Summer Camp 2015 Registration 

If you have any questions about registration please contact

If you have questions about the summer camp please contact

AAU Membership link


Player Information
Players Name *
Players Name
Birth Date *
Birth Date
Child's Birthday
Enter in child's age
If you do not have a membership please purchase one at
AAU Expiration date? *
AAU Expiration date?
Each summer hockey session will require a valid AAU membership that expires in August 2015
Please enter any medical issues your child may have
Hockey Experience *
Position *
Select what postion/s your child would like to play
Parent or Guardian
Name *
Home Address
Home Address
Mobile Phone
Mobile Phone
Who to contact incase of an emergency
Emergency contact phone number *
Emergency contact phone number
Camp Options and Pricing *
Please select all dates and times you would like to attend. Each choice is $95 so if you choose all four options it will be a total of $380. Payment must be received in full 1 week prior to the camp start date. Camps are subject to be cancelled due to lack of registrations up to 1 week prior to the start of the camp. No refunds will be issued if camp days are cancelled due to weather.
Agree *
By checking yes I understand roller hockey is a physically demanding sport which involves physical contact with other players and physical exertion from my child. I assume all the risks and hazards associated with his/her participation. My child has no known medical conditions, which prohibit participation in this sport. I agree that Cherokee County Parks and Recreation Authority and/or Cherokee Hockey In-line League (CHILL) officials will not be held responsible for any accidents or loss, however caused and agree to release the proprietors from result of or by reason of such accidents or loss. I agree to waive, release, absolve, indemnify and hold harmless the previously mentioned including coaches, parents, agents, or sponsors from legal liability resulting from the any injuries sustained during participation in these activities. In the event of an emergency, I hereby authorize Cherokee Hockey In-line League officials to act on my behalf and provide my son/daughter with emergency medical care. I have read and signed a copy of the Roller Hockey Consent and liability Waiver form to be placed on file. I understand there is no refund policy should my child's registration be withdrawn. I understand the facility is outdoors and will be utilized to the best advantage of all youth involved in the program. CHILL reserves the right to use any pictures taken during the sessions for future advertising and/or instructional purposes.