WINTER 2026

1

PARENT NAME* This field is required.

First Name

Last Name

2

PARENT PHONE NUMBER* This field is required.Please provide a mobile number to be added to our group text message.

Please enter a valid phone number.

3

PARENT EMAIL* This field is required.

example@example.com

4

PLAYER NAME* This field is required.Tell us about your hockey player.

First Name

Last Name

5

CHOOSE A DIVISION* This field is required.Teams are Separated by age groups. Experienced players may play in higher divisions with league approval.

MITES (Ages 5-9)

JUNIORS (Ages 10-12)

TEENS (Ages 13+)

6

PLAYER DATE OF BIRTH* This field is required.Tell us about your hockey player.

Date

7

PLAYER AGE* This field is required.Tell us about your hockey player.

8

PLAYER SCHOOL* This field is required.Tell us about your hockey player.

9

PLAYER GRADE* This field is required.(ENTER A SCHOOL GRADE K-9)

10

PLAYER SHIRT SIZE (YOUTH & ADULT SIZES AVAILABLE* This field is required.INDICATE SIZE: YOUTH SMALL, YOUTH MEDIUM & YOUTH LARGE OR ADULT SMALL, ADULT MEDIUM & ADULT LARGE OR ADD OTHER: SUCH AS XXL, 3XL, 4XL)

YOUTH SMALL

YOUTH MEDIUM

YOUTH LARGE

ADULT SMALL

ADULT MEDIUM

ADULT LARGE

ADULT XL

Other

11

Fullerton Street Hockey Waiver of Liability and Release Assumption of Risk and Indemnity Agreement* This field is required.It is the purpose of this agreement to exempt, waive and relieve releasees from liability for personal injury, property damage, and wrongful death, including if caused by negligence, including the negligence, if any, of releasees. “Releasees” include Fullerton Street Hockey, LLC, affiliate associations, local associations, member teams, event hosts, other participants, coaches, officials, sponsors, advertisers, and each of them, their officers, directors, agents and employees. For and in consideration of the undersigned participant’s registration with Fullerton Street Hockey,LLC, its affiliates, local associations and member teams (all referred to together as FSH) and being allowed to participate in FSH events and member team activities, participant (and the parent(s) or legal guardian(s) of participant, if applicable) waive, release and relinquish any and all claims for liability and cause(s) of action, including for personal injury, property damage or wrongful death occurring to participant, arising out of participation in FSH events, member team activities, the sport of hockey, and/or activities incidental thereto, whenever or however they occur and for such period said activities may continue, and by this agreement any such claims, rights, and causes of action that participant (and participant’s parent(s) or legal guardian(s), if applicable) may have are hereby waived, released and relinquished, and participant (and parent(s)/guardian(s), if applicable) does(do) so on behalf of my/our and participant’s heirs, executors, administrators and assigns. Participant (and participant’s parent(s)/guardian(s), if applicable) acknowledge, understand and assume all risks relating to hockey and any member team activities, and understand that hockey and member team activities involve risks to participant’s person including bodily injury, partial or total disability, paralysis and death, and damages which may arise therefrom and that I/we have full knowledge of said risks. These risks and dangers may be caused by the negligence of the participant or the negligence of others, including the “releasees” identified above. These risks and dangers include, but are not limited to, those arising from participating with bigger, faster and stronger participants, and these risks and dangers will increase if participant participates in hockey and member team activities in an age group above that which participant would normally participate in. I/We further acknowledge that there may be risks and dangers not known to us or not reasonably foreseeable at this time. Participant (and participant’s parent(s)/guardian(s), if applicable) acknowledge, understand and agree that all of the risks and dangers described throughout this agreement, including those caused by the negligence of participant and/or others, are included within the waiver, release and relinquishment described in the preceding paragraph. I/We agree to abide by and be bound under the rules of Fullerton Street Hockey. The rules include those posted and those decided by coaches, volunteers, referees and other FSH officials. Participant (and participant’s parent(s)/guardian(s), if applicable) acknowledge, understand and assume the risks, if any, arising from the conditions and use of hockey rinks and related premises and acknowledge and understand that included within the scope of this waiver and release is any cause of action (including any cause of action based on negligence) arising from the performance, or failure to perform, maintenance, inspection, supervision or control of said areas and for the failure to warn of dangerous conditions existing at said rinks, for negligent selection of certain releasees, or negligent supervision or instruction by releasees. As further consideration for registration and participation in FSH events and member team activities, participant (and the parent(s) or legal guardian(s) of participant, if applicable), hereby (1) consents and agrees that FSH, its licensees and designees may make video and/or audio recordings of and/or otherwise film, photograph or memorialize some or all of participant’s participation in such events and activities, and (2) grants to FSH, its licensees, designees, successors and assigns, a worldwide, perpetual, irrevocable, fully-paid, royalty-free, transferable and sublicenseable right and license to use, copy and disseminate participant’s image and personal attributes, and to modify and present same in any form, manner and media, now known or hereafter devised, for any purpose whatsoever. If the law in any controlling jurisdiction renders any part of this agreement unenforceable, the remainder of this agreement shall nevertheless remain enforceable to the full extent, if any, allowed by controlling law. This agreement affects your legal rights, and you may wish to consult an attorney concerning this agreement. Participant (and participant’s parent(s)/guardian(s), if applicable) agree if any claim for participant’s personal injury or wrongful death is commenced against releasees, he/she shall defend, indemnify and save harmless releasees from any and all claims or causes of action by whomever or wherever made or presented for participant’s personal injuries, property damage or wrongful death. Participant (and participant’s parent(s)/guardian(s), if applicable) acknowledge that they have been provided and have read the above paragraphs and have not relied upon any representations of releasees, that they are fully advised of the potential dangers of hockey and understand these waivers and releases are necessary to allow amateur hockey to exist in its present form.

Clear

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PAY REGISTRATION FEES* This field is required.Fees collected cover costs for rink rental, equipment, etc.

LEAGUE FEE

USD

+ OR enter a custom value

13

Payment Methods

Debit Or Credit Card

Choose from one of the PayPal options to make your payment.