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

2024 - 2025 FIRST YEAR/NEW PLAYER Registration Form

Once you have spoken with Teresa you may complete the following form

If you HAVE NOT spoken with Teresa DO NOT complete the form

PLEASE email: Teresa@BaltimoreSaintsHockey.org with the following info:
name and age of your daughter/son
your name and cell or home telephone # and best time to contact you..

The fee for a 1st year player is $200
Fee for 2 first year players from the same family is $300

Please make check payable to BASH (Baltimore Area Special Hockey)IF your daughter/son has NEVER participated in the Baltimore Saints Special Hockey program...

Player Information

* Enter Player Last Name:

* Enter Player First Name:

* Enter Street Address:

* Enter City Name:

* Enter State Abbrev.:

* Enter Zip code:

* Date of Birth:

* Sex (M/F):

* 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 *

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