South County Street Hockey League
Volunteer Registration Form

You don’t need to know anything about hockey to help. Please consider signing up as a volunteer to ensure that all divisions remain open.Print this form, fill it out and forward it to: SCSHL, c/o Jim Sheehy, 445 Chestnut Hill Rd., Wakefield, RI 02879.  If there are any questions please call 789-3896 and press 6 to leave a message for a league official or use the email link on our web site: www.streethocky.org
Please indicate the division you would like to assist with (check all that apply):
  Instructional (ages 6 – 8)   Junior (ages 9 – 12)   Senior (ages 13 – 17)   Adult (ages 18&up)
First Name: Last Name:
Street Address:
City: State: Zip Code:
Phone Number: Age: Email Address:
How would you like to help? (check all that apply):
  Team Coach   Assistant Coach   Officiating   Scorekeeper/
Statistition
Other:

By signing below, individual understands that he/she assumes all risk of personal injury which may result from his/her participation in any SCSHL activities. Individual also agrees that he/she will not hold any officials, directors, agents, sponsors, or management liable for any injury sustained during his/her practice for or participation in, any sports event, contest, or exhibition as a player, coach, or spectator in any activity sponsored by SCSHL.

Individual also certifies that he/she has medical insurance which could be applied to any related injury, and acknowledges and agrees that he/she is responsible for any and all medical costs arising from any injuries received while participating in any SCSHL activity as a player, coach or spectator.

Individual certifies that he/she has no known medical condition which would prohibit him/her from participating in SCSHL activities. The SCSHL strongly urges all participants to obtain a physical examination before participating. I have read understand and will comply with all SCSHL rules and equipment requirements
Applicant's Signature: Date: