TORONTO HOCKEY SHTICKS

2025 – 2026 APPLICATION FORM

 (All sections must be filled out) PLEASE PRINT

NAME:___________________________________________________

ADDRESS:___________________________________________________________

CITY:________________________________ POSTAL CODE:________________

TEL# (M)____________________(B)__________________(H)_________________

Email:  _________________________ AGE (as of Oct/25): ___ Birth date: ___/___/______

(Players must be 45 years of age before the start of the hockey season.)

Team Played for Last Year_____ ________________

What position do you play:  Forward ___Defense ___  Goal _______    

Rate yourself on a scale from 1 to 10 (10 being excellent) __________

The season will be played at Chesswood Arena on Tuesday nights between 7-10.

Please E-Mail your completed application form to your team rep. 

· Alterra Barry Landsberg barry.landsberg@rogers.com

· The Butcher Shoppe Joe Arfin jarfin@jadaco.com

· Richardson Wealth Andy Rafelman Andy.Rafelman@RichardsonWealth.com

· Alexandroff Brian Himel brian.himel@gmail.com

· OY!-LERS Murray Shapiro   murray.shapiro@rbc.com

· Majer Hockey: Dave Axelrod davebaxelrod@gmail.com

· League Applications: (Waiting List) Joel Majer: joel@majerhockey.com

**Dues will now be payable by your Team.  Every player will pay their team rep by eTransfer or cheque, payment process tbd by your Team Rep.

**The Team Fee TBD is payable by cheque to “Toronto Hockey Shticks” & must be received no later than date TBD

PLEASE NOTE:

There will be no refunds unless unable to play for medical reasons (doctor’s certificate required).

The release on the next page of this form must be signed to validate your application.

You will be contacted in September 2025 by your team representative to notify you of your team and the first game of the season.

Signature:____________________ DATE: ___________________

RELEASE OF LIABILITY AND WAIVER

In consideration of your acceptance of my application, I _____________________, the undersigned for myself, my heirs, executors, administrators, successors and assigns, hereby release and discharge all officers, directors, members of the executive committee, employees, agents, assistants, representatives, sponsors of the said league or others acting on behalf of the “TORONTO HOCKEY SHTICKS”, and the arena facilities and complexes being used in conjunction with the “TORONTO HOCKEY SHTICKS”, from any and all manner of action, causes of action, contracts, claims or demands or liability by reason of any damages, loss or injury, to person or property which may be sustained in consequence of my participation in the “TORONTO HOCKEY SHTICKS”.  I further agree to save harmless the “TORONTO HOCKEY SHTICKS” and will indemnity them for all costs and legal fees incurred by any action for injury or damages brought by me or on my behalf.

I hereby acknowledge receipt of any and all rules and regulations and instructional pamphlets or other materials given to me in connection with my attendance at the “TORONTO HOCKEY SHTICKS”.  I agree to be bound by the rules and regulations of the league.  I recognize and expressly accept such risks and responsibilities inherent in the sport of ice hockey and accept such risk in consideration of my participation and recreational opportunities afforded to me in connection with my attendance at the “TORONTO HOCKEY SHTICKS”.

I hereby agree to assume all risks for injury or damages to myself caused by any defect on ice surfaces, in the equipment, or operation of any equipment used in connection with my attendance at the “TORONTO HOCKEY SHTICKS”, and further assume the risk of injury resulting from any equipment which I may own, or from injury sustained by or from another player.

I hereby acknowledge that the said “TORONTO HOCKEY SHTICKS” does not carry any insurance that would protect or apply to me.  I further acknowledge that if I wish to have such insurance coverage I must obtain such coverage privately at my own expense.

DATED AT ________________ this_______ day of ______________, 2025

SIGNED, SEALED AND DELIVERED   )__________________________________

In the presence of     )__________________________________

)__________________________________