CCM Selects - Player Profile (Girls)

OFFICIAL PLAYER PROFILE FORM

PLAYER INFORMATION

Player Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Birth Date*

Email

Phone

Primary Position*

Forward
Defense
Fwd/Def
Goal

School Grade*

School GPA*

ACT Score

SAT Score

Current Team*

Current Head Coach*

Other Hockey References

Strength as a Hockey Player*

Who is the best player you played against this season and which team does he play for:

Player

Team

PARENT / GUARDIAN INFORMATION

PARENT / GUARDIAN #1*

#1 Name

#1 Email*

#1 Phone*

PARENT / GUARDIAN #2

#2 Name

#2 Email

#2 Phone

LIABILITY AND ASSUMPTION OF RISK AGREEMENT

CLICK TO OPEN:

(YOU MUST READ)

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

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 Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

Parent / Guardian Signature*

Date*