Fall Registration 2020-21 (Player Card)

CHICAGO MISSION FALL REGISTRATION
2020 - 2021

Chicago Mission Fall Registration

AAA PLAYER CARD

Mission Team
Player*
First Last
Parent or Guardian
Parent Email
Apparel Fee
TIER I (AAA) PLAYER REGISTRATION FORM
Player Information
Player Name*
Address*
City*
State*
Zip*
Phone*
School*
Email*
Birth Date*
B_MM
B_DD
B_YYYY
IMPORTANT NOTE
You and your parents should be aware that the signing of this form immediately and permanently binds you to this team for the entire upcoming season and you may not play with any other team with the exception of registered:

Girls, High School, House League, Juniors, Junior College, College or University Teams

If you are relying on any representations not included on this form, those representations should be placed in writing and added to those on the reverse side or attached to this form.
Signature (Player)*
Date*
psMM
psDD
psYYYY
I read & understood*
- I have read and understood both sides of this Tier I (AAA) Player Registration Form, the AHAi Rules regarding Tier I (AAA) Hockey and the AHAi By-Law regarding Dispute Resolution.
Signature (Parent/Guardian)*
Date*
gsMM
gsDD
gsYYYY
CERTIFICATE
I hereby certify that as the authorized Team Representative I accept this player for the season and have explained to the player and his/her parents (guardian) all of their financial obligations and the fact that this form immediately and permanently binds him/her to this team for the entire upcoming season.
Team Representative: Christian Hmura (Head Coach)
Team Representative: Christian Hmura (Head Coach)
Team Representative: Christian Hmura (Head Coach)
Team Representative: Gino Cavallini (Head Coach)
Team Representative: Brian Bicek (Head Coach)
Team Representative: Greg Tam (Head Coach)
Team Representative: Yanic Perreault (Head Coach)
Team Representative: Gino Cavallini (Head Coach)
Team Representative: Nick DeSalvo (Head Coach)
Team Representative: Shannon Coleman (Head Coach)
Team Representative: Joe Porcaro (Head Coach)
Team Representative: Courtney O'Connor (Head Coach)
Team Representative: Erin Rourke-Smith (Head Coach)