2023 Atlantic 2Line Grind Team Registration
Team Registration Form
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Email *
Team Name: *
Age Division: *
Please select dates that you wish to participate in: *
Team Contact: *
First and Last Name
Phone: *
Area code required, No spaces or dashes
Team Roster: *
Please list player names and birth years. Example - Johnny Hockey (2012)

* Note: teams may dress 11 skaters and 2 goalies per game.
Agreement Acknowledgement:
I, the Participant or the parent and/or legal guardian if the Participant is a minor, understand the nature of the Program and the Participant’s physical fitness, athletic ability and experience in training.  I believe that the Participant is qualified and able to participate in the Program.  I HEREBY RELEASE AND FOREVER DISCHARGE the Releases and each of them from all liability, claims, demands, loss, damages or costs on the Participant’s  account caused or alleged to have been caused in whole or in part by the negligence or otherwise of the Releases or any of them, including but not limited to negligence in any of the Program, its associated activities, and the facilitation of access to a medical centre and/or medical attention.  If, despite this Agreement, I, the Participant, or anyone on the Participant’s behalf makes a claim against the Releases or any of them, I will indemnify, save and hold harmless the Releasees and each of them from any liability, claims, demands, loss, damages or costs which may be incurred as a result of that claim.

I HAVE READ THIS AGREEMENT.  I fully understand its terms and that I have given up substantial rights by signing it.  I have signed this Agreement freely without inducement or assurance of any kind.  I intend it to be a complete and unconditional release of all liability.  If any portion of this Agreement is invalid the remainder, notwithstanding that invalidity, shall continue in full force and effect.

IN WITNESS WHEREOF the Participant or the Parent and/or Legal Guardian if the Participant is a Minor, hereto has duly executed this Agreement as of the date and year first above written.

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