Player Registration Form - 6U Winter 2018 Registration


SEASON TO BEGIN JANUARY 13TH. PLEASE REGISTER ASAP!

The Temecula Valley Inline Hockey Association (TVIHA) welcomes any and all skaters, 6 years or younger, to join our fun, age appropriate division.  All player registrations will need to be submitted using this TVIHA online registration form. Credit card payments can be made online at the time of registration.


If you are registering a player new to TVIHA, please email their birth certificate to registration@tviha.com.
REGISTRATION FEES:

AGE DIVISION:

- 6U

$45 per player




Registration fee includes:

-Four (4) Saturday sessions, from 8:00am to 9:30am
(Sessions to begin on January 13, 2018, and complete on February 10, 2018. Any rainouts will be made up at the end of the session.
-A TVIHA pre-numbered jersey, a hockey related notebook and a participation t-shirt.

DISCOUNTS:
INSURANCE REQUIREMENTS:
All new players and new coaches are required to obtain AAU Membership Insurance valid until 8/31/2018 before they will be allowed on the rink or bench, for games or practices.

NO EXCEPTIONS!!!

To obtain this insurance, go to www.aausports.org 
a). log on as a guest, or b). create an account, or c). log on as a member

Yearly cost is $14 for youth athletes regular membership and $16 for the Non-Athlete (coaches) regular membership. Memberships are to be renewed every August.



When purchasing membership/insurance please enter Club Code WYW4YC.
JERSEY ORDERS:
TVIHA will not be responsible for replacing jerseys if the wrong size was ordered.

PLAYER INFORMATION
PARENT/GUARDIAN #1
PARENT/GUARDIAN #2
MEDICAL/EMERGENCY CONTACT INFORMATION

LIABILITY WAIVER

Temecula Valley Inline Hockey Association (TVIHA)
Release, Acknowledgement of Risks and Indemnity Agreement


I, the legal guardian, or person being of 18 or older in age of the TVIHA player who is under 18, in consideration of the services of TVIHA at any Elected Locations, its event proprietors, officers, affiliates, directors, members, managers, agents, employees, coaches, representatives, volunteers, and assigns all such others being herein collectively referred to as “Releasees”, the rate charged those services, and the right to engage in this activity as a participant and/or volunteer, hereby acknowledge, agree, promise and covenant with Releasees on behalf of myself, and my heirs, successors, assigns, personal representatives and estate as follows:

I understand and acknowledge that the activity I am about to voluntarily engage in as a participant or spectator bears certain known risks and unanticipated risk which could result in INJURY, DEATH, PHYSICAL OR MENTAL ILLNESS OR DISEASE, OR DAMAGE to myself, to my property, to spectators or to third parties. I understand and acknowledge those risks may result in personal claims against Releasees, or claims against me by spectators or other third parties. These risks include but are in no way limited to the following (1) the risks which are inherent in the activities of roller hockey, roller skating, practices, and hockey tournaments, events and competitions; (2) the acts, omissions or negligence in any degree of Releasees, or their agents or employees; (3) latent or apparent defects or conditions in equipment, property or facility provided by Releasees or their agents or employees; (4) physical contact with other participants, players, or competitors, whether or not such contact is intentional or unintentional; (5) my own physical condition, or lack thereof, and my own acts or omissions; (6) first aid, emergency treatment, or other services rendered or failed to be rendered by Releasees, or their agents or employees/volunteers; and (7) risks of contact by equipment, pucks or other components utilized by other participants, layers or competitors. I UNDERSTAND AND ACKNOWLEDGE that the above list is not complete or exhaustive, and that other risks known or unknown, identified or unidentified, anticipated or unanticipated, may also result in injury, death, illness, disease or damage to myself, to my property, or to spectators or other third parties.

I voluntarily agree, covenant and promise to accept and assume all responsibilities and risks of injury, death, illness, disease or damage to myself or to my property arising from participation in this activity. I expressly agree, covenant and promise to accept and assume all responsibility and risk for injury, death illness, disease, or damage to spectators or other third parties and their property arising from my participation in this activity. My participation in this activity is purely voluntary. No one is forcing me to participate in spite of the risks.

I voluntarily release and forever discharge and covenant not to sue Releasees and their agents and employees/volunteers and all other persons or entities affiliated therewith, from any and all injury, death, illness, disease and damage to myself or to my property.

I further agree, promise and covenant to hold harmless and to indemnify Releasees and their agents and employees/volunteers, and all other persons or entities related thereto, from all defense cost, including attorneys’ fees, and from any other costs incurred in connection with claims for bodily injury or property damage which I may negligently or intentionally cause to spectators or other third parties in the course of my participation in this activity.

The releases extended in this document are general releases. I am aware of the provisions of California Civil Code Section 1542, which reads as follows: “A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which is known by him must have materially affected his settlement with the debtor.” I hereby expressly waive all the benefits of Section 1542 and any other similar law of any jurisdiction.

I further agree, promise and covenant not to sue, assert or otherwise maintain or assert any claim against Releasees or their agents or employees/volunteers, and all other persons or entities, for any injury, death, illness or disease, or damage to myself or my property, arising from or connected with my participation in this activity or from any claims asserted against me by spectators or other third parties. In agreeing to this document, I fully recognize that if anyone is hurt or dies or property is damaged while I am engaged in this activity, I will have no right to make a claim or file a lawsuit against Releasees or their officers, agents, or employees/volunteers, even if they or any of them negligently caused the death, bodily injury or property damage.

I understand and acknowledge that by agreeing to this document I have given up certain legal rights and/or possible claims which I might otherwise assert or maintain against Releasees or their agents or employees/volunteers, and any other persons or entities, including but not limited to rights arising from other claims for the acts or omissions, fault or negligence in any degree of Releasees and their agents or employees/volunteers, and all other persons or entities. I understand and acknowledge that by agreeing to this document, I have assumed responsibility and legal liability for the claims or other legal demands, including defense costs, which may be asserted by spectators or other third parties against me as a result of my participation in this activity.

I understand and acknowledge that no major medical insurance benefits will be provided to me during this activity other than by and through the insurance provided by the insurer of TVIHA. Purchase of this insurance is required prior to participation in any activity associated with the facility operated by its Releasees, agents and employees/volunteers. If, for any reason, I have not purchased the mandatory insurance, I certify that I have sufficient health, accident, and personal liability insurance to cover any bodily injury, property damage, or disablement I may incur while participating in this activity, and to cover bodily injury or property damaged caused to a third party as a result of my participation in this activity. I certify that I am capable of personally paying for any and all expenses, damages, or liabilities what are not covered b insurance. I further acknowledge that I am in good physical and mental health, and not suffering from any condition, disease, or disablement, which would or could potentially affect participation in the activity, or otherwise cause harm or injury to myself or any other person.

I, the participant or legal guardian of participant will comply with all TVIHA equipment requirements involving “any” hockey activity and wear the following: an approved helmet with strap and full face shield, a mouth guard, elbow pads, jersey, shoulder pads/chest protector, gloves, protective cup, pants, knee/shin pads, hockey inline skates with no exposed bolts, and proper hockey stick. If a player is injured and is not wearing all the required equipment, the insurance may not be in effect to cover the claim.

General Stipulations: (A) All participants must pay in full, prior to start date. (B) TVIHA, its subsidiaries and affiliates reserve the right to change the start date and times. (C) Cancellation period applies “only” prior to start date of the program and no refunds will be considered after that period. No refunds will be allowed for registration and membership fees. (D)There will be no credit or refund for absences. (E) A Non Sufficient Funds check requires immediate reimbursement or cancellation of registration. (F) TVIHA cannot be responsible for any lost or stolen property.

I hereby permit TVIHA and any subsidiary or affiliate which operates the league in which the undersigned engages in recreation activity and their respective employees/volunteers, agents, and representatives to authorize any medical treatment for me in the event of an emergency.

I (we), the participant or the legal guardians of the participant who is a minor, do hereby authorize and consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable and rendered under the general or special supervision of any member of the medical staff or emergency staff licensed under the provisions of the Medical Practice Act and on the staff of any accredited general hospital holding a current license to operate as a hospital in the state of California. It is understood that this authorization, given in advance of any specific diagnosis, treatment or hospital care being required, is given to provide the authority and power to render care which the aforementioned physician in the exercise of his or her own best judgment may deem advisable. It is understood that an effort shall be made to contact the legal guardian of the participant prior to rendering treatment to the patient, but that none of the above treatment will be withheld if the participant’s legal guardians cannot be reached.

I agree to full permission to TVIHA, its subsidiaries and affiliates to use any photographs, video tapes, pictures, or recording of any practice or league game activity for promotional or instructional or general viewing purposes.

I understand that this entire agreement between the participant, legal guardians of participant and the Releasees and their agents and employees/volunteers, and that it can not be modified or changed in any way by the representations or statement of Releaseees or any employee/volunteer or agent of Releasees, or by the participants or legal guardians of the participants and is valid and effective for each and every activity and session in which the agreeing participates at any facility operated by TVIHA, its subsidiaries and/or affiliates.


SPECTATORS CODE OF CONDUCT

1) All spectators shall abide by TVIHA’s zero tolerance policy.
2) Spectators shall refrain from climbing, standing and/or hanging from the boards or fences. Spectators shall refrain from exhibiting any type of disruptive behavior before, during or after the game, including verbally abusing game officials, coaches, or players. A bench minor penalty may be assessed to a team whose spectators violate the above rules.
3) The TVIHA Board Member of Duty shall have the authority to suspend a spectator from further participation if the spectator does not stop their disruptive behavior.
4) All non-player suspensions are from the entire rink and parking areas and will be enforced by the TVIHA Board Member on Duty. Any violation may increase the length of the suspension.
D. CALIFORNIA PENAL CODE SECTION 243.8 P.C. 243.8. BATTERING A SPORTS OFFICIAL
When a battery is committed against a sports official immediately prior to, during, or immediately following an interscholastic, intercollegiate, or any other organized amateur or professional athletic contest in which the sports official is participating, and the person who commits the offense knows or reasonably should know that the victim is engaged in the performance of his or her duties, the offense shall be punishable by a fine not exceeding two thousand dollars ($2000), or by imprisonment in the county jail not exceeding one year, or by both that fine and imprisonment.
For purposes of this section, “sports official” means any individual who serves as a referee, umpire, linesman, or who serves in a similar capacity but may be known by a different title or name and is duly registered by, or a member of, a local, state, regional, or national organization engaged in part in providing education and training to sports officials.

* required


Payments Accepted By

Note: Credit Card information can be entered once this form is submitted