Etna Deck Hockey
Building future hockey players from the ground up.
Player registration is held at the end of each season, during the first round of playoffs, and current players are given preference. During that time you can register in person at the concession stand area.
For more information, please contact:
Registrar - Nathan Kerr 412-600-5870 , email [email protected]
President - Jeremy Prata 724-407-3080 , email [email protected]
Vice President - Josh Cochran 412-977-5799 , email [email protected]
April 10th,, 2021
RE: Fall 2021 Registration
Dear Parents and Guardians,
The Fall registration fee for Etna Deck Hockey is $50. Please submit your registration and waiver form with payment by June 30th, 2021. If paying by check, make check payable to "Etna Deck Hockey".If you are unable to drop your forms and payment off, you may mail or email them to:(no electronic payment at this time)
Nathan Kerr Phone - 412-600-5870
2506 College Park Road
Allison Park, PA 15101 Email – [email protected]
The Fall 2021 season will tentatively begin on Saturday, September 11th, 2021 and end on November 13th , 2021. The first week of practice will start August 16th, 2021.Your child's coach will contact you prior to the start of the season. Requests to play on a specific team cannot be honored. Players are drafted to teams through a blind draft. If you have a problem with a practice night please let us know at sign ups. This MUST be handled before the draft (July 26th , 2021). If you sign up after the draft players will be placed on a wait list and assigned a team at the board's discretion.
Please Note:
Instructional: Birth year 2015 and 2016 (5 and 6 year olds)
If your child turns 7 before 01/01/2021 your child will move to the junior division.
If your child turns 7 on or after 01/01/2021, you can choose to stay in the instructional division or move up to the junior division
Junior division: Birth year 2012, 2013, and 2014 (7, 8, and 9 year olds):
If your child turns 10 before 01/01/2021 your child will move to the senior division.
If your child turns 10 on or after 01/01/2021, you can choose to stay in the junior division or move up to the senior division
Senior division: Birth year 2008, 2009, 2010 and 2011 (10, 11, and 12 year olds):
If your child turns 13 before 01/01/2021 he/she is too old for Etna Deck Hockey.
If your child turns 13 on or after 01/01/2021, he/she meets the age requirement for the season.
If you have any questions please feel free to contact Nathan Kerr at (412) 600-5870.
Visit our Website at http://etnadeckhockey.webs.com for the most recent team stats or visit us on Facebook.
Players Name: ______________________________________________ Age: _____ Birthdate: _________________
Please circle one: I want to be a goalie: YES ___ NO ___ Division: INSTRUCTIONAL JUNIOR SENIOR
T-shirt size: Youth Small ______ Youth Medium ______ Youth Large ______ Youth X-Large ______
Adult Small ______ Adult Medium ______ Adult Large ______ Adult X-Large ______
I am interested in being a: HEAD COACH ________ ASSISTANT COACH _______
Parent/Guardian Name: _________________________________________ Phone 1: ________________
Address 1: _____________________________________ Phone 2: ________________
Address 2: _____________________________________ Zip Code: _______________
E-Mail: ____________________________________________________________________
PERSON AND PHONE TO NOTIFY IN CASE OF EMERGENCY
Contact: _________________________________Phone:__________________________
AMATEUR ATHLETIC MINOR
WAIVER AND RELEASE OF LIABILITY
ln consideration of being allowed to participate in any way in Etna Deck Hockey athletics/sports program, and related events and activities, the undersigned:
1) Agree that the parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participant he or she should inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she should immediately advise his or her coach or supervisor of such condition(s) and refuse to participate.
2) Acknowledge and fully understood that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions, or negligence, but the action, inaction or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.
3) Assume all the foregoing risk and accept personal responsibility for the damages following such injury, permanent disability or death.
4) Release, waive, discharge and covenant not to sue Etna Deck Hockey, its affiliated clubs, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers and if applicable, owners and leasers of premises used to conduct the event., all of which are hereinafter referred to as "releases" from any and all liability to each of the undersigned, his or her heirs and next of kin for any such claims, demands, losses or damages on account of injury, including death, damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise.
WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.
Printed name of participant: DATE:
___________________________________________ ______________
PARENT OR GUARDIAN (SIGNATURE/RELATIONSHIP): DATE:
___________________________________________ ______________
Printed name of parent or guardian:
___________________________________________
Address of participant:
__________________________________________________________________________________
Institution/Organization:
_______Etna Deck Hockey_____________________________________________________________