What season are you registering for? Spring 2019Summer 2019Fall 2019
Child's Name (First and last) (required)
Child's Date of Birth (required):
Child's Age (required)
Child's Gender (required):
Child’s skill level (required):
---Learning to skateCan skate - beginning hockey playerHas played hockey beforeIntermediate hockey playerAdvanced hockey player
Select Player Type (required)
New Player (First Season) - $100Returning Player - $160Sibling Discount (2nd or greater player from same family) - $145
If you need a jersey:
Custom jerseys are $25 each and include your child's last name and selected number. They come in red and blue. We ask that each player have a red and blue jersey available as their team colors may change from week to week during games. It is common for new players to purchase one color the first season and the other color the second season. If you need a jersey, please complete the following:
Quantity needed: No jerseys1 Jersey-$252 Jerseys-$50
Color: No JerseyRed JerseyBlue JerseyBoth Colors
Child's Last Name as it should be printed:
Size: Youth Small/MediumYouth Large/XLAdult SmallAdult MediumAdult Large
Desired Jersey Number:
PAYMENT OPTIONS (you will be redirected to PayPal at the end of this form to complete payment):
I will pre-pay all feesI need a monthly payment plan
Parent's Name (First and last - required)
Street Address required)
ZIP Code (required)
Your Email (required)
Contact Telephone Number (required)
WAIVER OF LIABILITY
I/we (parent(s)/guardian(s)), the undersigned, understand the risk of injury from participation in any of the activities offered by the AZ Junior Wildcats Youth Inline Hockey Club (Club) and the Tucson Indoor Sports Center (TISC) is significant and dangerous, including the possibility of serious and permanent physical injury. In consideration of the right to participation in the activities of the Club and TISC, I knowingly and freely agree to assume all such risks, and I release and agree to indemnify and hold harmless the Club (an Arizona non-profit organization), TISC (an Arizona LLC), their officers, officials, agents, employees, other participants, sponsoring agencies, sponsors, advertisers and applicable owners and lessors of premises used to conduct the activities ("Releasees"), with respect to any and all liabilities, negligence, causes of action, claims, demands, injury, disability, death or loss or damage to person or property, including reasonable attorney fees, even if arising in part from the negligence of the Releasees or otherwise, to the fullest extent permitted by law.
My child will play under control within the rules of the game, and to the best of his/her ability will avoid causing injury to himself/herself and other persons using this facility. In the event I/we are absent and my child is injured and medical treatment is deemed necessary, I agree to allow qualified personnel to provide my child with appropriate medical treatment, especially in an emergency situation (as deemed by the Club, coaches or TISC personnel). We also agree to follow all rules of the rink, including that all skaters will wear helmets at all times while wearing skates, skaters will not play with pucks outside the rink itself, and parents will monitor their children (whether players or non-players) to ensure they are not running, throwing items or causing unnecessary risk to players, spectators, etc.
Until cancelled in writing by the undersigned, this waiver applies to any game and/or event the youth player may participate in as a rostered player, a guest player, learn to skate clinics and hockey open stick.
Click this box to confirm acceptance of the above conditions
Today's Date (required):
Type Complete Name as Electronic Signature
When you click submit below, your registration information will be submitted by e-mail and you will be redirected to PayPal to complete payment (you do not need to have a PayPal account - you can use a credit or debit card).
We prefer pre-payment for the season and related fees, however we understand this is not always possible. If you need to sign up for the monthly payment plan, make sure the box payment plan box is checked above. When you get to the PayPal site, click Cancel and Return to AZ Junior Wildcats at the bottom left corner. We will send you a PayPal invoice by e-mail that you can pay. The first monthly payment is due immediately. The remaining balance will be billed in installments due the 1st of each month of the season.