Mighty Duck Release Waiver and Application

I hereby absolve Hockeytown USA, it's owners and instructors from all liability for injuries to these registered persons during these sessions. I hereby attest that the applicant is in good health and able to participate in physical activity of a vigorous athletic activity. It is also my decision to have my child wear a helmet with or without a face mask. I understand that helmets with face masks are highly recommended by Hockeytown USA and it's instructors.

Parent or Guardian Signature

___________________________________

Date _______________________________
 

I do wish to rent:  ___ Skates   ____ Shoe size   -   ___ Helmet

for these sessions and will bring my child to be fitted at least five days before the first session.
 

Student Name ___________________________________________

Address ________________________________________________

City _____________________________ Zip ________________

Home Phone ___________________________ Birth Date ___________________

Email ________________________________________________________

Experience (if any) ___________________________________________________


Ages 3-6 Pre-School
 

Beginner Skater
Skates (single blade only)
Helmets
Mittens or Gloves
Beginner Hockey
Helmet w/ face mask
Shin Pads
Hockey gloves and sticks

Snow Date Policy:
Any Mondays cancelled due to weather will be made up on Wednesdays of that week at the same times.  Tuesdays will be made up on Thursdays.

Please Select Which Group:   (circle choice)
 


Mducks00.jpg (10147 bytes)

  FALL SESSION  I
 
  • Sept 10 - Oct 1    12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • Sept 10 - Oct 1   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • Sept 10 - Oct 1   1:45 - 2:30 pm
    (Monday Afternoons) Hockey
     

  • Sept 11 - Oct 9   9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • Sept 11 - Oct 9   9:45 - 10:30 am
    (Tuesday Mornings) Skate

    (Monday classes 4 weeks $56.00)

FALL SESSION  II   WINTER SESSION  I
  • Oct 15 - Nov 5   12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • Oct 15 - Nov 5   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • Oct 15 - Nov 5   1:45 - 2:30 pm
    (Monday Afternoons) Hockey
     

  • Oct 16 - Nov 13   9:00 - 9:45 am
    (Tuesday Mornings) Skate

  • Oct 16 - Nov 13   9:45 - 10:30 am
    (Tuesday Mornings) Hockey

    (Monday classes 4 weeks $56.00)

 
  • Nov 19 - Dec 17   12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • Nov 19 - Dec 17   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • Nov 19 - Dec 17   1:45 - 2:30 pm
    (Monday Afternoons) Hockey
     

  • Nov 20 - Dec 18   9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • Nov 20 - Dec 18   9:45 - 10:30 am
    (Tuesday Mornings) Skate

WINTER SESSION  II   WINTER SESSION  III
  • Jan 7 - Feb 4   12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • Jan 7 - Feb 4   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • Jan 7 - Feb 4   1:45 - 2:30 pm
    (Monday Afternoons) Hockey
     

  • Jan 8 - Feb 5  9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • Jan 8 - Feb 5   9:45 - 10:30 am
    (Tuesday Mornings) Skate

    No Monday classes 1/21, 4 weeks $56.00

 
  • Feb 11 - March 11  12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • Feb 11 - March 11   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • Feb 11 - March 11   1:45 - 2:30 pm
    (Monday Afternoons) Hockey
     

  • Feb 12 - March 12   9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • Feb 12 - March 12   9:45 - 10:30 am
    (Tuesday Mornings) Skate

  • No Classes Feb 18 and 19
    Cost is $56 for Winter III

SPRING SESSION  I   SPRING SESSION  II
  • March 18 - April 15  12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • March 18 - April 15   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • March 18 - April 15   1:45 - 2:30 pm
    (Monday Afternoons) Hockey
     

  • March 19 - April 16   9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • March 19 - April 16   9:45 - 10:30 am
    (Tuesday Mornings) Skate

 
  • April 22 - May 20    12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • April 22 - May 20   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • April 22 -  May 20   1:45 - 2:30 pm
    (Monday Afternoons) Hockey

  • April 23 - May 21  9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • April 23 - May 21   9:45 - 10:30 am
    (Tuesday Mornings) Skate

 

 

SUMMER SESSIONS

   
  • May 30 - June 27    12:15 - 1:00 pm
    (Thursday Afternoons) Skate

  • May 30 - June 27   1:00 - 1:45 pm
    (Thursday Afternoons) Skate

  • May 30 - June 27   1:45 - 2:30 pm
    (Thursday Afternoons) Hockey

 

All classes $70.00 for Five Weeks
 

 

Please print and mail to:

Hockeytown USA,
953 Broadway, Rte 1 South
Saugus, MA 01906

 

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