coedregistration

2021 Puck Cancer CO-ED Registration
Contact us at puckcancer.coed@gmail.com with questions.

* Indicates required field

Team Name *

Team Contact *

Contact Email *

Team Fundraising Page? *

Team City/St *

Jersey Colors *

Division *

COED C2 COED C3 COED D

ROSTER
Add Player Names below OR upload your roster. Rosters will be due June 15, 2020.

Upload Roster *

Max file size: 20MB

Goalie Name *

Player 1 *

Player 2 *

Player 3 *

Player 4 *

Player 5 *

Player 6 *

Player 7 *

Player 8 *

Player 9 *

Player 10 *

Player 11 *

Player 12 *

Player 13 *

Player 14 *

Player 15 *

Player 16 *

Player 17 *

Player 18 *

Comments & Addtional Info *

WAIVER OF LIABILITY
As Team Representative, I release Puck Cancer, Fox Valley Ice Arena and other event venues including tournament supporters, staff, officials and volunteers from any liabilities of any nature whatsoever for any loss, damage, expense or injury, including death which may be suffered, directly or indirectly by a team player, team coach, team official or team invitee if any arising in connection with participation in or attendance at the tournament. I am aware that photographs will be taken during Puck Cancer events and may be displayed on Puck Cancer Website and will be available for tournament participants.

Team Rep Name (First & Last) *

Date *

Submit