One Goal Registration - 2023
When: 5 Days w/ 2 groups (9/10, 9/17, 9/24, 10/1, 10/8...Group 1 12:15pm-1:00pm Group 2 1:00pm-1:45pm)
Who: 4 years old as of 6/1/2023 to going into 3rd Grade (Boys and Girls who have not played association hockey before
Cost: $40
Included: Jersey and Stick to Keep! 
Need: Hockey Equipment (Helmet, Skates, Chest Pad, elbow pads, shin pads, breezers, support cup) 
You can rent equipment for the season (We do not provide Skates, Support Cup and have limited Helmets).
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Email *
Skaters First Name *
Skaters Last Name *
Skaters Birthday *
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DD
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Parent First & Last Name *
Parent Email *
Parent Cell Number *
Has your skater been on the ice before?  *
Does your skater need to rent Equipment? (if Yes, you will be notified of equipment rental time closer to first day). *
Do you have a helmet?  *
What size Tshirt do they wear?  *
What Group do you prefer (I can't guarantee it, but will try)  *
Select Payment Option:  *
Waiver for One Goal Program: In consideration of being allowed to participate in the  One Goal events, the undersigned acknowledges, appreciates, and agrees that:1. The risk of injury from ice skating at One Goal  is significant, including possibility of permanent paralysis and death, and while equipment may reduce the risk, this risk still exists; and,2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS , both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and,3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such hazard to the attention of the nearest official immediately; and,4. I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, HEREBY RELEASE AND HOLD HARMLESS the Buffalo Youth Hockey Association Association, the Buffalo Civic Center, City of Buffalo, their officers, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lesser of premises used to conduct the  One Goal  events, (RELEASES), WITH RESPECT TO ANYAND ALL INJURIES, DISABILITY, DEATH, or loss or damage to person(s) or property, WHETHER CAUSED BY NEGLIGENCE OF RELEASES OR OTHERWISE.I HAVE READ THIS RELEASE OF LIABILITY AGREEMENT, I FULLY UNDERSTAND ITSTERMS, I FULLY UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BYSIGNING IT, AND SIGN IT FREELY AND VOLUNTARYILY WITHOUT ANY INDUCEMENT.  FOR PARTICIPANTS UNER THE AGE OF 18This is to certify that I, as a parent/guardian with legal responsibility for this participant, do consent to his/her release as provided above all the releases, release and agree to indemnify the Releases from any and all liabilities incident to my minor child’s involvement in the One Goal events *
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A copy of your responses will be emailed to the address you provided.
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