Please complete and return with $75 deposit to : Holiday Twin Rinks 3465 Broadway Cheektowaga, NY 14227

Name_______________________________________________________________________

Address_____________________________________________________________________

City____________________________________Zip_________________________________

Tel #___________________________________Height_______________Weight__________

Email Address_______________________________________________________________

Position — Circle One Only! Defense Forward **Goalies must use separate Goalie Application

Experience-Circle One only! Beginner House Travel

Birth Date_________/_________/_________

Division 1 :USE SPECIAL FLYER app Division 2_____(2002-2007) (GIRLS)

Division 3___________ (2009-2012) Division 4____________(2007-2008)

Division 5___________ (2005-2006) Division 6___________ (2002-2004)

2 Requests (MAX) player/coach: (listing more than 2 will VOID requests) _______________________________________________________________________________ _______________________________________________________________________________

MUST attend a Rating session or Requests will be VOID. We will do our best to accommodate but cannot guarantee them.

You can pay by Cash, Check or by Credit Card: (Select One)

Visa________MasterCard________Discover_________

Card #_______________________________________________________Exp date_________

Name on Card____________________________________________Amount______________

Office Use Only Date_________________ Deposit Pd__________________

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINOR AGE This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the releases, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless Broadway Rinks Limited Partnership DBA as Holiday Twin Rinks, & Leisure Rinks Southtowns, Inc. from any and all liability incidents to my child’s involvement or participation in these programs, EVEN IF ARISING FROM THE NEGLIGENCE OF BROADWAY RINKS LIMITED PARTNERSHIP DBA HOLIDAY TWIN RINKS OR LEISURE RINKS SOUTHTOWNS, to the fullest extent provided by law.

I also give HOLIDAY TWIN RINKS or LEISURE RINKS permission to obtain emergency medical treatment should it be necessary and a parent or guardian cannot be reached.

First Name_____________________________LastName___________________________________________

X______________________________________________________________Date_______________________

2018 DIPPIN’ DOTS SKATER APPLICATION

*Goalies, Division 1 & NEW Elite Divisions use separate app.

Please complete and return with minimum $75 deposit to : Holiday Twin Rinks 3465 Broadway Cheektowaga, NY 14227

Name_______________________________________________________________________

Address_____________________________________________________________________

City____________________________________Zip_________________________________

Tel #___________________________________Height_______________Weight__________

Email Address_______________________________________________________________

Position — Circle One Only! Defense Forward **Goalies must use separate Goalie Application

Experience-Circle One only! Beginner House Travel

Birth Date_________/_________/_________

Division 1 :USE SPECIAL FLYER app Division 2_____(2002-2007) (GIRLS)

Division 3___________ (2009-2012) Division 4____________(2007-2008)

Division 5___________ (2005-2006) Division 6___________ (2002-2004)

2 Requests (MAX) player/coach: (listing more than 2 will VOID requests) _______________________________________________________________________________

_______________________________________________________________________________

MUST attend a Rating session or Requests will be VOID. We will do our best to accommodate but cannot guarantee them.

You can pay by Cash, Check or by Credit Card: (Select One)

Visa________MasterCard________Discover_________

Card #_______________________________________________________Exp date_________

Name on Card____________________________________________Amount______________

Office Use Only Date_________________ Deposit Pd__________________

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINOR AGE This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the releases, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless Broadway Rinks Limited Partnership DBA as Holiday Twin Rinks, & Leisure Rinks Southtowns, Inc. from any and all liability incidents to my child’s involvement or participation in these programs, EVEN IF ARISING FROM THE NEGLIGENCE OF BROADWAY RINKS LIMITED PARTNERSHIP DBA HOLIDAY TWIN RINKS OR LEISURE RINKS SOUTHTOWNS, to the fullest extent provided by law.

I also give HOLIDAY TWIN RINKS or LEISURE RINKS permission to obtain emergency medical treatment should it be necessary and a parent or guardian cannot be reached.

First Name_____________________________LastName___________________________________________

X______________________________________________________________Date_______________________

2018 DIPPIN’ DOTS SKATER APPLICATION

*Goalies, Division 1 & NEW Elite Divisions use separate app.

H o l i d ay Tw i n R i n k s 3 4 6 5 B r o a d w a y S t .

C h e e k t o w a g a , N Y 1 4 2 2 7

L e i s u r e R i n k s 7 5 W e i s s R d .

W e s t S e n e c a , N Y 1 4 2 2 4

685685--36603660

675675--89928992

2018

HolidayRinks.com

Begins in March

OR register online @ All Participants will also Earn Instant Loyalty Cash that can be used on anything we sell at the Rinks !

ho l i d ayr inks . c om

The 43rd Annual DIPPIN’ DOTS SPRING HOCKEY LEAGUE will begin with an Evaluation Session in March/April, Practices-Games starting in April & everyone is invited to join! The DIPPIN’ Dots league is open to Boys & Girls* ages 4 -15. With Beginner, Intermediate & Advanced levels, the league guarantees every player EQUAL OPPORTUNITY to play and EQUAL ICE TIME.

The 2018 SPRING LEAGUE is designed for everyone to have FUN & at the same time improve their skating & team play skills. We wish to stress that the first priority is to have ‘FUN” & ENJOY the great game of hockey.

Evaluation-Rating Sessions: All skaters MUST attend the Division Evaluation sessions so that players can be “rated” A, B or C and competitive teams can be formed. Players who do not attend one of the Rating Sessions will have requests Voided.

The SHL Commissioner is Tim Driscoll

timdriscoll@holidayrinks.com

If you wish to Coach in the Dippin’ Dots League please complete the online application @ holidayrinks.com

Enrollment is Limited, Send in your application TODAY.

New this Year! WNY ELITE DIVISIONS will be added to the Dippin Dots program. These unique divisions are for TOP AAA quality Teams & Players ages 10U, 12U &

14U. Join as an entire TEAM or an Individual. See our WNY ELITE FLYER for details!

• Division 1 (Evaluation March 31-Season ends Mid July)

Ages 4-8 Yr old HALF ICE (2010 - 2014) See Special FLYER $165 Includes Rating & 4 Ice Sessions Plus 10 Games

• Division 2 (Evaluation March 20?—Season ends Mid July)

GIRLS ONLY (Birthdates 2002 - 2007) $175 Includes Rating, 4 Ice Sessions & 10 Games

• Division 3 (Evaluation March 31 -Season ends Early Aug)

(Birthdates 2009 - 2012) $215 Includes Rating, 4 Ice Sessions & 14 Games

• Division 4 (Evaluation March 21—Season ends Early Aug)

(Birthdates 2007 - 2008) $215 Includes Rating, 4 Ice Sessions & 14 Games

• Division 5 (Evaluation March 20—Season ends Early Aug)

(Birthdates 2005 - 2006) $225 Includes Rating, 4 Ice Sessions & 14 Games

• Division 6**(Evaluation on March 19—Season ends Late July)

(Birthdates 2002 - 2004) $225 Includes Rating, 3 Ice Sessions & 12 Games

**Note: The Dippin’ Dots Spring League is all NON-CHECKING

GAME SCHEDULE: A Minimum of 10 games on Saturday or Sundays. UNIFORMS : Players receive a DIPPIN’ DOTS JERSEY & MATCHING SOCKS. FAMILY DISCOUNTS : $75 discount for the 3rd & any additional child from the same immediate family. REFUND POLICY : There will be NO deposits refunded in the Dippin' Dots league. Players dropping out can receive a pro-rated GIFT CARD less deposit paid. REGISTRATION : Complete the application with a $75 deposit to either rink or register @ holidayrinks.com. Remaining balance is due at 1st game.