plyr / g / plyr/g
name / check one - player, goalie, or player/back up goalie
address / city / postal code
home phone / cell phone / email address
emergency contact - name/number
average level of hockey played, average statistical output
Mandatory equipment: Helmet and hockey/lacrosse gloves
Suggested equipment: Face shield, shin pads, protective cup, elbow pads
*Goalies must provide own equipment and be of reasonable size and measurement
Would you be interested in assisting or receiving more information on the following positions?
mediator/scorekeeper / equipment manager
CODE OF CONDUCT AGREEMENT
As a participant or fan, I promise to adhere to the rules and regulations governing the OSHL and respect
the mediators, scorekeepers and fellow participants of the OSHL at all times. I promise to always
participate or attend games with a positive, competitive and respectful attitude. I promise to treat the
facitilities with respect and adhere to the rules and regulations with and around the premises. I understand
that if, at anytime, I do not attend or play a game in a respectful manner, that I will be asked to leave the
game and premises.
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF ALL RISKS & INDEMNITY AGREEMENT
I AGREE that I am over the age of 18 years, and that I, the undersigned agree that in consideration of myself
being permitted to enter and use any one of the described lands, buildings, and premises used for ball hockey,
on behalf of myself, my heirs, successors and assignors, DO HEREBY REMISE, RELEASE, INDEMNIFY, SAVE
HARMLESS, DISCHARGE AND FOREVER HOLD HARMLESS the Old Skool Hockey League (OSHL), the
contracted facilities, and the City of Edmonton, their directors, employees, volunteers, and independent
contractors and their heirs, successors, and assignors from any claims whatsoever arising by reason of any
disease, deterioration of health, illness or injury to any person, including death, or for damage to, or loss of any
of my property resulting from or arising from use of the lands and premises, from being present on the lands and
premises, from participation in any program, from the use of any facilitiesor equipment located on the lands and
premises, from acceptance of the advice of, or from the gross or willful negligence of the City of Edmonton, the
facilities, Old Skool Hockey League, their directors, employess, vounteers, independent contractors or and other
persons using the lands and premises. The activities that I will be participating in will be inherently dangerous,
and I will be exposed to risk of serious injury, disability, death, and the risk of damage to or loss of property. I
acknowledge that there may no be prompt access to medical assistance or treatment when participating in any
activities, and I assume and accept any risk relating to the access to medical assistance and/or treatment. By
signing this document I acknowledge that I have read, understood and accepted the conditions of this waiver
form and are waiving certain legal rights, including the right to sue.
PRIVACY CONSENT
I, ______, do hereby consent to the collection and use of my personal information
(including first and last name, hometown, height, weight), personal images, athletic results and awards, prizes
received, and verbal quotes, by posting on the website of the Old Skool Hockey League and Hometeamsonline.
I understand and agree that this information will not be sold to anyone without my prior written consent. I
understand that my personal information can be viewed by anyone who accesses OSHL's website or publications,
and that my consent can be withdrawn at any time, upon adequate prior written notice. I give this consent
voluntarily and with the understanding that any of this information may be used in newspaper or magazine
stories, posted on websites, and to verify my identity and registration with the OSHL.
day/month/year / player signature
Your signature on this form will serve as your official signing of this release.
OFFICE USE ONLY
Date received: / Received by:
Date of system entry: / Payment type:
2011/2012 OSHL WEBSITE INFORMATION/DRAFT INFORMATION
name / hand
hometown / age
height / weight
favorite nhl team / favorite nhl player
previous ball hockey teams / year
played for
comments, quotes, predications…?
If you are able and willing, please send a profile picture to use for the league
website...use your discretion. Pictures can be sent to
Due to the fact that the teams are being chosen via draft, please assist us by given
us as accurate an evaluation of your talent as possible in the following areas:
Low High
OFFENSIVE SKILL / 1 2 3 4 5 6 7 8 9 10 / *note - these rankings
DEFENSIVE SKILL / 1 2 3 4 5 6 7 8 9 10 / are private and will
SPEED / 1 2 3 4 5 6 7 8 9 10 / only be used to assist
CONDITIONING / 1 2 3 4 5 6 7 8 9 10 / in the drafting process
What type of player would you best consider yourself to be (circle one)?
SNIPER PLAYMAKER 2-WAY GRINDER DEFENSIVE SPECIALIST OTHER ______
Forms can also be found on the league website ( and can be emailed to the league at or dropped off in person at:
12939 113A Street
Be sure to call Jimmy Ward first at:
780-760-0775 (h) or
780-722-6068 (c) to ensure someone will be there to receive your information