Floorball @ The Edge | Adult & Youth Allen Community Ice Rink (ACIR) Floorball is a fun, inexpensive, fast-paced variation of the sport of ice hockey. A game that promotes end-to- end plays with quick transitions and fluid game play, floorball further develops a hockey player’s stick handling, eye-hand coordination, defensive awareness, body positioning, agility and hockey sense. The rules stress the importance of safety and sportsmanship and are designed to limit the chance of injury without decreasing the speed or skill of the game. Floorball players do not wear any protective equipment – only a stick, t-shirt, shorts and athletic shoes are required. Players may wear protective eyewear but it is not mandatory. Offered by Allen Community Ice Rink, the floorball program will include seven (7) 60-minute game sessions (July 28 – September 15) to be played outdoors on the East Rink at The Edge (201 E. St. Mary Allen, TX 75002). The cost of the 7 session program is only $35 per player. Youth sessions, open to players’ age 5 to 14 years will be held from 6:30 – 7:30 p.m. on Monday evenings. Youth games could be played cross-rink, half-rink or full rink. First session is Monday, July 28. Adult sessions, open to players’ age 15 years and older will be held from 7:30 – 8:30 p.m. on Monday evenings. Adult games could be played cross-rink, half-rink or full rink. First session is Monday, July 28. Floorball players do not wear any protective equipment – only a floorball stick, t-shirt, shorts and athletic shoes are required. Players may wear protective eyewear but it is not mandatory. Registration will open on Tuesday, July 8 and is first come, first served. Registration will be limited to 30 youth (5 – 14 years) and 30 adult (15+ years) and could close early by age division. Registration deadline is Friday, July 25. Please complete and submit a separate registration form / waiver for each individual. To register, please bring your completed registration form / waiver directly to the ACIR Customer Service Desk, email it to [email protected] or fax it to 972.678.4664. Get 10% OFF Regular-Priced Floorball Equipment And Accessories at FloorballPlanet.com! Enter the coupon code ALLEN at checkout to receive the discount. Floorball | Adult & Youth – Official Registration Form Please complete a separate registration form for each participant Player Name:____________________________________ DOB: ____________ Age:________ Gender: M or F Address:______________________________________________ City:______________ Zip Code:___________ Parent/Guardian:____________________________________Relationship:_____________________________ Phone #: _____________________ Email Address: ________________________________________________ How did you hear about our program? __________________________________________________________ Age Division (circle one): Youth (5 – 14 years) Adult (15 years+) Payment: $_____________ (CONTINUED ON BACK – 2 PAGES) Allen Community Ice Rink | 200 E. Stacy #1350 Allen, TX 75002 | 972.912.1097 [email protected] | www.cityofallen.org/acir Floorball @ The Edge | Adult & Youth Allen Community Ice Rink (ACIR) ALLEN COMMUNITY ICE RINK PARTICIPATION AGREEMENT, RELEASE OF LIABILITY, AND WAIVER OF CLAIMS AND ASSUMPTION OF RISK BY SIGNING THIS DOCUMENT YOU ARE WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. For and in consideration of my/our participation in the programs, membership and activities offered by the City of Allen, I hereby agree to release, acquit, hold harmless, forever discharge and waive any and all claims that I/we may have against the City of Allen, its officials, officers, agents, representatives, employees, and volunteers in whole or in part, in both their private and public capacities (hereinafter collectively referred to as “releases”) from any and all actions, causes of actions, claim, demands, damages, lawsuits, costs, loss of services, expenses and compensation, whether known or unknown, on account of, or in any way arising out of or connected in any manner with my/our participation in the activities, including, but not limited to, liability, damages, injury (including death), property damage, legal fees and/or costs caused by or related to any negligent or intentional act of release. I further agree pictures taken of me and/or the registrant during the activities may be used by the City for promotional purposes in the Activity Guide, brochures, flyers, news releases or the City website. __________________________________________________________________________________ ___________________________________ __________________ Signature of Participant Date ___________________________________ __________________ Signature of Parent/Guardian if Minor is present Date STAFF USE ONLY DATE:____________ TIME:____________ Allen Community Ice Rink | 200 E. Stacy #1350 Allen, TX 75002 | 972.912.1097 [email protected] | www.cityofallen.org/acir .