Sunday, 05 February 2012
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| Hockey Equipment |
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Year of Loan:_________________ Oak Creek Hockey Association Equipment Check-Out Form Player Name:_______________________________________ Age Group:_____________________ Parent Names:_____________________________________________________________________ Physical and Mailing Address:________________________________________________________ (List both parents if not living together) City, State, Zip:____________________________________________________________________ Mom’s Email:_________________________________Dad’s Email: ______________________ Home Ph:_________________ Mom Work Ph:__________________ Dad Work Ph:_______________ Mom Cell Ph:__________________ Dad Cell Ph:_________________ Equipment Borrowed:_______________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ AMT. OF DEPOSIT PAID:______________________ CK:____________________ I understand that my deposit check will be cashed and deposited. All equipment must be returned in acceptable condition or replaced prior to refund of deposit and within 30 days of the last season game. __________________________________________ _________________________ Signature Date __________________________________________ Print Name |