Hockey - Registration/Waiver

HOCKEY - Registration form, Waiver and T&C's

Childs Name

First Name

Last Name

Childs Date of Birth

YYYY

School Attended

Preferred Positioing

How did you hear about Sport Ready?

Player History

Line

Emergency Contact 1

All information collected will be treated as strictly confidential. Medical forms are valid for a players duration with Sport Ready. Any changes/new conditions/injuries to player must be notified in writing.

First Name

Last Name

Relationship

Emergency Contact 1 Phone

Emergency Contact 2

First Name

Last Name

Relationship

Emergency Contact 2 Phone

Line

Medical History

Have you been treated for any health conditions in the last year? If yes, please describe below:

Sports Injuries

Please provide details of any injuries that have been sustained in the last 2 years. For each injury, please state the type of injury (e.g. dislocation, strain, tear, fracture etc) approximate date of injury and treatment received or ongoing (e.g. surgery, physio etc).

Pre-existing conditions

Certain medical conditions or previous injuries may influence your ability to participate in sport. Examples of these include, but are not limited to, Asthma, Diabetes, Epilepsy, Spinal Injuries, Arthritis. Do you have any conditions that you, in consultation with your doctor, consider appropriate to notify Sport Ready of prior to commencement of the program? If yes, please describe below:

Medical Release

I hereby declare the above information is correct and authorise Sport Ready and it's employees to act on my behalf should I require medical attention. I hereby release Sport Ready from all/any liability for any injury I/my child incur through participation in their programs. I give permission for any photographs/videoing taken of myself to be used by Sport Ready for archival, educational and promotional purposes only. I agree to notify Sport Ready if any of the above information changes.

Terms & Conditions

(T&Cs link below)

I agree to the Sport Ready terms and conditions.