Date of Birth
Camp location that I am registering for
Sherwood Park, Alberta
Langley, British Columbia
Unable to attend a Tryout Camp
Please tell us why you are unable to attend the tryout.
Teams I wish to be considered for. You may select more than 1.
Veteran's World Cup in Italy (Men 45+) 1972 birth year & older
Master's World Cup in Italy (Men 37+) 1979 birth year & older
World Games in Poland (Sr Men) 1999 birth year & older
Roller Games in China (Sr Men) 1999 birth year & older
Roller Games in China (Jr Men) 2001 birth year & older
Roller Games in China (Sr Women) 2001 birth year & older
Roller Games in China (Jr Women) 2003 birth year & older
AAU California (08U) 2008 & 2009 birth years
AAU California (10U) 2006 & 2007 birth years
AAU California (12U) 2004 & 2005 birth years
AAU California (14U) 2002 & 2003 birth years
AAU California (16U) 2000 & 2001 birth years
AAU California (18U) 1998 & 1999 birth years
AAU California (23U) 1997, 1996, 1995, 1994 & 1993 birth years
AAU California (Sr Men) 1999 birth year & older
AAU California (Masters Men 35+) 1982 birth year & older
AAU California (Jr & Sr Women) 2003 birth year & older
Email Address of Player
Phone Number of Player
Newfoundland & Labrador
Prince Edward Island
Name of a Parent / Guardian (If minor)
Phone Number of a Parent / Guardian (If minor)
Email Address of a Parent / Guardian (If minor)
Tell Us About Your Hockey Background (Ice and Inline Hockey)
Please provide any online links and references to support your hockey background. Please also include any names and phone numbers of coaches / other who can support your hockey resume.
Tryout Release & Waiver
I hereby acknowledge and agree that in consideration of being able to participate in the Canada Inline tryouts, games, exhibitions, tournaments, performances, programs or activities organized. Operated or sanctioned by the Canada Inline and in consideration of the time, effort and money expended by the Canada Inline in organizing, operating, or sanctioning such programs or activities and for other good and valuable consideration the receipt of which is hereby acknowledged:
1. I do hereby RELEASE the Canada Inline; its' officers, directors, employees, contractors, servants, agents, and members from all claims, damages, causes of action or any recourse whatsoever. In respect of all personal injuries or damage to property which may occur while attending or participating in Canada Inline tryouts, games, exhibitions, tournaments, performances, programs and activities and do DISCHARGE those parties from any and all such liability.
2. I do hereby acknowledge and agree that the sport of roller hockey and its programs and activities are by their nature RISKY and HAZARDOUS and I ACCEPT ALL PERSONAL RESPONSIBILITY for those risks and hazards notwithstanding that any personal injury or loss of property which may incur is due to the negligence of the Canada Inline or any of its officers, directors, employees, contractors, servants, agents, and members.
3. I do hereby acknowledge and agree that notwithstanding the generality of the foregoing I declare that I will not commence litigation or otherwise recover damages or other compensation for personal injury or loss of property against any of the parties named herein based on any claim, damages, causes of action or any recourse whatsoever arising out of games, exhibitions, tournaments, performances, programs, and activities organized, operated or sanctioned by the Canada Inline as a COMPLETE DEFENSE to any and all claims, damages, causes of action, or recourse or liability which may arise at any time.
4. GRANT to CANADA INLINE, without further compensation, the unrestricted right to publish, in its discretion, my name, photograph, portrait, likeness, voice and any film rendering or tape recording of me for advertising and promotional purposes in connection with the CANADA INLINE / INLINE HOCKEY in any form of publication or display including, without limitation, newspapers and other print publications, radio and television broadcasts, film releases and interactive media worldwide;
I have carefully read this release and waiver, which I fully understand, and I am freely and voluntarily acknowledging and accepting it. I expressly acknowledge that I have the option of not participating in the games, exhibitions, tournaments, programs, or activities organized or sanctioned by the Canada Inline but do so upon the terms and conditions set out above.
I have read, accept and agree to the above Tryout Waiver & Release.
By entering my name above, not only am I confirming that I have read, accept and agree to the Tryout Waiver & Release, but I am also confirming that I am either 18 years of age and older or I am a parent and am accepting and agreeing on behalf of my son or daughter.
Early Bird Tryout Fee ($65) until April 15th, 2017. After April 15th, registration will be $85
$ 65.00 CAD
$ 0.00 CAD
Email address linked up or associated with PayPal
What is the email address linked up or associated with the PayPal account you are using to pay with? (This is for accounting purposes so we can cross reference players payments)
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