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RAB Equipment Lending Form
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First Name
Last Name
Played for RAB before
Yes
No
Equipment Lending Program - Registering for:
U6 / FUN1 / FUN2
U10 - certain restrictions apply
I have read and understand the outline and responsibilities/obligations of entering this program
I agree to provide a Bond for the equipment being used. This surety will be held in bond for the return of equipment in good and useable condition.
Yes
I agree to be responsible for the equipment being loaned to me by the Ringette Association of Burlington as outlined in the program.
Yes
I require the following equipment:
FULL KIT
PARTIAL KIT - see selection requested below:
(replacement cost are indicated next to the equipment item):
$ 55 - Helmet
$ 60 - Ringette Mask
$ 50 - Shoulder Pads
$ 30 - Elbow Pads
$ 55 - Gloves
$ 70 - Girdle
$ 40 - Pants
$ 40 - Shin Pads
$ 17 - Neck Guard
$ 50 - Hockey Bag
$ 33 - Ringette Stick
Parent / Guardian Name
Parent / Guardian Email
Parent / Guardian Phone Number:
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