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 "The Des Moines Adult Hockey Assocation, Inc (DMAHAI) will promote the growth and development of amateur adult ice hockey in Central Iowa. DMAHAI will work to provide the best possible experience for all players by providing an environment that stimulates a fun, enjoyable and competitive experience for all skill levels."

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Online Signup - Intermediate "C"
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INTERMEDIATE "C" LEAGUE SIGNUP 

Summary...

 

1. Cost = $250/Individual or $3,200/Team.  
2. 20 Game season from March 25th to August 22nd.
2. An active USA Hockey membership is required.  You can register with USA Hockey by clicking HERE.  There is a fee of $38 ($30 to national, $8 to regional).  You will be given a 14-digit Confirmation #.  Please make a note of it (or copy it on your computer because you will need to enter this number on the form below).  If you think you are already a member, you can click HERE to check. 

 

Get Started...

1. Get your USA Hockey ID either by registering HERE or retrieve your existing ID HERE
2. Fill out form below.  * = required field
3. Read and Accept the Waiver of Liability
4. Click "Submit" button at the bottom to complete your registration
5. Pay with check OR Dwolla.com OR PayPal
6. Play Hockey!

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USA Hockey Registration
USA Hockey Registration/Confirmation # (please register at www.usahockeyregistration.com)*
Basic Info
First Name*
Last Name*
Birthdate*
Address Line 1*
Address Line 2
City*
State*
Zip*
Email*
Mobile Number*
Your mobile phone service provider (i.e. "Verizon")? We can use this to send emergency updates via text.
Hockey Experience
Check if you are a goalie
What is the highest level of adult hockey you have played?*
What is the highest level of hockey you played when you were young and invincible?*
Please add any other comments on your hockey experience
Intermediate League ("C") - Wednesday
Wednesday C League Team
Wednesday Jersey Number (if known)
Intermediate League ("C") - Sat/Sun
Sunday Team Name
Sunday Jersey Number (if known)
Emergency Contact
Emergency Contact Name*
Relationship to Player*
Phone Number*
Other Stuff
I am interested in being a referee
I am interested in being a scorekeeper
Any Other Comments?
Liability Waiver

Des Moines Adult Hockey Association
Waiver of Liability
Release Assumption of Risk & Indemnity Agreement

It is the purpose of this agreement to exempt, waive and relieve releasees from liability for personal injury, property damage, and wrongful death, including if caused negligence, including the negligence, if any if releasees.  “Releasees” include the Des Moines Adult Hockey Association, Inc, (DMAHA), its members, member teams, event hosts, officials, sponsors, advertisers, and each of them, their officers, directors, agents and employees.

For and in consideration of the undersigned participant’s registration with Des Moines Adult Hockey Association, its affiliates and member teams and being allowed to participate in DMAHA  events and member team activities, participant waive, release and relinquish any and all claims for liability and cause(s) of action, including for personal injury, property damage or wrongful death occurring to participant, arising out of participation in DMAHA events, member team activities, the sport of ice hockey, and/or activities incidental thereto, whenever or however they occur and for such period said activities may continue, and by this agreement any such claims, rights, and causes of action that participant may have are hereby waived, released and relinquished, and participant does(do) so on behalf of my/our participant’s heirs, executors, administrators and assigns.

Participant acknowledges, understands and assumes all risks relating to ice hockey and any member team activities, and understands that ice hockey and member team activities involve risks to participant’s person including bodily injury, partial or total disability, paralysis and even the possibility of death and damages which may arise therefrom and that I have full knowledge of said risks.  These risks and dangers may be caused by the negligence of the participant or the negligence of others, including the “releasees” identified bellowed.  These risks and dangers include, but are not limited to, those arising from participating with bigger, faster and stronger participants.  I further acknowledge that there may be risks and dangers not known to us or not reasonably foreseeable at this time.  Participant acknowledges, understands and agrees that all of the risks and dangers described throughout this agreement, including those caused by the negligence of participant and/or others, are included within the waiver, release and relinquishment described in the preceding paragraph.  I agree to abide by and be bound under the rules of DMAHA, including the By-Laws of the corporation as currently published.  Copies are available to DMAHA members upon request.

Participant acknowledges, understands and assumes the risk, if any, arising from the conditions and use of ice hockey rinks and related premises and acknowledges and understands that included within the scope of this waiver and release is any cause of action (including any cause of action based upon negligence) arising from the performance, of failure to perform, maintenance, inspection, supervision, or control of said areas and for the failure to warn of dangerous conditions existing at said rinks, for negligent selection of certain releasees, or negligent supervision or instruction by releasees.

If the law in the controlling jurisdiction renders any part of this agreement unenforceable, the remainder of this agreement shall nevertheless remain enforceable to the full extent, if any, allowed by controlling law.  This agreement affects your legal rights, and you should consult an attorney concerning this agreement prior to your signing it if you have any questions.

Participant agrees if any claim for participant’s personal injury or wrongful death is commenced against releasees, he/she shall defend, indemnify and save harmless releasees from any and all claims or causes of action by whomever or wherever made or presented for participant’s personal injuries, property damage or wrongful death.

Participant acknowledges that they have been provided and have read the above paragraphs and have not relied upon any representations of releasees, which they are fully advised of the potential dangers of ice hockey and understand these waivers and releases are necessary to allow amateur ice hockey to exist in its present form.

Do you accept the Waiver of Liability?*
Submit
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