Maha Player Conditional Release Form
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1Michigan Amateur Hockey Association
PLAYER CONDITIONAL RELEASE FORM
The conditions of this release form are as follows:
1. The player being released is released from the team on which he/she is currently rostered.
2. The parent/guardian of the player being released is obligated to pay all fees as signed on ______________________ 20____ and has posted advance
payment of $____________.
3. The player being released has returned all property and equipment to____________________________________ on _______________20____.
4. The parent/guardian of the player being released is willing to submit his/her contract obligations to a court of competent jurisdiction to determine
what is due to the Association/Club or Independent regarding the fees set out on _____________________ 20_____.
TO BE FILLED OUT BY RELEASING TEAM:
(Please Print)
Players Name________________________________________________ Date of Birth _____________________________
Player’s Signature__________________________________________ Date_______________________________________
Releasing Team ___________________________________________Team Number________________________________
Number of games played at time of release (by)
Team__________________
Player___________________
Signature of Releasing Team Official _____________________________________________Date_____________________
TO BE FILLED OUT BY RELEASING ORGANIZATION:
(Please Print)
Name of Releasing Organization_________________________________________________ Date_____________________
Signature of Releasing Organization Official ____________________________________Tiitle_________________________
I, ___________________________________________ parents/guardian of _______________________________________
Please Print Parent/Guardian Name
Please Print Players Name
have read and fully understand the conditions of this release.
_____________________________________________________________ Date ___________________________________
(Signature of Parent/Guardian)
NEW TEAM: THIS SECTION FOR ASSOCIATE REGISTRAR’S USE-ONLY
Date __________________________________
New Team ________________________________________
Time __________________
District _________
New Team # _______________________________________
Signature of Associate Registrar ___________________________________________Team Class_____________________
Not Eligible to Play Until ________________________________________________________Time_________________________________
DISTRIBUTION:
USA Hockey Registrar / Releasing Team Associate Registrar / New Team Associate Registrar / Releasing Team/Organization
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