rec Office, Women’s Hockey. Registration refunds may be requested before Oct. 1, 2015. For health reasons only, refunds may be requested prior to Nov. 1, 2015. A $100.00 non-refundable administration fee applies to all refunds. NO REFUNDS AFTER Nov. 1, 2015. There will be a $25.00 charge for NSF cheques. Once again this year you have the option of paying in two payments. Both cheques must be submitted with the registration form and registration fee must be paid in full by September 4, 2015. Fun League $350

Complete this form along with a cheque payable to the “Dofasco Women’s Hockey League” for $350.00 (**Note: Cheque(s) must accompany the registration, as payment is dated when both are submitted**)

Season Registration deadline: September 4, 2015

IF YOU ARE NEW TO OUR LEAGUE We ask that you rate your hockey skills from 1 - 5 (1 being “Beginner” and 5 being “A” Division). The league will do its best to accommodate players to promote balancing of teams.

1 2 3 4 5 Position preference (if applicable) All players complete the following section: Name: Home Phone: Home Address: Date of Birth E-mail Address: Cell # Employee Name: Perm #: CONSENT AND RELEASE

I understand that I participate(s) in these activities at my own risk and hereby release each of ArcelorMittal Dofasco Inc., F.H. Sherman Recreation & Learning Centre, and the Dofasco Women’s Hockey League from any claims of any kind for any damage to any of my property or injury to myself. In case of any medical or other emergency that may occur while I am participating in these activities, I hereby authorize ArcelorMittal Dofasco Inc., its servants and employees, to take such action as they consider appropriate, including, without limitation, providing or obtaining medical or surgical attention. I agree to indemnify each of them against any claim made by others for any act of default by me occurring, during, or arising out of my Any personal information collected, used or disclosed, is solely for the purpose of administering the Recreational Programs for you and your dependants.

Applicant’s Signature: Date:

Enclosed is cheques in the amount of $ ______to cover my registration.

For further information please feel free to contact the Dofasco Recreation Office, Cindy Lebel - President (905-664-3160) Lynnette Goodale - Treasurer (905-957-2258) or Debbie Loosemore - Secretary ([email protected]).