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 12 - Oct 10    12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • Sept 12 - Oct 10   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • Sept 12 - Oct 10   1:45 - 2:30 pm
    (Monday Afternoons) Hockey
     

  • Sept 13 - Oct 11   9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • Sept 13 - Oct 11   9:45 - 10:30 am
    (Tuesday Mornings) Skate

  • Sept 13 - Oct 11  10:30 - 11:15 am
    (Tuesday Mornings) Skate
FALL SESSION  II   WINTER SESSION  I

  • Oct 17 - Nov 14   12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • Oct 17 - Nov 14   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • Oct 17 - Nov 14   1:45 - 2:30 pm
    (Monday Afternoons) Hockey
     

  • Oct 18 - Nov 15   9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • Oct 18 - Nov 15   9:45 - 10:30 am
    (Tuesday Mornings) Skate

  • Oct 18 - Nov 15  10:30 - 11:15 am
    (Tuesday Mornings) Skate

  

  • Nov 21 - Dec 19   12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • Nov 21 - Dec 19   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • Nov 21 - Dec 19   1:45 - 2:30 pm
    (Monday Afternoons) Hockey
     

  • Nov 22 - Dec 20   9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • Nov 22 - Dec 20   9:45 - 10:30 am
    (Tuesday Mornings) Skate

  • Nov 22 - Dec 20  10:30 - 11:15 am
    (Tuesday Mornings) Skate
WINTER SESSION  II   WINTER SESSION  III

  • Jan 9 - Feb 6 12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • Jan 9 - Feb 6   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • Jan 9 - Feb 6   1:45 - 2:30 pm
    (Monday Afternoons) Hockey
     

  • Jan 10 - Feb 7  9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • Jan 10 - Feb 7   9:45 - 10:30 am
    (Tuesday Mornings) Skate

  • Jan 10 - Feb 7  10:30 - 11:15 am
    (Tuesday Mornings) Skate

  

  • Feb 13 - March 19  12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • Feb 13 - March 19   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • Feb 13 - March 19   1:45 - 2:30 pm
    (Monday Afternoons) Hockey
     

  • Feb 14 - March 20   9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • Feb 14 - March 20   9:45 - 10:30 am
    (Tuesday Mornings) Skate

  • Feb 14 - March 20  10:30 - 11:15 am
    (Tuesday Mornings) Skate

(No Classes Feb 20 & 21 vacation week)
SPRING SESSION  I   SPRING SESSION  II

  • March 26 - April 23  12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • March 26 - April 23   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • March 26 - April 23   1:45 - 2:30 pm
    (Monday Afternoons) Hockey
     

  • March 27 - April 24   9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • March 27 - April 24   9:45 - 10:30 am
    (Tuesday Mornings) Skate

  • March 27 - April 24  10:30 - 11:15 am
    (Tuesday Mornings) Skate

  

  • April 30 - June 4   12:15 - 1:00 pm
    (Monday Afternoons) Skate

  • April 30 - June 4   1:00 - 1:45 pm
    (Monday Afternoons) Skate

  • April 30 -  June 4   1:45 - 2:30 pm
    (Monday Afternoons) Hockey

  • May 1 - June 5   9:00 - 9:45 am
    (Tuesday Mornings) Hockey

  • May 1 - June 5   9:45 - 10:30 am
    (Tuesday Mornings) Skate

  • May 1 - June 5  10:30 - 11:15 am
    (Tuesday Mornings) Skate

 

  

SUMMER SESSIONS
   

5 Weeks
June 11 - July 9  (Monday Afternoon)

  • 12:15 - 1:00pm  Beginner Skater

  • 1:00 - 1:45pm  Beginner Skater

  • 1:45 - 2:30pm  Beginner 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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