Registration Form
2019 Coupe Canada Cup ice hockey tournament in Montreal
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Email *
First name *
Last name *
City *
Province or State *
Country *
Mobile number
Position *
Team (or select "no team") *
I am a team captain / team leader
Player level (Your own level, not your team level) *
Saturday night Banquet *
Saturday night Banquet - Special request
T-shirt size (if ever...) *
Estimated time of arrival on Friday
Facebook: Do you follow our tournament? *
www.facebook.com/CoupeCanadaCup/        Facebook is the communication tool for the tournament, follow us and turn on notification to not miss anything
Waiver *
The undersigned is a participant of Coupe Canada ice hockey tournament, organized by Ligues sportives Les Dragons de Montreal Inc (herein referred to as “Les Dragons”), fully understanding and appreciating the inherent risks involved in the tournament, including, without limitation, the risks inherent in the sport of ice hockey, which include injury from pucks, skates and sticks, and injury from collision with persons on the ice or with the goal, the ice, training equipment or the boards and glass surrounding the rink.  For myself, my heirs and legal representative, I do hereby release, indemnify and agree to hold harmless Les Dragons and its sponsors and organizers of this tournament, and their respective officers and representatives, and all volunteers and other participants and fellow on-ice persons, of and from any and all losses, costs, damages, claims, demands, rights, and causes of action of whatever kind or nature, including any and all negligence claims or causes of action which result from illness, personal injuries, property damage, death or of any other damages or injuries occurring during or as a result of acting on behalf of Coupe Canada Cup ice hockey tournament.
Medical treatment *
I do hereby consent to and authorize Les Dragons to obtain emergency medical treatment for me if I am injured during my participation in the event.  I agree that I will be responsible for any medical costs incurred with respect to such emergency medical treatment.  I acknowledge that Les Dragons, its sponsors and organizers, and their respective officers, representatives and volunteers, from and claim or cause of action whatsoever arising out of the administration of emergency medical treatment to me.
Rules *
I agree to adhere to and abide by all safety rules and regulations of Hockey Canada, including the wearing or use of any required safety equipment or clothing. See rules page on the website.
Consent *
I authorize my photos or name to be used on any material or social media associated with Les Dragons de Montréal.
SEND YOUR PAYMENT !!!
Incomplete registration until payment is received. 1st come, 1st served. Latecomers may not have a position on a team.

Interac/Tangerine e-transfer: info@coupecanadacup.com

PAYPAL, Visa, Mastercard, click Paypal button on the website

No more spots available for guests.
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