Baltimore Area Special Hockey, Inc. - (Towson, MD)

2024 - 2025 Baltimore Saints PLAYER FORM

IF your daughter/son has NEVER participated in the Baltimore Saints Special Hockey program...

DO NOT COMPLETE THE FOLLOWING FORM!

This form is for RETURNING PLAYERS ONLY..

For NEW OR 1st year players:
PLEASE contact Teresa@BaltimoreSaintsHockey.org
Include in the email: name and age of your daughter/son
as well as your cell/home telephone number and the best time to reach you.

THIS FORM IS for RETURNING PLAYERS ONLY..

NEW Please note: ALL PLAYERS ARE REQUIRED TO WEAR NECKGUARDS ON THE ICE.

Player Information

YES/Returning:

Player will be returning

NO:

Sitting out this season

* Enter Player Last Name:

* Enter Player First Name:

* USA Hockey #:

* Enter Street Address:

* Enter City Name:

* Enter State Abbrev.:

* Enter Zip code:

* Date of Birth:

* Sex (M/F):

Player Jersey Number (If Known):

* Diagnosis:

Parent/Guardian Information

* Parent/Guardian (1) First Name:

* Parent/Guardian (1) Last Name:

Home Phone xxx-xxx-xxxx:

* Cell Phone xxx-xxx-xxxx:

* eMail Address:

Parent/Guardian (2) First Name:

Parent/Guardian (2) Last Name:

Home Phone xxx-xxx-xxxx:

Cell Phone xxx-xxx-xxxx:

eMail Address:

COVID-19 STATEMENT:
I agree that I, my child(ren), and any person accompanying me or my child(ren) to Baltimore Saints aka Baltimore Area Special Hockey, Inc. activities will comply with all COVID-19 related precautions the Baltimore Saints implement, unless I have received an explicit waiver in writing from the Baltimore Saints.

I acknowledge the contagious nature of COVID-19 and understand the risk of being exposed to, or infected by, COVID-19 (or its mutations) during Baltimore Saints activities due to the actions, omissions, or negligence of myself, my child(ren), and others, including, but not limited to, members of the Baltimore Saints Board, coaches, volunteers, and mentors; other program participants and their parents, guardians, and family members; and rink management and employees.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself and my family, including my child(ren), including but not limited to death, illness, personal injury, disability, damage, loss, or expense, of any kind, that I, my family (including my child(ren) may experience or incur in connection with attendance at Baltimore Saints activities ("Claims").

On my behalf, and on behalf of my family and my child(ren), I hereby release, covenant not to sue, discharge, and hold harmless the Baltimore Saints Board, coaches, volunteers, mentors, agents, and representatives, of and from Claims, including all liabilities, claims, actions, damages, costs, or expenses of any kind arising out of or relating thereto. I. understand and agree that this release includes any claim based on the actions, omissions, or negligence of the Baltimore Saints board, coaches, volunteers, mentors, agents, and representatives, whether COVID-19 infection occurs before, during, or after participation in Baltimore Saints activities.

COVID-19 Statement.. Checking here agrees to statement above. *

CODE OF CONDUCT.....
In order to keep everyone safe, we require your player to follow this code of conduct on and off the ice. Players will treat all program participants, including coaches, mentors/volunteers, parents/caregivers and other players with dignity and respect. We understand that our kids have bad days, however, continued inappropriate/abusive/aggressive behavior will not be tolerated. Behaviors such as yelling, kicking, spitting, aggressive behavior, etc towards anyone may result in suspension, temporary or permanent.
Please keep in mind that the majority of our mentors/volunteers are high school and college students. The majority of them have not received any formal training for working with children with disabilities or behavioral challenges.
It is helpful for parents and/or caregivers to provide behavior information to the Baltimore Saints program in order to help coaches and mentors to support players' hockey progress and behavior.

I acknowledge and accept the terms of Code of Conduct..

CODE OF CONDUCT.. click here to agree *

I understand that all players must wear an approved neck guard on the ice. Any player not wearing a neck guard will be removed from the ice.

Neck guard confirmation. *

Player fees for the 2024/2025 season continue to be at pre pandemic rates

1. Select CREDIT CARD payment below

2. MAIL CHECK made PAYABLE to: BASH (Baltimore Area Special Hockey)
P O BOX 42793, Towson, MD 21284-2793

* indicates required fields