Registration Details

2017 Dippin Dot Div 5 Goalie
Spring Hockey Division 5 Goalie
Leisure Rinks
Session Starts
April 1, 2017
Session Ends
August 6, 2017
Tuition Fee
Minimum Deposit Fee
Pay in full price

General Information

Your Payment
Player Name
Player Birthdate
Player Sex

Additional Information


This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the releases, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless Broadway Rinks Limited Partnership DBA as Holiday Twin Rinks, & Leisure Rinks Southtowns, Inc. from any and all liability incidents to my child’s involvement or participation in these programs, EVEN IF ARISING FROM THE NEGLIGENCE OF BROADWAY RINKS LIMITED PARTNERSHIP DBA HOLIDAY TWIN RINKS OR LEISURE RINKS SOUTHTOWNS, to the fullest extent provided by law. I also give HOLIDAY TWIN RINKS or LEISURE RINKS permission to obtain emergency medical treatment should it be necessary and a parent or guardian cannot be reached.