(Note: Not A Randolph Recreation Sponsored Event)

 

 

RAM SUMMER ICE CLINIC APPLICATION 2021

 

Listed below are the times obtained by Rich McLaughlin- Randolph High School Varsity ice hockey coach for the Ram summer ice program. Rich McLaughlin and his assistants will be running the program, which will be for any player in grades 5 - 9 next year (2021-22) held at Aspen Ice Arena in Randolph. This is a great way to get to know the coaches and to let them see you in full action. Reservations are first come, first serve basis so reserve your spot now. Please return your completed forms and the requested fee as soon as possible to:

 

Rich McLaughlin

18 Lexington Drive

Livingston New Jersey 07039

973 -735-4741 –cell

 or

mclaughlin18@gmail.com

FEE IS $300.00 FOR THE WEEK

Practices are all at Aspen Arena

Monday, June 14 - 5:00-6:00 pm

Tuesday, June 15 - 5:00-6:00 pm

Wednesday, June 16 -5:00-6:00pm

Thursday, June 17 - 5:00-6:00pm

Friday, June 18- 5:00-6:00 pm

 

Please fill out, sign and return page two along with a check made out to Rich McLaughlin. Thanks and I hope to see you there.

 

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RAM SUMMER HOCKEY CLINIC

AGREEMENT FOR PARTICIPATATION, MEDICAL, AUTHORIZATION FOR HOLD HARMLESS AGREEMENT

PLAYER NAME: _______________________________________________________

 

ADDRESS:           _______________________________________________________

 

PHONE NUMBER: _______________________ DATE OF BIRTH: ______________

 

GRADE: (2021-22) ______      E-MAIL ______________________________________

 

POSITION: __________________________

 

We the parents and / or guardians of the above named participant give permission and approval for his / her participation in any and all activities of the Ram Summer Ice Hockey Clinic.

 

To the best of our knowledge, the above named participant is physically able to participate in any team or league activity, including games and practices. Further, we do release, absolve, indemnify and hold harmless Rich McLaughlin, and his coaches, from any injury or liability to above named participant sustained or resulting in any manner whatsoever from participation in the activities the clinic named above: including, but not limited to, practices, games and travel to and from such events.

 

We authorize any coach, or assistant coach to have the above named participant examined and / or treated by a physician and if necessary, admitted to a hospital for medical care.

 

I / We have read this statement in its entirety and fully understand its meaning and intent:

 

Signed: __________________________________________________________

 

Relationship: __________________________________________________________

 

Date: __________________________________________________________

 

Date of Clinic: June  

 

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