2009-2010 Tryout Application






Player's Name __________________________________________________________ D.O.B ______/______/_______

Please circle one:  U10, U12, U14, U16, U19   H.S only: Full or Split Season

Address ____________________________________________________________________________

City ____________________________State _________________  Zip Code ______________________

E-Mail______________________________________________________________________________________________

Home # ______________________________________________

Mobile #_______________________________________________

Position____________________________   Shoots: L___ Right ____         

Years Played___________ Last Team ___________________________________________

Parent or Guardian (s) Name: ___________________________________________________________

Release of Liability/Acknowledgement of Risk
Upon entering events sponsored by South Shore Lady Hawks, I/We agree to abide by the rules and policies of hockey.
I/We understand and appreciate that participation or observation of a sport constitutes a risk to me/us of serious injury, including permanent paralysis or death.
I/We voluntarily and knowingly recognize, accept and assume this risk and release South Shore Lady Hawks, it's affiliates, owners their sponsors or organizers from any liability
therefore.  I have read and understand the Release and Liability and agree to the terms and conditions specified therein:

Participant's Signature_________________________________________________________Date_______________

Parent or Guardian Signature __________________________________________________ Date________________


         Please mail this application with a non-refundableTryout fee for $75 to:
                                      South Shore Lady Hawks
                                P.O. Box  81 Hingham, MA 02043
                     Mailed applications must be received by March 14th