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 )__________________________________
)__________________________________