Okotoks Minor Hockey Association Manager s Handbook

Transcription

1 Okotoks Minor Hockey Association Manager s Handbook

2 Introduction You are a representative of the OMHA and more specifically of your team and division. The time you invest and relationships you build will pay off not only for you in the current season but in seasons to follow! Start-up & Early Season Have a coach/manager meeting to clarify duties/expectations/philosophy of how the team will run Establish and understand chain of communication: Parent-Manager-Coach- Director-24 hour rule and review consequences of zero tolerance rule - incidents will be forwarded to OMHA Coaches talking with players always have another adult in the room Female teams with male coaches always have a female parent in the room Establish the method of communication: vs. phone vs. website. Team snap is an excellent communication method if you prefer from the team page on the OMHA website. OMHA requests that you do sign up for the OMHA page and add your coach/manager contact information as many associations use the OMHA site to find contacts for teams You will probably be in daily contact with the coach. The clearer you are on your duties and the joint expectations, the more smoothly the season will run. Prepare volunteer sign-up sheet for parent meeting. Sample attached. Have a team/coach/parent meeting so that coaching philosophy can be clearly communicated as well as expectations of parents and players Ask parents for any expected vacation plans for the entire season, including potential playoffs. This information will help prepare you for booking tournaments, exhibition games and affiliating players Discuss fundraising/sponsorship and collect $100 to start for team fund. There will be a fundraising section on the Manager s section of the website. This will contain information the OMHA is sent on fundraising opportunities, however the OMHA does not endorse any specific company rather we are only providing information received. Scotiabank in Okotoks supports our teams and an account at their branch is easy to obtain. Input team info for a team page this will include coaches, manager, and contact numbers Prepare contact sheet that includes each parent s home/cell/work numbers plus addresses. Once prepared send a draft out to all for any corrections. Once correct, make sure all coaches and phone parents have an electronic copy and/or hard copy of this

3 Parents should be encouraged to carpool as it takes pressure off 2 workingparent families and helps with team bonding Social committee and coaches should have distribution list. Have social committee plan some player and/or parent get-togethers Make up wallet size contact card. This is most useful while on the road so make sure home and cell number is on this. Division directors will hand out game book. It is a good idea to give a few game sheets to the coaches for back up. Jerseys, pucks, first-aid equipment all need to be picked up from Equipment manager. A deposit is required at time of pick-up Once jersey numbers picked make up game book stickers must be in alphabetical order by last name after the goalie Any team apparel should be addressed as early as possible so that the players have team clothing for as much of the season as possible. Socks can be purchased through Equipment manager Get medical forms and conduct sheets filled out and returned Make sure any allergies and/or medical issues are identified for player safety in the dressing room and for any team meals Start selecting tournaments (see separate information on this) Travel permits in the tournament section apply to any exhibition games outside of Zone 5 as well. Please view page on travel permits as it is IMPERATIVE you follow for exhibition games & tournaments outside of Zone 5. Know the CAHL Season Critical Dates (for ) Season start date October 19 Tiering round Oct. 19/12 until Nov. 11/12 Tiering break Nov /12 weekend Regular season Nov. 23/12 to Feb. 17/13 Christmas break Dec /12 Playoffs begin the Feb /13 weekend Tournaments Discuss with coaches and parents how many tournaments the team wants to participate in; if they should be local or out of town, during Christmas break or not. Clarify how tournament costs are covered, i.e. Fundraising or pay as you go. If the team selects pay as you go, collect tournament fees from them right up front. This way, all costs are covered and if a player drops out, you do not have to collect additional money from the rest of the team. Check out Hockey Alberta website for tournament listings and book tournaments, hotel and bussing as early as possible. Book as early as possible.

4 Tournaments should not be booked during tiering round or during playoffs. CAHL teams CAN NOT enter tournaments from Oct 19th to Nov 11th which is the tiering round. As well do not enter a tournament Nov 23rd-25th as that is the beginning of the new CAHL schedule after re-tiering and the schedule will be out too late that week and changes can not be made that quickly When selecting tournaments spend time discussing with the tournament coordinator the level of play of your own team as well as those being invited. Goal is to have well-matched and competitive teams playing each other. Novice House teams should look for house tournaments or D tournaments. Any tiered or A, B & C tournaments are too high for the Novice house teams Pre-arrange hotels usually hotel will hold rooms for a certain amount of time prior to canceling a group booking. This gives time for families to book and tournament schedules to be finalized. Alternatively, to save yourself the hassle, use a sports team-booking agency such as Canaccom ( to handle all hotel arrangements. They will work with each of the parents to ensure they all book and pay for their rooms in a timely fashion. There is no fee to the team for this service. Acquire a travel permit from OMHA. When requesting travel permit, need to have sanction number of tournament, number of games to be played, dates and location. Takes a few days to get so do this in advance. Travel permits must be with you at tournament. Can write permit number on game stickers as well. Travel permits are not required for Zone 5 teams. Please refer to separate travel permit section. Tournament entrance fee needs to be submitted to tournament coordinator along with a team roster Pre-arrange bussing if using one. Calgary Motorcoach is a local bus company that is used by the OOAA teams Special meal arrangements can be looked into once you book a tournament and hotel. Check into availability of booking meeting rooms in hotel for team gatherings or coaches meetings An extra room can also be booked as a parent room or an equipment room Have coach clearly communicate expectations around swimming, behavior and curfews tournament schedule to parents Have copies of Hockey Canada injury reports with you Calgary tournaments require all players to wear a mouth guard Game sheets must be scanned/ ed to Karen Arnholtz when travel permit was obtained or if there are any major penalties. CAHL does not receive gamesheets for tournaments only league games

5 Send out an thank you to tournament coordinators at the conclusion of the tournament During the Season Plan exhibition games. Check with Jamie Steer for ice and the referee assignor for referees. If changes occur to a planned exhibition game, you must notify Jamie and referee assignor immediately Exhibition game ice and referees have to be paid at the start of the game and should be paid in cash. Referee assignor has a schedule of the fees. Exhibition games outside your zone require a travel permit. You must send your game sheets into travel permit assignor immediately after that game. If a one time only exhibition game, offer to share all game expenses with the opposing team. Otherwise, reciprocal costs are suggested. You can always schedule a 50/50 with proceeds going toward costs. Any changes to scheduled games must also be communicated immediately to Jamie Steer and referee assignor Keep parents notified of schedule updates Develop and maintain contact sheet Keep track of injuries on the OMHA Injury Tracking sheet attached Any time an affiliated player (if your team is allowed affiliates) is playing, this must be clearly marked on game sticker. Cross out absent players or ones not playing that game. League Team Specific Check league website so you ensure you have all information pertaining to your league. Rocky Mountain Female Hockey League (RMFHL) is and Central Alberta Hockey League (CAHL) is CAHL will require teams appoint a data entry volunteer to enter gamesheets. Visit their above website to view the documents of roles & responsibilities for data entry person and team manager Home game sheets, (white copy), and game reports (if given) must be faxed to governor after the game (24 hours) and a hard copy mailed within 2 days. Only league game sheets are submitted to the leagues. Tournaments are handled by Karen Arnholtz as explained later in the manual.

6 Playoffs & Wrap-up Evaluations need to be completed and submitted Expect Feedback Positive & Negative Understand playoff format and keep rules handy Deadlines are in place for a reason and need to be adhered to: After January 10th affiliate players can only play 5 games with affiliated team in order to still be able to play for their own team. End of league play date league games must be completed by this date. Jerseys need to be cleaned and returned along with pucks and first aid kits to Equipment manager. Deposit amount will be refunded based on condition of items returned. Equipment must be returned by April 30th. A penalty will be assessed on equipment returned after April 30th. All attached forms in the handbook will be available in downloadable format at

7 Travel Permits Please review and ensure your team is complying with the correct procedure. If at any time, please contact Karen Arnholtz for clarification Each team will need a travel permit for any tournament or exhibition game that is played outside of Zone 5 (map attached). For example: If your team plays an exhibition game in Medicine Hat, and they are part of your league, but not in Zone 5 you are not covered for insurance and need to get a travel permit. Games within the league schedule are the only games covered. Hockey Alberta has implemented permits for exhibition games you host. We realize some exhibition games in Okotoks are done at the last minute however please Karen Arnholtz the details. Team name, date & location Submit a travel permit request to Karen Arnholtz, OMHA Administrative Assistant at adminassistant@okotokshockey.com Information needed is Team name and division, dates of game, tournament sanction number (if a tournament) and number of games you expect to play. Please include possible final game if going to a tournament. Please allow one week prior for travel permits to be approved, however if you have missed the one week prior please contact Karen Arnholtz immediately to have the process started. All game sheets that have suspendable infractions must be submitted within 24 hours of playing the game. It is preferable to have managers scan and the game sheets and write up to Karen Arnholtz-OMHA at adminassistant@okotokshockey.com. It is your team s responsibility to ensure your game sheets are submitted. All original game sheets must be submitted to Karen Arnholtz at OMHA, Box 1152, Okotoks, AB T1S 1E3 within 7 days if it required a travel permit. Failure to do this will result in no further travel permits being issued. Travel Permits will not be issued if any game sheets are outstanding from previous travel permits Discipline All game sheets whether a travel permit was required or not with suspendable infractions during tournament or exhibition play must be sent in by or faxed within 24 hours to Karen Arnholtz. In these cases the original copies of the game sheet and write-up must be sent to Karen Arnholtz within 48 hours Hockey Alberta Zone 5 Discipline will be notified of the suspendable infraction and will forward the ruling to Karen Arnholtz, who will in turn notify the manager. If Hockey Alberta issues a player on your team a suspension, it is that team s responsibility to submit the game sheet that the player sat out to Karen Arnholtz. Hockey Alberta tracks all suspensions and therefore must produce paperwork to ensure the guidelines are being followed.

8 Coaches must not play a player until you have been notified of the suspension ruling. If you haven t heard or are in doubt do not play them and contact Karen Arnholtz. Team staff is subject to an indefinite suspension for playing an ineligible player. If teams do not obtain a required travel permit and a suspendable offence occurs that coach will be subject to an OMHA suspension and no further travel permits will be granted. It is imperative that OMHA teams adhere to the travel permit rules that have been set by Hockey Alberta. If you have any questions regarding, please contact Karen Arnholtz at adminassistant@okotokshockey.com Special Events Special events permits are required for all activities, training, and fundraising involving your team or association. Examples include dry land training, bottle drives, team building activities, 3on3 tournaments, power skating camps, WHL games, etc. These do not include parent/child games any longer and will not be covered. All teams require special events sanctions while attending tournaments to cover team meals, swimming, activities, etc. Managers can submit a request for the season for some of these events like dry land, team meals, etc. * Please ensure you submit locations of such activities. DO NOT submit requests for parent parties and activities involving alcohol as they are at your own risk and will not be approved. If you are unsure you need a sanction number, please contact Karen Arnholtz at adminassistant@okotokshockey.com Additional Information regarding exhibition games permits, travel permits and special sanctions will be sent to managers via .

9 Frequently Asked Questions Q: Why do I need to get a travel permit? A: This ensures that our players are covered for insurance purposes at all sanctioned hockey games. Q: When do I need to ask for a travel permit? A: As soon as you know you have a tournament or exhibition game booked. The deadline is Tuesday before your scheduled game or tournament requiring a permit. The more time the better but you can ask for one right up to game time if you have forgotten. Q: Is Calgary in our zone? A: No, any games played in Calgary require a travel permit Q: Does a player need a doctor s note to return to play after a sports related absence? A: This is up to the individual coach, however the guiding principle is to be aware of a player s health and safety first and foremost Q: Who decides if a game will be cancelled due to weather conditions? A: The coaching group and manager will make this decision on behalf of the team. Ultimately, it is always up to a parent whether he/she wants to travel on the roads Q: Why is the OMHA asking managers to keep stats on sports-related injuries? A: This is simply for statistical purposes to look at ways to improve OMHA. The purpose is not to place sanctions on teams, players or coaches for sports related injuries. Q: What is the chain of command for concerns? A: Manager coach director governor. ALWAYS exercise the 24 hour rule! Q: Who should be in the room when a coach is dealing with a player on a disciplinary concern? A: The coach, player and another adult Q: Is it mandatory that they wear mouth guard? A: Mouth guards are mandatory for all players in Peewee & higher except for the goalie. Goalies are not required to wear a mouth guard. Q: How long in advance can we get a schedule A: Practice Schedules sent out 3 weeks at a time to avoid a whole bunch of amendments and changes that would occur of it was sent out any longer. League schedules vary depending on re tiering however once that is completed depending on league you will get the first week at short notice but the remainder of the season should be done

10 Contact Information OMHA Operations Coordinator and CAHL Division/Tier Governor Jamie Steer - Phone: operations@okotokshockey.com Referee Assignor Brenda Honish ora.assignor@gmail.com Manager Mentors Cathy Hornsby - Phone: (h) (c) hornsby.cathy@gmail.com Carolyn Mercier - Phone: (h) (c) rcljmercier@okotoks.net Missy Munro - Phone: (h) (c) amunro@platinum.ca Karen Pagano - Phone: (h) (c) kpagano@birchcliffenergy.com Game & Conduct Director Dean Black Phone: (h) (c) gameandconduct@okotokshockey.com Travel Permit Assignor Karen Arnholtz - Phone: adminassistant@okotokshockey.com Division Managers Initiation - Nick Ruigrok Novice - Amanda Germain Atom - Mike Smith Peewee - Mike Reiber Bantam - Ron Kanten Midget - Howard Froese Female - Peter Hoven Arena Contacts Stavely rink (Archie) Black Diamond rink (Les) orarena@persona.ca Nanton rink (Trent) Blackie rink (Rob Connors) High River rink (Jeff) Indus rink Vulcan (Bonnie) Eden Valley Ice Traders - a new site Town of Okotoks is utilizing to post available ice as well as arenas in the specific regions. You will need to set up a login at Website Links (Saskatchewan Hockey Association) (Blackfoot/Southland) (Alberta Central Cities Hockey League)

11 OMHA Team Injury Tracking Sheet Team: Coach: Date of Injury Injury i.e. concussion Time Away from ice Medical Attention Seeked Pls Specify How did injury occur Was Penalty Called Penalty (hitting from behind, etc. Comments (Repeat Injury?)

12 Okotoks Minor Hockey Association Practice and play like a champion today! Box 1152 Okotoks, Alberta T1S 1B Answering Service FAX Respect in Sport Manager's Information Hockey Alberta has implemented a policy where all players must have at least one parent that has completed Respect in Sport-Parent. This must be completed by December 2012 of this season or the player can no longer be on the ice. However OMHA is implementing a deadline of November 15 th. This program is not an option so we do not want parents to delay in taking the program as we will take players of the ice as of November 15 th. To stream line and make sure it is getting completed we are asking managers to keep track of when the parents have finished the course by submitting the attached tracking sheet to show all of their parents have taken the course. Once the parents have completed the course they will be given a certification number, please have them submit to you to enter on the attached tracking sheet. Once all of the parents have submitted please the tracking sheet to Karen Arnholtz at adminassistant@okotokshockey.com Please have your parents visit the following link to take the on-line course. Respect in Sport-Parent

13 OMHA Respect in Sport Certifications Team: Coach: Date Took Course Player Name Parent Name Took Course Certification Number

14 OMHA TEAM VOLUNTEERS HEAD COACH ASST COACH ASST COACH ASST COACH MGR TRAINER # REQUIRED WEBSITE ADMINISTRATOR TREASURER 1 JERSEYS HOME 1 JERSEYS AWAY 1 PHONE 2 FUNDRAISING 2 50/50 TICKETS 2 SCORE / TIME 6 FUNDRAISING COORDINATOR 1 TOURNAMENT COORDINATOR 1 SOCIAL DIRECTORS 3 HOTEL COORDINATOR 1 TEAM MEAL COORDINATOR 1 WATER BOTTLES 1 DRESSING ROOM MUSIC 1 WEB COORDINATOR 1

15 # Position Players Name Home Dad's Dad's Mom's Mom's (Last/First) Phone Name Phone # Name Phone # Goalies (listed alphabetically by last name) 1 G Goalie 1 aaa-bbbb G Dad 1 aaa-bbbb G Mom 1 aaa-bbbb 29 G Goalie 2 aaa-bbbb G Dad 2 aaa-bbbb G Mom 2 aaa-bbbb 31 G Goalie 3 aaa-bbbb G Dad 3 aaa-bbbb G Mom 3 aaa-bbbb Skaters (listed alphabetically by last name) 1 F Player 1 aaa-bbbb Dad 1 aaa-bbbb Mom 1 aaa-bbbb 2 F Player 2 aaa-bbbb Dad 2 aaa-bbbb Mom 2 aaa-bbbb 3 F Player 3 aaa-bbbb Dad 3 aaa-bbbb Mom 3 aaa-bbbb 4 D Player 4 aaa-bbbb Dad 4 aaa-bbbb Mom 4 aaa-bbbb 5 F Player 5 (C) aaa-bbbb Dad 5 aaa-bbbb Mom 5 aaa-bbbb 6 D Player 6 aaa-bbbb Dad 6 aaa-bbbb Mom 6 aaa-bbbb 7 F/D Player 7 aaa-bbbb Dad 7 aaa-bbbb Mom 7 aaa-bbbb 8 F Player 8 aaa-bbbb Dad 8 aaa-bbbb Mom 8 aaa-bbbb 9 D Player 9 (AC) aaa-bbbb Dad 9 aaa-bbbb Mom 9 aaa-bbbb 10 F Player 10 aaa-bbbb Dad 10 aaa-bbbb Mom 10 aaa-bbbb 11 F Player 11 aaa-bbbb Dad 11 aaa-bbbb Mom 11 aaa-bbbb 12 F Player 12 aaa-bbbb Dad 12 aaa-bbbb Mom 12 aaa-bbbb 13 F Player 13 (AC) aaa-bbbb Dad 13 aaa-bbbb Mom 13 aaa-bbbb 14 D Player 14 aaa-bbbb Dad 14 aaa-bbbb Mom 14 aaa-bbbb 15 D Player 15 aaa-bbbb Dad 15 aaa-bbbb Mom 15 aaa-bbbb 16 D Player 16 aaa-bbbb Dad 16 aaa-bbbb Mom 16 aaa-bbbb 17 D Player 17 aaa-bbbb Dad 17 aaa-bbbb Mom 17 aaa-bbbb 18 D Player 18 aaa-bbbb Dad 18 aaa-bbbb Mom 18 aaa-bbbb 19 D Player 19 aaa-bbbb Dad 19 aaa-bbbb Mom 19 aaa-bbbb Coaches/Manager Coach Head Coach aaa-bbbb A/C Asst Coach 1 aaa-bbbb A/C Asst Coach 2 aaa-bbbb A/C Asst Coach 3 aaa-bbbb Manager Manager aaa-bbbb

16 # Player Dad Mom Home Dad Cell Mom Cell # Player Dad Mom Home Dad Cell Mom Cell 1 Goalie 1 G Dad 1 G Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 1 Goalie 1 G Dad 1 G Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 29 Goalie 2 G Dad 2 G Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 29 Goalie 2 G Dad 2 G Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 31 Goalie 3 G Dad 3 G Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 31 Goalie 3 G Dad 3 G Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 1 Player 1 Dad 1 Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 1 Player 1 Dad 1 Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 2 Player 2 Dad 2 Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 2 Player 2 Dad 2 Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 3 Player 3 Dad 3 Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 3 Player 3 Dad 3 Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 4 Player 4 Dad 4 Mom 4 aaa-bbbb aaa-bbbb aaa-bbbb 4 Player 4 Dad 4 Mom 4 aaa-bbbb aaa-bbbb aaa-bbbb 5 Player 5 (C) Dad 5 Mom 5 aaa-bbbb aaa-bbbb aaa-bbbb 5 Player 5 (C) Dad 5 Mom 5 aaa-bbbb aaa-bbbb aaa-bbbb 6 Player 6 Dad 6 Mom 6 aaa-bbbb aaa-bbbb aaa-bbbb 6 Player 6 Dad 6 Mom 6 aaa-bbbb aaa-bbbb aaa-bbbb 7 Player 7 Dad 7 Mom 7 aaa-bbbb aaa-bbbb aaa-bbbb 7 Player 7 Dad 7 Mom 7 aaa-bbbb aaa-bbbb aaa-bbbb 8 Player 8 Dad 8 Mom 8 aaa-bbbb aaa-bbbb aaa-bbbb 8 Player 8 Dad 8 Mom 8 aaa-bbbb aaa-bbbb aaa-bbbb # Player Dad Mom Home Dad Cell Mom Cell # Player Dad Mom Home Dad Cell Mom Cell 1 Goalie 1 G Dad 1 G Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 1 Goalie 1 G Dad 1 G Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 29 Goalie 2 G Dad 2 G Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 29 Goalie 2 G Dad 2 G Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 31 Goalie 3 G Dad 3 G Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 31 Goalie 3 G Dad 3 G Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 1 Player 1 Dad 1 Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 1 Player 1 Dad 1 Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 2 Player 2 Dad 2 Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 2 Player 2 Dad 2 Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 3 Player 3 Dad 3 Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 3 Player 3 Dad 3 Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 4 Player 4 Dad 4 Mom 4 aaa-bbbb aaa-bbbb aaa-bbbb 4 Player 4 Dad 4 Mom 4 aaa-bbbb aaa-bbbb aaa-bbbb 5 Player 5 (C) Dad 5 Mom 5 aaa-bbbb aaa-bbbb aaa-bbbb 5 Player 5 (C) Dad 5 Mom 5 aaa-bbbb aaa-bbbb aaa-bbbb 6 Player 6 Dad 6 Mom 6 aaa-bbbb aaa-bbbb aaa-bbbb 6 Player 6 Dad 6 Mom 6 aaa-bbbb aaa-bbbb aaa-bbbb 7 Player 7 Dad 7 Mom 7 aaa-bbbb aaa-bbbb aaa-bbbb 7 Player 7 Dad 7 Mom 7 aaa-bbbb aaa-bbbb aaa-bbbb 8 Player 8 Dad 8 Mom 8 aaa-bbbb aaa-bbbb aaa-bbbb 8 Player 8 Dad 8 Mom 8 aaa-bbbb aaa-bbbb aaa-bbbb # Player Dad Mom Home Dad Cell Mom Cell # Player Dad Mom Home Dad Cell Mom Cell 1 Goalie 1 G Dad 1 G Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 1 Goalie 1 G Dad 1 G Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 29 Goalie 2 G Dad 2 G Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 29 Goalie 2 G Dad 2 G Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 31 Goalie 3 G Dad 3 G Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 31 Goalie 3 G Dad 3 G Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 1 Player 1 Dad 1 Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 1 Player 1 Dad 1 Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 2 Player 2 Dad 2 Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 2 Player 2 Dad 2 Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 3 Player 3 Dad 3 Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 3 Player 3 Dad 3 Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 4 Player 4 Dad 4 Mom 4 aaa-bbbb aaa-bbbb aaa-bbbb 4 Player 4 Dad 4 Mom 4 aaa-bbbb aaa-bbbb aaa-bbbb 5 Player 5 (C) Dad 5 Mom 5 aaa-bbbb aaa-bbbb aaa-bbbb 5 Player 5 (C) Dad 5 Mom 5 aaa-bbbb aaa-bbbb aaa-bbbb 6 Player 6 Dad 6 Mom 6 aaa-bbbb aaa-bbbb aaa-bbbb 6 Player 6 Dad 6 Mom 6 aaa-bbbb aaa-bbbb aaa-bbbb 7 Player 7 Dad 7 Mom 7 aaa-bbbb aaa-bbbb aaa-bbbb 7 Player 7 Dad 7 Mom 7 aaa-bbbb aaa-bbbb aaa-bbbb 8 Player 8 Dad 8 Mom 8 aaa-bbbb aaa-bbbb aaa-bbbb 8 Player 8 Dad 8 Mom 8 aaa-bbbb aaa-bbbb aaa-bbbb # Player Dad Mom Home Dad Cell Mom Cell # Player Dad Mom Home Dad Cell Mom Cell 1 Goalie 1 G Dad 1 G Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 1 Goalie 1 G Dad 1 G Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 29 Goalie 2 G Dad 2 G Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 29 Goalie 2 G Dad 2 G Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 31 Goalie 3 G Dad 3 G Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 31 Goalie 3 G Dad 3 G Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 1 Player 1 Dad 1 Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 1 Player 1 Dad 1 Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 2 Player 2 Dad 2 Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 2 Player 2 Dad 2 Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 3 Player 3 Dad 3 Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 3 Player 3 Dad 3 Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 4 Player 4 Dad 4 Mom 4 aaa-bbbb aaa-bbbb aaa-bbbb 4 Player 4 Dad 4 Mom 4 aaa-bbbb aaa-bbbb aaa-bbbb 5 Player 5 (C) Dad 5 Mom 5 aaa-bbbb aaa-bbbb aaa-bbbb 5 Player 5 (C) Dad 5 Mom 5 aaa-bbbb aaa-bbbb aaa-bbbb 6 Player 6 Dad 6 Mom 6 aaa-bbbb aaa-bbbb aaa-bbbb 6 Player 6 Dad 6 Mom 6 aaa-bbbb aaa-bbbb aaa-bbbb 7 Player 7 Dad 7 Mom 7 aaa-bbbb aaa-bbbb aaa-bbbb 7 Player 7 Dad 7 Mom 7 aaa-bbbb aaa-bbbb aaa-bbbb 8 Player 8 Dad 8 Mom 8 aaa-bbbb aaa-bbbb aaa-bbbb 8 Player 8 Dad 8 Mom 8 aaa-bbbb aaa-bbbb aaa-bbbb # Player Dad Mom Home Dad Cell Mom Cell # Player Dad Mom Home Dad Cell Mom Cell 1 Goalie 1 G Dad 1 G Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 1 Goalie 1 G Dad 1 G Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 29 Goalie 2 G Dad 2 G Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 29 Goalie 2 G Dad 2 G Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 31 Goalie 3 G Dad 3 G Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 31 Goalie 3 G Dad 3 G Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 1 Player 1 Dad 1 Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 1 Player 1 Dad 1 Mom 1 aaa-bbbb aaa-bbbb aaa-bbbb 2 Player 2 Dad 2 Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 2 Player 2 Dad 2 Mom 2 aaa-bbbb aaa-bbbb aaa-bbbb 3 Player 3 Dad 3 Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 3 Player 3 Dad 3 Mom 3 aaa-bbbb aaa-bbbb aaa-bbbb 4 Player 4 Dad 4 Mom 4 aaa-bbbb aaa-bbbb aaa-bbbb 4 Player 4 Dad 4 Mom 4 aaa-bbbb aaa-bbbb aaa-bbbb 5 Player 5 (C) Dad 5 Mom 5 aaa-bbbb aaa-bbbb aaa-bbbb 5 Player 5 (C) Dad 5 Mom 5 aaa-bbbb aaa-bbbb aaa-bbbb 6 Player 6 Dad 6 Mom 6 aaa-bbbb aaa-bbbb aaa-bbbb 6 Player 6 Dad 6 Mom 6 aaa-bbbb aaa-bbbb aaa-bbbb 7 Player 7 Dad 7 Mom 7 aaa-bbbb aaa-bbbb aaa-bbbb 7 Player 7 Dad 7 Mom 7 aaa-bbbb aaa-bbbb aaa-bbbb 8 Player 8 Dad 8 Mom 8 aaa-bbbb aaa-bbbb aaa-bbbb 8 Player 8 Dad 8 Mom 8 aaa-bbbb aaa-bbbb aaa-bbbb

17 # Player Dad Mom Home Dad Cell Mom Cell # Player Dad Mom Home Dad Cell Mom Cell 9 Player 9 (AC) Dad 9 Mom 9 aaa-bbbb aaa-bbbb aaa-bbbb 9 Player 9 (AC) Dad 9 Mom 9 aaa-bbbb aaa-bbbb aaa-bbbb 10 Player 10 Dad 10 Mom 10 aaa-bbbb aaa-bbbb aaa-bbbb 10 Player 10 Dad 10 Mom 10 aaa-bbbb aaa-bbbb aaa-bbbb 11 Player 11 Dad 11 Mom 11 aaa-bbbb aaa-bbbb aaa-bbbb 11 Player 11 Dad 11 Mom 11 aaa-bbbb aaa-bbbb aaa-bbbb 12 Player 12 Dad 12 Mom 12 aaa-bbbb aaa-bbbb aaa-bbbb 12 Player 12 Dad 12 Mom 12 aaa-bbbb aaa-bbbb aaa-bbbb 13 Player 13 (AC) Dad 13 Mom 13 aaa-bbbb aaa-bbbb aaa-bbbb 13 Player 13 (AC) Dad 13 Mom 13 aaa-bbbb aaa-bbbb aaa-bbbb 14 Player 14 Dad 14 Mom 14 aaa-bbbb aaa-bbbb aaa-bbbb 14 Player 14 Dad 14 Mom 14 aaa-bbbb aaa-bbbb aaa-bbbb 15 Player 15 Dad 15 Mom 15 aaa-bbbb aaa-bbbb aaa-bbbb 15 Player 15 Dad 15 Mom 15 aaa-bbbb aaa-bbbb aaa-bbbb 16 Player 16 Dad 16 Mom 16 aaa-bbbb aaa-bbbb aaa-bbbb 16 Player 16 Dad 16 Mom 16 aaa-bbbb aaa-bbbb aaa-bbbb 17 Player 17 Dad 17 Mom 17 aaa-bbbb aaa-bbbb aaa-bbbb 17 Player 17 Dad 17 Mom 17 aaa-bbbb aaa-bbbb aaa-bbbb 18 Player 18 Dad 18 Mom 18 aaa-bbbb aaa-bbbb aaa-bbbb 18 Player 18 Dad 18 Mom 18 aaa-bbbb aaa-bbbb aaa-bbbb 19 Player 19 Dad 19 Mom 19 aaa-bbbb aaa-bbbb aaa-bbbb 19 Player 19 Dad 19 Mom 19 aaa-bbbb aaa-bbbb aaa-bbbb # Player Dad Mom Home Dad Cell Mom Cell # Player Dad Mom Home Dad Cell Mom Cell 9 Player 9 (AC) Dad 9 Mom 9 aaa-bbbb aaa-bbbb aaa-bbbb 9 Player 9 (AC) Dad 9 Mom 9 aaa-bbbb aaa-bbbb aaa-bbbb 10 Player 10 Dad 10 Mom 10 aaa-bbbb aaa-bbbb aaa-bbbb 10 Player 10 Dad 10 Mom 10 aaa-bbbb aaa-bbbb aaa-bbbb 11 Player 11 Dad 11 Mom 11 aaa-bbbb aaa-bbbb aaa-bbbb 11 Player 11 Dad 11 Mom 11 aaa-bbbb aaa-bbbb aaa-bbbb 12 Player 12 Dad 12 Mom 12 aaa-bbbb aaa-bbbb aaa-bbbb 12 Player 12 Dad 12 Mom 12 aaa-bbbb aaa-bbbb aaa-bbbb 13 Player 13 (AC) Dad 13 Mom 13 aaa-bbbb aaa-bbbb aaa-bbbb 13 Player 13 (AC) Dad 13 Mom 13 aaa-bbbb aaa-bbbb aaa-bbbb 14 Player 14 Dad 14 Mom 14 aaa-bbbb aaa-bbbb aaa-bbbb 14 Player 14 Dad 14 Mom 14 aaa-bbbb aaa-bbbb aaa-bbbb 15 Player 15 Dad 15 Mom 15 aaa-bbbb aaa-bbbb aaa-bbbb 15 Player 15 Dad 15 Mom 15 aaa-bbbb aaa-bbbb aaa-bbbb 16 Player 16 Dad 16 Mom 16 aaa-bbbb aaa-bbbb aaa-bbbb 16 Player 16 Dad 16 Mom 16 aaa-bbbb aaa-bbbb aaa-bbbb 17 Player 17 Dad 17 Mom 17 aaa-bbbb aaa-bbbb aaa-bbbb 17 Player 17 Dad 17 Mom 17 aaa-bbbb aaa-bbbb aaa-bbbb 18 Player 18 Dad 18 Mom 18 aaa-bbbb aaa-bbbb aaa-bbbb 18 Player 18 Dad 18 Mom 18 aaa-bbbb aaa-bbbb aaa-bbbb 19 Player 19 Dad 19 Mom 19 aaa-bbbb aaa-bbbb aaa-bbbb 19 Player 19 Dad 19 Mom 19 aaa-bbbb aaa-bbbb aaa-bbbb # Player Dad Mom Home Dad Cell Mom Cell # Player Dad Mom Home Dad Cell Mom Cell 9 Player 9 (AC) Dad 9 Mom 9 aaa-bbbb aaa-bbbb aaa-bbbb 9 Player 9 (AC) Dad 9 Mom 9 aaa-bbbb aaa-bbbb aaa-bbbb 10 Player 10 Dad 10 Mom 10 aaa-bbbb aaa-bbbb aaa-bbbb 10 Player 10 Dad 10 Mom 10 aaa-bbbb aaa-bbbb aaa-bbbb 11 Player 11 Dad 11 Mom 11 aaa-bbbb aaa-bbbb aaa-bbbb 11 Player 11 Dad 11 Mom 11 aaa-bbbb aaa-bbbb aaa-bbbb 12 Player 12 Dad 12 Mom 12 aaa-bbbb aaa-bbbb aaa-bbbb 12 Player 12 Dad 12 Mom 12 aaa-bbbb aaa-bbbb aaa-bbbb 13 Player 13 (AC) Dad 13 Mom 13 aaa-bbbb aaa-bbbb aaa-bbbb 13 Player 13 (AC) Dad 13 Mom 13 aaa-bbbb aaa-bbbb aaa-bbbb 14 Player 14 Dad 14 Mom 14 aaa-bbbb aaa-bbbb aaa-bbbb 14 Player 14 Dad 14 Mom 14 aaa-bbbb aaa-bbbb aaa-bbbb 15 Player 15 Dad 15 Mom 15 aaa-bbbb aaa-bbbb aaa-bbbb 15 Player 15 Dad 15 Mom 15 aaa-bbbb aaa-bbbb aaa-bbbb 16 Player 16 Dad 16 Mom 16 aaa-bbbb aaa-bbbb aaa-bbbb 16 Player 16 Dad 16 Mom 16 aaa-bbbb aaa-bbbb aaa-bbbb 17 Player 17 Dad 17 Mom 17 aaa-bbbb aaa-bbbb aaa-bbbb 17 Player 17 Dad 17 Mom 17 aaa-bbbb aaa-bbbb aaa-bbbb 18 Player 18 Dad 18 Mom 18 aaa-bbbb aaa-bbbb aaa-bbbb 18 Player 18 Dad 18 Mom 18 aaa-bbbb aaa-bbbb aaa-bbbb 19 Player 19 Dad 19 Mom 19 aaa-bbbb aaa-bbbb aaa-bbbb 19 Player 19 Dad 19 Mom 19 aaa-bbbb aaa-bbbb aaa-bbbb # Player Dad Mom Home Dad Cell Mom Cell # Player Dad Mom Home Dad Cell Mom Cell 9 Player 9 (AC) Dad 9 Mom 9 aaa-bbbb aaa-bbbb aaa-bbbb 9 Player 9 (AC) Dad 9 Mom 9 aaa-bbbb aaa-bbbb aaa-bbbb 10 Player 10 Dad 10 Mom 10 aaa-bbbb aaa-bbbb aaa-bbbb 10 Player 10 Dad 10 Mom 10 aaa-bbbb aaa-bbbb aaa-bbbb 11 Player 11 Dad 11 Mom 11 aaa-bbbb aaa-bbbb aaa-bbbb 11 Player 11 Dad 11 Mom 11 aaa-bbbb aaa-bbbb aaa-bbbb 12 Player 12 Dad 12 Mom 12 aaa-bbbb aaa-bbbb aaa-bbbb 12 Player 12 Dad 12 Mom 12 aaa-bbbb aaa-bbbb aaa-bbbb 13 Player 13 (AC) Dad 13 Mom 13 aaa-bbbb aaa-bbbb aaa-bbbb 13 Player 13 (AC) Dad 13 Mom 13 aaa-bbbb aaa-bbbb aaa-bbbb 14 Player 14 Dad 14 Mom 14 aaa-bbbb aaa-bbbb aaa-bbbb 14 Player 14 Dad 14 Mom 14 aaa-bbbb aaa-bbbb aaa-bbbb 15 Player 15 Dad 15 Mom 15 aaa-bbbb aaa-bbbb aaa-bbbb 15 Player 15 Dad 15 Mom 15 aaa-bbbb aaa-bbbb aaa-bbbb 16 Player 16 Dad 16 Mom 16 aaa-bbbb aaa-bbbb aaa-bbbb 16 Player 16 Dad 16 Mom 16 aaa-bbbb aaa-bbbb aaa-bbbb 17 Player 17 Dad 17 Mom 17 aaa-bbbb aaa-bbbb aaa-bbbb 17 Player 17 Dad 17 Mom 17 aaa-bbbb aaa-bbbb aaa-bbbb 18 Player 18 Dad 18 Mom 18 aaa-bbbb aaa-bbbb aaa-bbbb 18 Player 18 Dad 18 Mom 18 aaa-bbbb aaa-bbbb aaa-bbbb 19 Player 19 Dad 19 Mom 19 aaa-bbbb aaa-bbbb aaa-bbbb 19 Player 19 Dad 19 Mom 19 aaa-bbbb aaa-bbbb aaa-bbbb # Player Dad Mom Home Dad Cell Mom Cell # Player Dad Mom Home Dad Cell Mom Cell 9 Player 9 (AC) Dad 9 Mom 9 aaa-bbbb aaa-bbbb aaa-bbbb 9 Player 9 (AC) Dad 9 Mom 9 aaa-bbbb aaa-bbbb aaa-bbbb 10 Player 10 Dad 10 Mom 10 aaa-bbbb aaa-bbbb aaa-bbbb 10 Player 10 Dad 10 Mom 10 aaa-bbbb aaa-bbbb aaa-bbbb 11 Player 11 Dad 11 Mom 11 aaa-bbbb aaa-bbbb aaa-bbbb 11 Player 11 Dad 11 Mom 11 aaa-bbbb aaa-bbbb aaa-bbbb 12 Player 12 Dad 12 Mom 12 aaa-bbbb aaa-bbbb aaa-bbbb 12 Player 12 Dad 12 Mom 12 aaa-bbbb aaa-bbbb aaa-bbbb 13 Player 13 (AC) Dad 13 Mom 13 aaa-bbbb aaa-bbbb aaa-bbbb 13 Player 13 (AC) Dad 13 Mom 13 aaa-bbbb aaa-bbbb aaa-bbbb 14 Player 14 Dad 14 Mom 14 aaa-bbbb aaa-bbbb aaa-bbbb 14 Player 14 Dad 14 Mom 14 aaa-bbbb aaa-bbbb aaa-bbbb 15 Player 15 Dad 15 Mom 15 aaa-bbbb aaa-bbbb aaa-bbbb 15 Player 15 Dad 15 Mom 15 aaa-bbbb aaa-bbbb aaa-bbbb 16 Player 16 Dad 16 Mom 16 aaa-bbbb aaa-bbbb aaa-bbbb 16 Player 16 Dad 16 Mom 16 aaa-bbbb aaa-bbbb aaa-bbbb 17 Player 17 Dad 17 Mom 17 aaa-bbbb aaa-bbbb aaa-bbbb 17 Player 17 Dad 17 Mom 17 aaa-bbbb aaa-bbbb aaa-bbbb 18 Player 18 Dad 18 Mom 18 aaa-bbbb aaa-bbbb aaa-bbbb 18 Player 18 Dad 18 Mom 18 aaa-bbbb aaa-bbbb aaa-bbbb 19 Player 19 Dad 19 Mom 19 aaa-bbbb aaa-bbbb aaa-bbbb 19 Player 19 Dad 19 Mom 19 aaa-bbbb aaa-bbbb aaa-bbbb

18 29 Alphabetically 29 Alphabetically 29 Alphabetically 29 Alphabetically 29 Alphabetically 1 Last Name First 1 Last Name First 1 Last Name First 1 Last Name First 1 Last Name First 31 Appleseed Johnny 31 Appleseed Johnny 31 Appleseed Johnny 31 Appleseed Johnny 31 Appleseed Johnny 18 Player 1 18 Player 1 18 Player 1 18 Player 1 18 Player 1 7 Player 2 7 Player 2 7 Player 2 7 Player 2 7 Player 2 12 Player 3 12 Player 3 12 Player 3 12 Player 3 12 Player 3 4 Player 4 4 Player 4 4 Player 4 4 Player 4 4 Player 4 2 Player 5 (C) 2 Player 5 (C) 2 Player 5 (C) 2 Player 5 (C) 2 Player 5 (C) 11 Player 6 11 Player 6 11 Player 6 11 Player 6 11 Player 6 3 Player 7 3 Player 7 3 Player 7 3 Player 7 3 Player 7 5 Player 8 5 Player 8 5 Player 8 5 Player 8 5 Player 8 9 Player 9 (AC) 9 Player 9 (AC) 9 Player 9 (AC) 9 Player 9 (AC) 9 Player 9 (AC) 8 Player 10 8 Player 10 8 Player 10 8 Player 10 8 Player Player Player Player Player Player 11 6 Player 12 6 Player 12 6 Player 12 6 Player 12 6 Player Player 13 (AC) 10 Player 13 (AC) 10 Player 13 (AC) 10 Player 13 (AC) 10 Player 13 (AC) 15 Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player 18 Coach Head Coach Coach Head Coach Coach Head Coach Coach Head Coach Coach Head Coach A/C Asst Coach 1 A/C Asst Coach 1 A/C Asst Coach 1 A/C Asst Coach 1 A/C Asst Coach 1 A/C Asst Coach 2 A/C Asst Coach 2 A/C Asst Coach 2 A/C Asst Coach 2 A/C Asst Coach 2 A/C Asst Coach 3 A/C Asst Coach 3 A/C Asst Coach 3 A/C Asst Coach 3 A/C Asst Coach 3 Manager Manager Manager Manager Manager Manager Manager Manager Manager Manager 29 Alphabetically 29 Alphabetically 29 Alphabetically 29 Alphabetically 29 Alphabetically 1 Last Name First 1 Last Name First 1 Last Name First 1 Last Name First 1 Last Name First 31 Appleseed Johnny 31 Appleseed Johnny 31 Appleseed Johnny 31 Appleseed Johnny 31 Appleseed Johnny 18 Player 1 18 Player 1 18 Player 1 18 Player 1 18 Player 1 7 Player 2 7 Player 2 7 Player 2 7 Player 2 7 Player 2 12 Player 3 12 Player 3 12 Player 3 12 Player 3 12 Player 3 4 Player 4 4 Player 4 4 Player 4 4 Player 4 4 Player 4 2 Player 5 (C) 2 Player 5 (C) 2 Player 5 (C) 2 Player 5 (C) 2 Player 5 (C) 11 Player 6 11 Player 6 11 Player 6 11 Player 6 11 Player 6 3 Player 7 3 Player 7 3 Player 7 3 Player 7 3 Player 7 5 Player 8 5 Player 8 5 Player 8 5 Player 8 5 Player 8 9 Player 9 (AC) 9 Player 9 (AC) 9 Player 9 (AC) 9 Player 9 (AC) 9 Player 9 (AC) 8 Player 10 8 Player 10 8 Player 10 8 Player 10 8 Player Player Player Player Player Player 11 6 Player 12 6 Player 12 6 Player 12 6 Player 12 6 Player Player 13 (AC) 10 Player 13 (AC) 10 Player 13 (AC) 10 Player 13 (AC) 10 Player 13 (AC) 15 Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player Player 18 Coach Head Coach Coach Head Coach Coach Head Coach Coach Head Coach Coach Head Coach A/C Asst Coach 1 A/C Asst Coach 1 A/C Asst Coach 1 A/C Asst Coach 1 A/C Asst Coach 1 A/C Asst Coach 2 A/C Asst Coach 2 A/C Asst Coach 2 A/C Asst Coach 2 A/C Asst Coach 2 A/C Asst Coach 3 A/C Asst Coach 3 A/C Asst Coach 3 A/C Asst Coach 3 A/C Asst Coach 3 Manager Manager Manager Manager Manager Manager Manager Manager Manager Manager

19

20 Okotoks Minor Hockey Association Practice and play like a champion today! Box 1152 Okotoks, Alberta T1S 1B Answering Service FAX PLAYERS MEDICAL INFORMATION FORM Name Date of Birth: Day Month Year Address: Postal Code: Telephone: Provincial Health Care Number: Mother s Name: Father s Name: Business Telephone Numbers: Mother: Father: Person to contact in case of accident or emergency, if parents are not available: Name: Telephone: Address: Doctor s Name: Telephone: Dentist s Name: Telephone: Please circle the appropriate response below pertaining to your child Yes No Previous history of concussions Yes No Fainting episodes during exercise Yes No Epileptic Yes No Wears Glasses Yes No Are lenses shatterproof Yes No Wears contact lenses Yes No Wears dental appliance Yes No Hearing problem Yes No Asthma Yes No Trouble breathing during exercise Yes No Heart Condition Yes No Diabetic

21 Okotoks Minor Hockey Association Practice and play like a champion today! Box 1152 Okotoks, Alberta T1S 1B Answering Service FAX Yes No Has had an illness lasting more than a week in the past year Yes No Medication Yes No Allergies Yes No Does your child have any health problem that would interfere with participation on a hockey team Yes No Surgery in the last year Yes No Has been in hospital in the last year Yes No Has had injuries requiring medical attention in the past year Yes No Presently injured Please give details below if you answered Yes to any of the above items. Use separate sheet if necessary Medications: Allergies: Medical Conditions: Recent Injuries: Last Tetanus Shot: Any information not covered above: Date of last complete physical examination: Any medical condition or injury problem should be checked by your physician before participating in a hockey program. I understand that it is my responsibility to keep the team management advised of any change in the above information as soon as possible and that in the event no one can be contacted, team management will take my child to hospital/m.d. if deemed necessary. I herby authorize the physician and nursing staff to undertake an examination investigation and necessary treatment of my child. I also authorize release of information to appropriate people (coach, physician) as deemed necessary. Date: Signature of Parent or Guardian:

22 Okotoks Minor Hockey Association Practice and play like a champion today! Box 1152 Okotoks, Alberta T1S 1B Answering Service FAX BREAK AWAY CONDUCT MANAGEMENT PLAN I agree to abide by the principles of the Parents and Players Pledge as set and supported by the OMHA. I also agree to abide by the rules, regulations and decisions as set for the OMHA Team Division, Name, Number Player Name Player Signature Parent 1 Signature Parent2 Signature Date

23 Okotoks Minor Hockey Association Box 1152 Okotoks, Alberta T1S 1B Answering Service FAX BREAK AWAY CONDUCT MANAGEMENT PLAN PLAYERS PLEDGE Appendix B It is the intention of this pledge to promote proper behaviour and respect for all participants within the Association. All players are asked to sign this pledge to show their support for the principles of Fair Play. CODE OF CONDUCT FOR PLAYERS 1. I will play hockey because I want to, not because someone else wants me to. 2. I will play by the rules of hockey and in the spirit of the Game. 3. I will control my temper so I do not spoil the activity of everyone. 4. I will respect my opponents. 5. I will do my best to be a true team player. 6. I will remember that winning isn't everything - that having fun, improving skills, making friends and doing my best are also important. 7. I will acknowledge all good plays and performances - those of my team and my opponents. 8. I will remember that coaches and officials are there to help me. I will accept their decisions and show them respect. I agree to abide by the principles of this CODE as set and supported by this Association. I also agree to abide by the rules, regulations and decisions as set for this Association. PRINT NAME DATE SIGNATURE: PLAYER TEAM Page 10 of 15

24 Okotoks Minor Hockey Association Box 1152 Okotoks, Alberta T1S 1B Answering Service FAX BREAK AWAY CONDUCT MANAGEMENT PLAN PARENTS PLEDGE Appendix A It is the intention of this pledge to promote proper behaviour and respect for all participants within the Association. All parents are asked to sign this pledge to show their support for the principles of Fair Play. CODE OF CONDUCT FOR PARENTS 1. I will not force my child to participate in hockey. 2. I will remember that my child plays hockey for his or her enjoyment, not mine. 3. I will encourage my child to play by the rules and to resolve conflict without resorting to hostility or violence. 4. I will teach my child that doing one's best is as important as winning so that my child will never feel defeated by the outcome of the game. 5. I will make my child feel like a winner every time by offering praise for competing fairly and hard. 6. I will never ridicule or yell at my child for making a mistake or losing a game. 7. I will remember that children learn by example. I will applaud good plays and performances by both my child's team and their opponents. 8. I recognize officials are being developed in the same manner as players, and will be supportive of their decisions during games. 9. I will support all efforts to remove verbal and physical abuse from the hockey environment. 10. I will respect and show appreciation for the volunteers who give their time to hockey for my child. I agree to abide by the principles of this CODE as set and supported by this Association. I also agree to abide by the rules, regulations and decisions as set for this Association. PRINT NAME DATE SIGNATURES: PARENT PARENT Page 9 of 15

25 Okotoks Minor Hockey Association Box 1152 Okotoks, Alberta T1S 1B Answering Service FAX BREAK AWAY CONDUCT MANAGEMENT PLAN COACHES PLEDGE Appendix C It is the intention of this pledge to promote proper behaviour and respect for all participants within the Association. All coaches are asked to sign this pledge showing their support for the principles of Fair Play. CODE OF CONDUCT FOR COACHES 1. I will be reasonable when scheduling games and practices remembering that young athletes have other interests and obligations. 2. I will teach my athletes to play fairly and to respect the rules, officials, opponents and teammates. 3. I will ensure all athletes receive equal instruction, discipline, support and appropriate, fair playing time. 4. I will not ridicule or yell at my athletes for making mistakes or for performing poorly. I will remember that children play to have fun and must be encouraged to have confidence in themselves. 5. I will make sure that equipment and facilities are safe and match the athlete's ages and ability. 6. I will remember that children need a coach they can respect. I will be generous with praise and set a good example. 7. I will obtain proper training and continue to upgrade my coaching skills. I agree to abide by the principles of this CODE as set and supported by this Association. I also agree to abide by the rules, regulations and decisions as set for this Association. PRINT NAME DATE SIGNATURE: COACH TEAM Page 11 of 15

26 See reverse for mailing address Forms must be filled out in full or form will be returned. This form must be completed for each case where an injury is sustained by a player, spectator or any other person at a sanctioned hockey activity. HOCKEY CANADA INJURY REPORT DIVISION: Initiation Novice Atom PeeWee Bantam Midget Juvenile CLAIMS MUST BE PRESENTED WITHIN 90 DAYS OF INJURY. INJURY DATE: / / INJURED PARTICIPANT: Player Team Official Game Official Spectator Name: Birthdate: / / Sex: (M) (F) Address: City/ Town Province: Postal Code: Phone: ( ) Parent/Guardian: CATEGORY: AAA AA A B BB C CC D DD E House Major Junior Minor Junior Senior Adult Rec. Other BODY PART INJURED: * visit the Hockey Canada web-site for an optional questionnaire * Head Back Trunk Arm Left Right Pelvis Leg Left Right Eye Area Face Neck Ribs Shoulder Hand/Finger Hip Thigh Foot Throat Dental Upper Chest Upperarm Forearm/Wrist Groin Knee Toe Skull Lower Abdomen Elbow Collarbone Shin Other NATURE OF CONDITION: Concussion Laceration Fracture Sprain Strain Contusion Dislocation Separation Internal Organ Injury ON-SITE CARE: On-Site Care Only Refused Care Sent to Hospital, by: Ambulance Car INJURY CONDITIONS: Name of arena/ location: Exhibition/Regular Season Playoffs/Tournament Practice Try-outs Other Warm-up Period #1 Period #2: Period #3 Overtime # Dry Land Training Gradual Onset Other Sport Other: Was the injured player in the correct league and level for their age group? Yes No Was this a sanctioned Hockey Canada hockey activity? Yes No CAUSE OF INJURY: Hit by Puck Collision with Boards Non-Contact Injury Hit by Stick Collision on Open Ice Collision with Opponent Fall on Ice Checked From Behind Collision with Net Fight Blindsiding WEARING WHEN INJURED: Full Face Mask Intra-Oral Mouth Guard Half Face Shield/Visor Throat Protector Helmet/No Face Shield No Helmet/No Face Shield Short Gloves Long Gloves DESCRIBE HOW ACCIDENT HAPPENED: (Attach page if necessary) TEAM INFORMATION: (To be completed by a Team Official) Association: Team Official (Print): Signature: LOCATION: Defensive Zone Offensive Zone Neutral Zone Behind the Net 3 ft. from boards Spectator Area Parking Lot Dressing Room Bench Other: ADDITONAL INFORMATION: Has the player sustained this injury before? Yes No If Yes how long ago Was a penalty called as result of the incident? Yes No Estimated Absence from hockey? 1 week 1-3 weeks 3+ weeks I hereby authorize any Health Care Facility, Phyician, Dentist or other person who has attended or examined me/my child, to furnish Hockey Canada any and all information with respect to any illness or injury, medical history, consultation, prescriptions or treatment and copies of all dental, hospital, and medical records. A photostatic/electronic copy of this authorization shall be considered as effective and valid as the original. Signed: Date: (Parent/Guardian if under 18 years of age) Team Name : Team Official Position: Date: HEALTH INSURANCE INFORMATION: THIS MUST BE FILLED OUT IN FULL OR FORM PROCESSING WILL BE DELAYED Occupation: Employed Full-time Employed Part-time Unemployed Full-Time Student Employer (If minor, list parent s employer): 1. Do you have provincial health coverage? Yes No Province: 2. Do you have other insurance? Yes No (IF YES, PLEASE SUBMIT CLAIM TO YOUR PRIMARY HEALTH INSURER.) 3. Has a claim been submitted? Yes No (IF YES, PLEASE FORWARD PRIMARY INSURER EXPLANATION OF BENEFITS) Make Claim Payable To: Injured Person Parent Team Other: Branch APPROVAL

27 PHYSICIAN S STATEMENT Physician: Address: Tel: ( ) Name of Hospital / Clinic : Address: Nature of Injury: Date of First Attendance: / / Claimant will be totally disabled: From: To: Is the injury permanent and irrecoverable? No Yes Give details of injury (degree) : Prognosis for recovery : Did any disease or previous injury contribute to the current injury? No Yes (describe): Was claimant hospitalized? No Yes (give hospital name, address and date admitted): Names and addresses of other physicians or surgeons, if any, who attended claimant: I certify that the above information is correct to the best of my knowledge, Signed: Date: DENTIST S STATEMENT Limits of coverage: $1,000 per tooth, $2,000 per accident Treatment must be completed within 52 weeks of accident P A T I E N LAST NAME GIVEN NAME ADDRESS APT. CITY PROV. POSTAL CODE T FOR DENTIST S USE ONLY FOR ADDITIONAL INFORMATION, DIAGNOSIS, PROCEDURES, OR SPECIAL CONSIDERATION. UNIQUE NO. D E N T I S T SPEC. PATIENT S OFFICIAL ACCOUNT NO. I HEREBY ASSIGN MY BENEFITS PAYABLE FROM THIS CLAIM DIRECTLY TO THE NAMED DENTIST AND AUTHORIZE PAYMENT DIRECTLY TO HIM/HER PHONE NO. SIGNATURE OF SUBSCRIBER I UNDERSTAND THAT THE FEES LISTED IN THIS CLAIM MAY NOT BE COVERED BY OR MAY EXCEED MY PLAN BENEFITS. I UNDERSTAND THAT I AM FINANCIALLY RESPONSIBLE TO MY DENTIST FOR THE ENTIRE TREATMENT. I ACKNOWLEDGE THAT THE TOTAL FEE OF $ IS ACCURATE AND HAS BEEN CHARGED TO ME FOR SERVICES RENDERED. I AUTHORIZE RELEASE OF THE INFORMATION CONTAINED IN THIS CLAIM FORM TO MY INSURING COMPANY/PLAN ADMINISTRATOR. DUPLICATE FORM SIGNATURE OF (PATIENT/GUARDIAN) OFFICE VERIFICATION DATE OF SERVICE DAY / MO. / YR. PROCEDURE INITIAL TOOTH CODE TOOTH SURFACE DENTIST S FEE LAB CHARGE TOTAL CHARGE THIS IS AN ACCURATE STATEMENT OF SERVICES PERFORMED AND THE TOTAL FEE DUE AND PAYABLE & OE. NOTE: All benefits subject to insurer payor status, provisions of the policy, Hockey Canada sanctioned events. TOTAL FEE SUBMITTED Mail completed form to: Hockey Alberta th Ave., Red Deer, AB T4P 2K1 Phone: Fax: