Crystal Fieldhouse Adult Hockey League Packet Fill out and return to Crystal Fieldhouse 5371 Daly Farms, Burton, MI 48509. (810) 744-0800 Player Registration Sheet Fall 2014 League/Division Please circle which league you want to participate; You may play in more than one league but must meet age requirements. 18+ A league 18+ B league 18+ Coed 35+ league 50+ league Team Name:_________________________________/ Free Agent If you do not have a team to play for circle free agent and we will find a team for you. First Name:__________________________________Last Name:_____________________________________ D.O.B:____/____/_____ Position (Circle): Forward Defenseman Goaltender Phone Number:____________________ E-Mail:_______________________________ Are you the team representative? YES / NO See back of page for details regarding team representatives and rules for Fall 2014. All players must initial signaling they have agreed to the rules and conditions. Furthermore, all team representatives will be contacted to fill out additional team information. www.crystalfh.com 5371 Daly Farms Burton, MI. 48509 (810) 744-0800 jameson@cystalfh.com Crystal Fieldhouse Adult Hockey League Information General Information: Registration will begin August 10th and the first games will start Sunday September 28th. All League playoffs and championships will be March 7th & 8th A league meeting with every team’s representative will be held on Sunday, September 21st, 3:00pm at Crystal Fieldhouse meeting room. Cost per team is $4200 for the 18+ B league, 18+ Coed league, and 50+ league. The 18+ A league and 35+ league cost is $5,200. All league costs include a deposit of $200. If a team forfeits due to lack of players the team will be assessed a $50 fine which will be take out of their team deposit. Teams must supply their teams with their own jerseys. The league will consist of 24 regular season games. All league games will be held on Sunday evenings except for the 18+ Coed league, whose games will be Thursday evenings. Every team will make playoffs; teams will be seeded according to their regular season point total, with 2 points for a win 1 point for a tie and 0 points for a loss record on the basis of a) head to head competition, b) goals against, c) goals for, and if needed d) coin toss. Playoffs will be single elimination. There will be one referee per game and scorekeeper. A schedule for will be emailed to each teams representative prior to the beginning of the season. Game Format for 18+ A league and 35+ 1) Five vs. Five. 2) Three minute warm-up. 3) Three 20-minute periods with running time and one-minute intermissions. Stop time with one minute remaining in game if and only if a team is losing by one goal or the game is tied 4) If teams are tied at end of regulation, sudden death shootout ensues, meaning one player from each team with will participate in a shoot out, visiting team will shoot first if they score the home team will get a rebuttal shot until there is a winner. 5) No time-outs will be provided during the regular season. 6) Playoffs will allow 1 minute time-out per team; 5 minute overtime, followed by shootout (standard protocol). Game Format for 18+ B league, 18+ Coed and 50+: 1) Five vs. Five. 2) Two minute warm-ups, Three 14 minute running period), and one minute intermission. 3) Stop time with one minute remaining in game if and only if a team is losing by one goal or the game is tied. 4) If teams are tied at end of regulation, sudden death shootout ensues, meaning one player from each team with will participate in a shoot out, visiting team will shoot first if they score the home team will get a rebuttal shot until there is a winner. 5) No time-outs will be provided during the regular season. 6) Playoffs will allow 1 minute time-out per team; 5 minute overtime, followed by shootout (standard protocol). Rules: 1) Players must be of the appropriate age specified for each league. 2) Players must be registered under USA Hockey; a copy must be mailed to Crystal Fieldhouse or emailed to jameson@crystalfh.com. Visit usahockeyregistration.com for information. 3) Players must compete in at least 5 regular season games to be eligible to compete in playoffs. 4) No pucks are allowed on-ice until Zamboni doors are closed. 5) This is a no-check league. 6) Bumping along boards is legal as well as slap shots. 7) Checking from behind results in league DISQUALIFICATION. 8) USA Hockey rules apply, minor penalties are two minutes and major penalties are 5 minutes. 9) Minimum of six players must show for a game otherwise it is a forfeited game, if this number is not reached, teams may distribute available players for a scrimmage. 10) Maximum of 20 players can be registered on any one team. 11) There is a two-week automatic suspension for fighting; Crystal Fieldhouse management reserves right to suspend individuals for any other extraneous altercation after hearings are conducted. Any player involved in a 2nd occurrence will be suspended for the remainder of the season. No refund will be provided to those suspended for altercations, no exceptions. 12) Crystal Fieldhouse management will deal with any problems with the league in a fair manner, however all decisions are at the discretion of Crystal Fieldhouse management. 13) Crystal Fieldhouse reserves the right to move teams to the proper level if their caliber of play is inappropriate to the standard of the league entered. Player Initials: __________ www.crystalfh.com 5371 Daly Farms Burton, MI. 48509 (810) 744-0800 jameson@cystalfh.com Crystal Fieldhouse, LLC. 5371 Daly Farms Dr. Burton, MI 48509 PARTICIPANT RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT READ BEFORE SIGNING Organization Name Participant Name In consideration of being allowed to participate in any way in the program, related events and activities, I the undersigned acknowledge, appreciate and agree that: 1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death. 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both know and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation. 3. I willingly agree to comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation I will remove myself from participation and bring such to the attention of the nearest official immediately. 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY AND HOLD HARMLESS THE Crystal Fieldhouse, its officers, officials, agents and/or employees, other participants, sponsors, advertisers, and if applicable, its owners and lessors of premises used to conduct the event (RELEASEES), from any and all claims, demands, losses and liability arising out of or related to any INJURY, DISABILITY OR DEATH I may suffer or loss of damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LFIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. X Participant’s Signature Age Date FOR PARENTS/GUARDIANS OF PARTICIPANT OF MINOR AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law. X Parent/Guardian Signature www.crystalfh.com 5371 Daly Farms Burton, MI. 48509 Date (810) 744-0800 Emergency Phone Number jameson@cystalfh.com Crystal Fieldhouse Adult Hockey Team Registration/Representative $200.00 deposit is due at registration. $1,500.00 is due before the first game on September 28 th, with the remaining balance to be paid by the sixth game. All checks should be made out to Crystal Fieldhouse. TEAM NAME: __________________________________ JERSEY COLOR: ___________________________________________ LEAGUE/DIVISION_______________________________YOUR NAME:_____________________________________________ ADDRESS: ______________________________________CITY:____________________________ ZIP:____________________ PHONE: ________________________________________E-MAIL:_________________________________________________ PRINT NAME: ___________________________________SIGN NAME: _____________________________________________ DATE: ________________ NAME___________________________________JERSEY#________________________________________________ 1.)_____________________________________________________________________________________________ 2.)_____________________________________________________________________________________________ 3.)_____________________________________________________________________________________________ 4.)_____________________________________________________________________________________________ 5.)_____________________________________________________________________________________________ 6.)_____________________________________________________________________________________________ 7.)_____________________________________________________________________________________________ 8.)_____________________________________________________________________________________________ 9.)_____________________________________________________________________________________________ 10.)____________________________________________________________________________________________ 11.)____________________________________________________________________________________________ 12.)____________________________________________________________________________________________ 13.)____________________________________________________________________________________________ 14.)____________________________________________________________________________________________ 15.)____________________________________________________________________________________________ 16.)____________________________________________________________________________________________ 17.)____________________________________________________________________________________________ 18.)____________________________________________________________________________________________ 19.)____________________________________________________________________________________________ 20.)____________________________________________________________________________________________ www.crystalfh.com 5371 Daly Farms Burton, MI. 48509 (810) 744-0800 jameson@cystalfh.com www.crystalfh.com 5371 Daly Farms Burton, MI. 48509 (810) 744-0800 jameson@cystalfh.com