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General Registration for Hasek's Heroes - All programs are Free
2024-2025
Our programs:
Learn to Skate
Learn to Play
Team Play
For more information or questions please reach out to Coach Joe Lo Tempio: Joe@haseksheroes.org
Click here to learn more about Hasek's Heroes
Child's Information
Child's First Name
*
Child's Last Name
*
Sex
*
Male
Female
Age
*
Date of Birth
*
+
Ethnicity
*
Asian
African American
Hispanic
Middle Eastern
Native American
Caucasian
Other
Allergies, Asthma, or Medical Conditions?
*
New to Hasek's Heroes
*
Yes
No
Need to Borrow Equipment
*
Yes
No
Hasek's Heroes Programs
Choose which program you are registering for?
*
Winter Learn to Skate (January-February)
Spring Learn to Skate (March-April)
Select Equipment Fitting Date
*
Thu January 2 Riverside rink 4-6pm
Fri January 3. Riverside rink 4-6pm
Equipment Fitting Date
*
Wed March 19 Riverside rink 4-6pm
Rink Preference (Check below for schedule)
*
Cazenovia Ice Rink (Gold Group)
Riverside Bud Bakewell Ice Rink (Blue Group)
no preference
Parent/Guardian's Information
First Name
*
Last Name
*
Address
*
City
*
Zip/Postal Code
*
Gross Household Income
*
less than $25,000
$25,000-$49,000
$50,000-$74,000
$75,000-$99,999
$100,000-$149,000
$150,000-$200,00
Parent/Guardian's Contact Information
Email Address
*
Phone
*
Parent/Guardian Agreement and Authorization
I, the custodial parent or guardian of the aforementioned candidate for the DHYHL hockey program hereby give my approval to his/her participation in any and all activities of this program during the 2024-2025 season. I assume all risks and hazards incidental to such participation, including transportation to and from such activities and do hereby waive, release, absolve, indemnify and agree to hold harmless the DHYHL, the organizers, supervisors, sponsors, participants and persons transporting my child to and from activities, for any claim arising out of an accident or injury to my child, except to the extent and in the event covered by accident and/ or liability insurance held by the DHYHL. I agree [give my permission for the player listed on this form] to be photographed, videotaped, or interviewed by any television, radio, newspaper, magazine, private person or group, and that the gathered material may be transmitted by electronic media or otherwise used in DHYHL published materials or in other ways for the enhancement of the DHYHL program. I have read this acknowledgement and do hereby demonstrate my understanding and agreement to abide by these guidelines by affixing my signature and the date below. Furthermore, I affirm that all the information provided on this form is true. I understand that if I knowingly give false statements, such action could be grounds for denial or dismissal from the Hasek's Heroes Program
*
By checking this box, I, the parent or legal guardian of the minor participant identified above, affirm that I have carefully read and fully understand the General Release and all of its terms and provisions as set forth above
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