Player Agreement
2015 Season
Lowell Jr. River Hawks
Midget – U-16 / U-18 Teams
Player Information
Name:
Address:
City, State, Zip:
Date of Birth:
Any medical issues that need to be disclosed:
Parent/Guardian Information
Name:
Address:
Relationship to Player:
Telephone numbers: Home: __________________________ Cell: _________________________
Any additional contact phone number: _______________________________
Email: __________________________________________________________________________
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Lowell Junior River Hawks – Season 2015
Tuition: $1250.00
The Lowell Junior River Hawks, Inc. (LJR), the player and parent guardian named above agree to enter into this player agreement for the player to be rostered to the LJR team indicated above; for the
stated 2015 season and above noted tuition fee, for good and valuable consideration the sufficiency
of which is hereby acknowledged, as follows:
Subject to the performance of their obligation hereunder by the player and parent/guardian, LJR
accepts the player as a member of the team for the stated season. LJR will provide coaching to the
player in the sport of ice hockey and LJR will be responsible for scheduling all practices and games.
The player agrees to report to all games, practices and skills sessions in good physical condition at
the time and place assigned by LJR and to play and participate in LJR activities using his best abilities.
Upon the execution of this player agreement, the player and/or his parent/guardian shall be jointly,
severally and individually obligated to pay the membership fee as follows:
Deposit: $500.00 upon signing this agreement
Balance: $750.00 must be paid in full by September 1st.
2015 Tuition includes:
 Competitive game schedule (approximately 12 games)
 Labor Day Tournament
 Two weekly practice sheets
 Weekly skills practice
 Game Jersey’s and Socks
 Practice Jersey
Also included is the use of game jerseys which are to be returned at the end of the current season or
upon leaving the organization, whichever comes first, in good condition. Players who do not return
their equipment will be assessed a charge of $75 per jersey.
Balance due can be paid in full at any time or paid according to the following schedule:
May 1, 2015
$150
June 1, 2015
$150
July 1, 2015
$150
August 1, 2015
$150
September 1, 2015 $150
Payments are considered late if not received within 10 days of the date due unless other arrangements have been made, in writing, and agreed to by both parties. Payments not received after the
11th day will be charged to the credit card on file with the organization. There will be NO additional
billing statements provided by LJR. Payments can be mailed to organization, Coach / Team Manager. Lowell Junior River Hawks, PO Box 213, North Reading, MA 01864
As of September 1, 2015, if the player’s tuition is not current, the player will be suspended from all
team activities until tuition is made current or payment arrangements are made.
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Lowell Junior River Hawks – Season 2015
All deposits and tuition paid to LJR are NON-REFUNDABLE and no portion thereof will be reduced
by reason of the player’s withdrawal from LJR; suspension or dismissal by LJR; by suspension or expulsion by operation of game or league rules; or the rules of USA Hockey; nor for injury or incapacity.
By May 30, 2015, the player must be registered with USA hockey and a copy of the registration must
be forwarded or e-mailed to organization USA Hockey Representative. Failure to register will result in the player not being placed on an official team roster and that player will not be eligible to participate in USA Hockey sanctioned games or tournaments.
Attendance at all LJR team practices, games and skills sessions is critical to player and team development. Parents or guardians are required to inform the teams head coach, with fair advance notice,
of the legitimate reason for their player’s absence. Excessive absences will not be tolerated as they
interfere with team performance.
Players specifically registering as goalkeepers for the 2015 season must participate in all LJR activities at this position for the duration of the season.
LJR reserves the right to suspend, dismiss or otherwise discipline the player for actions or behavior
detrimental to LJR. These actions include, but are not limited to, repeated unexcused absences from
games, practices and/or skills sessions or other events, persistent misconduct detrimental to LJR,
and/or other disruptive or unsportsmanlike like behavior or offenses that are prohibited by the LJR
Code of Conduct. Parents also can be suspended or expelled separately due to the above said offenses. All members must adhere to USA Hockey and Massachusetts Hockey Code of Conduct.
The player agrees he will not play hockey for any other hockey organization or group without prior
written approval from LJR and all financial obligations to LJR have been met for the current season.
The player agrees that he will wear the official uniform of the organization during all games and
scrimmages consisting of
- Provided game jersey
- Provided game Jersey’s and socks
Lowell Junior Riverhawks reserves the right to use any pictures taken during any LJR related activity
for promotional or instructional purposes without compensation.
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Lowell Junior River Hawks – Season 2015
Consent for Medical Treatment of a Minor: As Parent or legal guardian of the above-named player, I
hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine
or Doctor of Dentistry. This care may be given under whatever circumstances are necessary to preserve life, limb, or well-being of the above-named player.
Witness our hands and seals this day of
______________________________
Date
______________________________
Parent Signature
______________________________
Player Signature
______________________________
Team Head Coach Signature
______________________________
CREDIT CARD INFORMATION:
I _____________________________ authorize the Lowell Junior River Hawks organization to charge
the credit card I have provided for the purpose of collecting tuition in accordance with the terms of the
tuition schedule. All credit card payments will be processed through Collins Overhead Door, Inc.
Credit Card Type:_______________
CC Number: ___________________
Exp. Date:________________ Sec code:________
Name on card _______________________________________
Authorized Signature___________________________________
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