Adult Hockey Online Registration | Jacksonville Ice and Sportsplex | Ice Rink

Please use the form below for Adult League Registration.

*** These fields are required.
First Name ***
Last Name ***
Address
City
State
Zip Code ***
Your Email Address ***
Confirm Email Address ***
Day Phone ***
Evening Phone
Cell Phone
Current player ***
Release of Liabilty Agreement I am aware that participating in an Ice Hockey event involves danger and risks, but not limited to the danger and risk of collision with other participants or man-made objects (dasher boards, ice surface, goals), and the risk of serious injury and/or death and/or property damage. I freely accept and fully assume all such dangers and risks. In consideration of JACKSONVILLE ICE, event managers, sponsor(s), rink owner, their directors, officers, employees, referees and any other volunteer associated with Ice Hockey events, I waive any and all claims that I may have against said parties.
I have read and agree to the Release of Liability ***
Season Registering for: ***
League Applying for: ***
Experience Factor (Highest Level Played): ***
Date of Birth ***
USA Hockey Reg. # *** USA Hockey Registration	(Renewal Required After 8-1-11 for everyone)
If new to league, what was last level of hockey played (high school, college, pro etc.)	Please be specific as to division(s)
How long ago?
Position You Play:
Enter any extra information that you would like us to know. If new player tell us last time played and what level.