FORM 2016 / 2017 SEASON
|
|
- Sharon Kelly
- 5 years ago
- Views:
Transcription
1 Sexsmith Minor Hockey Association REGISTRATION Box 322 Sexsmith, AB T0H 3C0 PLAYER APPLICATION FOR FORM PLAYER INFORMATION (PLEASE PRINT) LAST NAME FIRST NAME GENDER (CIRCLE) STREET ADDRESS ( PO BOX PLEASE) CITY/TOWN POSTAL CODE F M LEGAL LAND DESCRIPTION (IF APPLICABLE) HOME PHONE CELL PHONE DATE OF BIRTH / /. DD / MM / YYYY BIRTH CERTIFICATE # (NEW REGISTRANTS PROVIDE COPY) AB HEALTH CARE # (NEW REGISTRANTS PROVIDE COPY) TEAM INFORMATION (PLEASE PRINT) DIVISION PREVIOUS ASSOCIATION NUMBER OF YEARS PLAYING PREFERRED POSITION (CIRCLE) FORWARD / DEFENSE / GOAL SHOT (CIRCLE) PARENT / GUARDIAN INFORMATION (PLEASE PRINT) MOTHER S (GUARDIAN) NAME ADDRESS R L MAILING ADDRESS CITY/TOWN POSTAL CODE HOME PHONE WORK PHONE CELL PHONE FATHER S (GUARDIAN) NAME ADDRESS MAILING ADDRESS CITY/TOWN POSTAL CODE HOME PHONE WORK PHONE CELL PHONE SIBLINGS REGISTERED NAME DIVISION NAME DIVISION NAME DIVISION NAME DIVISION FOR REGISTRAR/TREASURER S USE ONLY AMOUNT REGISTRATION FEE Page 1 of 7 CASH CHEQUE # PAYMENT RECEIVED WITH REGISTRATION FOR: ADDITIONAL CHEQUE REQUIRED (ONE PER FAMILY) AMOUNT CHEQUE # Teepee Creek Rodeo, Casino & Bingo Bond Check $ PAYMENT TYPE INSTALLMENTS CK# DATE: CK# DATE: CK# DATE: CK# DATE: KIDSPORT (ONLY PAYS $300/PLAYER) RESPECT IN SPORT?
2 Raffle & Road Side Cleanup Bond Check $ I Agree to pay in lieu of volunteering REGISTRATION FEES DIVISION INITIATION VICE ATOM PEEWEE BANTAM MIDGET BIRTH YEAR FEE $ $ $ $ $ $ There is a maximum family registration fee of $ for registered players from one immediate family. Payment for registration fees may be made in installments post dated and paid in full no later than December 31, A $25.00 NSF fee will be charged on all dishonored cheques. All previous fees and money owing to SMHA must be paid in full before player will be registered for upcoming hockey season. APPLICATION FOR REGISTRATION WAIVER I, the undersigned, certify the above information to be true and in consideration of the granting of this certificate to me with the privileges incident thereto, and by signing this certificate I have become subject to the rules, regulations and decisions of Hockey Alberta, its Board of Directors, its Minor Hockey Associations, Leagues, or Clubs which may be restrictive in some areas such as movement from team to team, conduct etc. and I agree to abide by such rules, regulations and decisions of Hockey Alberta, its Board of Directors, its Minor Hockey Associations, Leagues, or Clubs. Further, the information requested above is required by Hockey Alberta and its Minor Hockey Associations to facilitate hockey programs on behalf of the registrant, Hockey Alberta and its Minor Hockey Associations. All players and officials associated with Sexsmith Minor Hockey Association are covered by mandatory liability insurance through Hockey Alberta. This IS T an accident insurance policy. LIABILITY RELEASE: In consideration of the Sexsmith Minor Hockey Association (SMHA) accepting this application, I hereby waive and release any and all rights and claims for damages against SMHA for any and all injuries during any of the activities sanctioned by the Executive for the child(ren) named herein, his/her heirs, executors, and/or administrators. I accept full responsibility for the behavior of the child (ren) named herein on and off the ice. REGISTRATION will not be considered complete until all registration fees are paid in full (or acceptable installment arrangements have been made) and all additional cheque requirements are received by SMHA along with all documents including: registration form, player and parent code of conduct forms, parent declaration form, player verification (when required) form, and player medical form. All documents must be fully completed and signed by registrants and/or his or her parent(s) or guardian. A $25.00 fee will apply to any dishonored cheques. * PLAYER WILL BE ALLOWED ON THE ICE UNTIL FULLY REGISTERED WITH SMHA * Hockey Alberta and Sexsmith Minor Hockey will treat this personal information with the utmost respect and in accordance with the Hockey Alberta Privacy Policy and the Sexsmith Minor Hockey Privacy Policy at all times. Hockey Alberta or Sexsmith Minor Hockey does not sell trade or otherwise share the information we collect outside our Minor Hockey Associations, Affiliates, Leagues, or Clubs. However we may from time to time use this information for the purposes of offering additional services and/or hockey specific research. This type of usage of your child s personal information by Hockey Alberta, Minor Hockey Associations, Leagues, or Clubs is entirely at your discretion. There may from time to time be photos taken of your child for various League programs, the SMHA web site or for team advertisements under which only your child s name will appear. Should you choose to allow this type of usage please INITIAL the box here: [ ] [ ] For more information on Hockey Alberta s Privacy Policy please visit our web site at For more information on SMHA s Privacy Policy please visit our website at PARENT / GUARDIAN SIGNATURE Page 2 of 7
3 PARENT DECLARATION FORM TO: The Local Minor Hockey Association (c/o Registrar) in which the Player will be registering. DATE: Dear Sir / Madam: I/We parent(s) of player (Player s date of birth) / / hereby declare that I/we have Day Month Year established our permanent residence at the following address: Legal Land Description Postal Code Phone We have resided at the above address since /. Our former address was: Postal Code Phone Yours truly, Signature of Parent(s) *TE: Falsification of any information may result in discipline as per Hockey Canada regulations. Page 3 of 7
4 PARENT S PLEDGE It is the intention of this pledge to promote proper behavior and respect for all participants within the Association. All parents must sign this pledge before being allowed to participate in hockey and must continue to observe 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 at all times, as I agree to resolve all disputes involving minor hockey 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, or take physical action at my child/anyone else s child/ Coach/Parents or Officials 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 will never question the official's judgment or honesty in public. I recognize officials are being developed in the same manner as players. 9. I will support all efforts to remove verbal and physical abuse from children's hockey games. 10. I will show respect and appreciation for all 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. Page 4 of 7
5 PLAYERS PLEDGE It is the intention of this pledge to promote proper behavior and respect for all participants within the Association. All players must sign this pledge before being allowed to participate in hockey and must continue to observe the principles of Fair Play. CODE OF CONDUCT FOR PLAYERS 1. I will play hockey because I want to, not because others or coaches want me to. 2. I will play by the rules of hockey and in the spirit of the Game. 3. I will control my temper at all times - fighting or "mouthing-off" can 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 - having fun, improving skills, making friends and doing my best are important. 7. I will aspire to 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 at all times. 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. PLAYER NAME (PRINT) PLAYER SIGNATURE DATE Page 5 of 7
6 SEXSMITH MIR HOCKEY ASSOCIATION MEDICAL FORM PLAYER INFORMATION (PLEASE PRINT) LAST NAME FIRST NAME GENDER (CIRCLE) STREET ADDRESS ( PO BOX PLEASE) CITY/TOWN POSTAL CODE MAILING ADDRESS (IF DIFFERENT THAN STREET ADDRESS) LEGAL LAND DESCRIPTION (IF APPLICABLE) DATE OF BIRTH HOME PHONE CELL PHONE AB HEALTH CARE # EMERGENCY CONTACT INFORMATION (PLEASE PRINT) LAST NAME FIRST NAME RELATIONSHIP TO PLAYER HOME PHONE WORK PHONE CELL PHONE FAMILY DOCTOR S NAME PHONE DATE OF LAST PHYSICAL FAMILY DENTIST S NAME PHONE PLEASE ADVISE YOUR COACH, TEAM MANAGER AND SMHA EXECUTIVE OF ANY HEALTH RESTRICTIONS 1. Have you ever been hospitalized?... Have you ever had surgery? Are you presently taking any medications or pills?... Are you presently taking any vitamins or supplements? Do you have any allergies? (medication, bees, etc)... If yes, please list: 3. Have you ever passed out during or after exercise?... Have you ever been dizzy during or after exercise?... Have you ever had chest pain during or after exercise?... Do you tire more quickly than your friends during exercise?... Have you ever had high blood pressure?... Have you ever been told that you have a heart murmur?... Have you ever had racing of your heart or skipped heartbeats?... Has anyone in your family died of heart problems or a sudden death before age 50? Do you have any skin problems (itching, rashes or acne)? Have you ever had heat or muscle cramps?... Have you ever been dizzy or passed out in the heat? Do you have trouble breathing or do you cough during or after activity? Do you use any special equipment (pads, braces, eye guards, etc)?... Do you use any dental appliances? Have you had any problems with your eyes or vision?... Do you wear eyeglasses, contacts or protective eye wear? Have you had any other medical problems (infectious mononucleosis, diabetes, etc.)? Have you had a medical problem or injury since your last medical? Have you had any unexplained weight change? When was your last tetanus shot? / / Month Day Year Page 6 of 7
7 13. When was your last measles immunization? / / Month Day Year HEAD INJURIES / CONCUSSION: 14. Have you ever had a seizure? Have you ever had a head injury?... Have you ever had a concussion or been knocked out, bell rung, or been dinged?... If yes, please list: Number of occurrences: Date(s): Activity a time of injury: Length of unconsciousness (minutes): Length of time before full return to activity: Did you have persistent problems with: Memory?... Dizziness?... Headaches?... NECK INJURIES / BURNERS / STINGERS: 16. Have you ever had a neck injury (i.e. strain, sprain, fracture, etc.)? Have you ever had a stinger, burner or pinched nerve?... Burning or numb feeling in the shoulder or arm after a hit to the head, neck or shoulder (aka Brachial plexus stretch injury ) If yes, please list: Number of occurrences: Date(s): Activity at time of injury: Length of sensation/strength changes persisted: Length of time before full return to activity: Check any of the areas that you have INJURED IN THE PAST and explain the injury below: Hand Hip Arm Ankle Elbow Shin/Calf Chest Forearm Neck Wrist Thigh Shoulder Year of injury: Type of injury: Side (Left/Right/Both): Length of time before full return to activity: Is it still a problem?... Back Knee Foot Explain injury: 18. Do you have any incompletely healed injuries?... If yes, which injury?... I hereby certify the above information to be correct. PLAYER NAME (PRINT) PLAYER SIGNATURE DATE Page 7 of 7
Fort st james minor hockey association
Fort st james minor hockey association 2018-2019 FSJMHA Registration June 18 and June 21 6:00-8:00 at the Community Centre Checklist for registration ü Registration package download at www.fsjmha.ca ü
More informationWelcome to the AMHA Team Management Group
Welcome to the AMHA Team Management Group Dear Team Manager, On behalf of the Airdrie Minor Hockey Association (AMHA), we are pleased to inform you that you have been selected to be a Team Manager (TM)
More informationWelcome to West Coast Minor Ball Hockey Association of British Columbia. Last revised: Start Up League Booklet
Welcome to West Coast Minor Ball Hockey Association of British Columbia Last revised: 2009 Start Up League Booklet Starting up your league. 1. Registration Forms: a. In this booklet you ll find a generic
More informationLSU SPIRIT SQUAD TRYOUT APPLICATION (Please Circle): Male / Female Cheerleading Tiger Girls Mascot
LSU Student ID# Include below check list: Transfer student or incoming freshman; copy of acceptance letter to LSU Copy of Insurance; all applicants must have health insurance Application Participant Medical
More informationRiver East Minor Hockey Association Coach Application Form
PO Box 35057 963 Henderson Hwy Winnipeg, Manitoba R2K 2M3 River East Minor Hockey Association Form PLEASE PRINT Name: Address: City: Phone: Postal Code: Work: Cell: FAX: Email Address: Birth Date (mm/dd/yy):
More informationAthabasca & District Minor Hockey Association. Registration/Fundraising Information
Athabasca & District Minor Hockey Association 2018 2019 Registration/Fundraising Information REGISTRATION AND FEES Register your child at the Annual General Meeting/Registration Night on April 9, 2018
More informationNEW SAMHA/Raiders/Rep Registration Package
NEW SAMHA/Raiders/Rep Registration Package This package consists of all forms needed to register for SAMHA, SAMHA Rep and Raiders. This package is for NEW players who currently reside within SAMHA residential
More information!! Conduct Management! Change for the better.
Conduct Management Change for the better. Turning Point Program Table of Contents 1.0 OBJECTIVES OF THE PROGRAM Page 3 2.0 DEFINITION OF UNACCEPTABLE BEHAVIOUR Page 4 3.0 COMPLAINT HANDLING PROCEDURE Page
More informationEast Limestone Youth Football and Cheerleading Application
East Limestone Youth Football and Cheerleading Application Date: Check# Cash Amount Returning Player Yes No Participants Name: Phone: Home Address: City: Zip: Father s Name: Work Phone: Cell: Mother s
More informationSemmes Middle School Golden Girls
Golden Girls Dance Tryout Packet 2019-2020 Dear Parents: Your child has expressed an interest in becoming a member of the Golden Girls Dance Team for 2019-2020. This information packet should answer most
More informationTeam Knightro Tryout Checklist
Team Knightro Tryout Checklist What to Bring the First Day of Tryouts 1. Bring a "copy" of either your UCF Student I.D. or "copy" of your acceptance letter. * Please do not bring the originals as a copy
More informationDISCIPLINE, DISPUTE AND CONFLICT RESOLUTION POLICY
DISCIPLINE, DISPUTE AND CONFLICT RESOLUTION POLICY Created by: Discipline Review Subcommittee Date: March 2018 TABLE OF CONTENTS 1.0 GENERAL... 2 1.1 MISSION... 2 1.2 DISCIPLINE LEVELS... 2 2.0 THE DISCIPLINE
More informationRedwater Minor Hockey Association Payment : Player Name: Parent s Names: Physical Address: Mailing Address:
Payment : Player Name: Date of Birth: Level: Parent s Names: Phone #: Email: Redwater Minor Hockey Association 2018-2019 (MM) (DD) (YYYY) Male / Female Fee: Cell: Physical Address: Mailing Address: Please
More informationPleasant Prairie Patriots House Hockey
Pleasant Prairie Patriots House Hockey 2012-2013 Registration Packet Hockey@plprairie.com www.recplexonline.com/sports/hockey Ice Arena Front Desk: 262-925-6755 Hockey Director: 262-925-6572 Pro Shop:
More informationFill in the editable PDF, save the file using your name & the saved copy to us: Name: (Given name) (Middle) (Surname) Address:
Thunder Bay ELKS Hockey Association Coaching Application Fill in the editable PDF, save the file using your name & email the saved copy to us: (Given name) (Middle) (Surname) Address: City: Postal Code:
More informationWaiver of Liability, Release Assumption of Risk & Indemnity Agreement
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
More informationBCSSA Athlete Registration 2018 BCSSA Number: Athlete Information: Please Print Clearly Last Name:
BCSSA Athlete Registration 2018 Club Initials: COQ Region: Simon Fraser BCSSA Number: Athlete Information: Please Print Clearly Last Name: First Name: Preferred Name: BirthDate: DD/Month/YY (spell out
More informationNEW SAMHA/Raiders/Rep Registration Package
NEW SAMHA/Raiders/Rep Registration Package This package consists of all forms needed to register for SAMHA, SAMHA Rep and Raiders. This package is for NEW players who currently reside within SAMHA residential
More informationSurrey Minor Hockey Association Coach Application Season
Surrey Minor Hockey Association Coach Application 2018-2019 Season Full Address: Postal Code: Home number: : Employer: Birth Date: Occupation: Cell: Employer Website: Employer Preferred Coaching Assignment
More informationBainbridge Island Lacrosse Puget Sound Youth League Summer Grades 6/7/8
Bainbridge Island Lacrosse Puget Sound Youth League Summer 2013 --Grades 6/7/8 The Bainbridge Island PSYL Summer Program for one 6/7/8 team for 2013: Summer lacrosse is perfect for keeping your skills
More informationNEW SAMHA/Raiders/Rep Registration Package
NEW SAMHA/Raiders/Rep Registration Package This package consists of all forms needed to register for SAMHA, SAMHA Rep and Raiders. This package is for NEW players who currently reside within SAMHA residential
More informationINDEX 1. VALUES AND BELIEFS 2. ATHLETES RIGHTS 3. CODE OF CONDUCT COACHES 4. CODE OF CONDUCT PARENTS 5. CODE OF CONDUCT PLAYERS 6.
INDEX 1. VALUES AND BELIEFS 2. ATHLETES RIGHTS 3. CODE OF CONDUCT COACHES 4. CODE OF CONDUCT PARENTS 5. CODE OF CONDUCT PLAYERS 6. REGISTRATION & FEES 7. FUNDRAISING 8. REFUNDS 9. PLAYER ELIGIBILITY &
More informationWerewolves of London Special Ice Hockey Club Player Information and Parent/Carer Publicity Consent Form
Werewolves of London Special Ice Hockey Club Player Information and Parent/Carer Publicity Consent Form Player's Name: Player's Date of Birth: Please state age of player @ 1st January of each hockey season:
More informationLearn to Skate from a Real Pro with John Dillon s Explosive Power Skating Instructors
Learn to Skate from a Real Pro with John Dillon s Explosive Power Skating Instructors TCYHA and P.A.T.Y.H. have joined together to offer an exceptional opportunity to youth interested in ice skating and
More informationUpper St. Clair Hockey Association
Upper St. Clair Hockey Association Dear Hockey Family, It s time to prepare for the 2014-2015 high school hockey season. The Upper St. Clair Hockey Association (USCHA) is now registering players in 7 th
More informationSPURRING POSITIVITY PROGRAM (11 Pages)
(11 Pages) 1 STEP 1.0: CNN Conduct Management Policy SPURRING POSITIVITY program Key Focus: The CNN Minor Hockey Association encourages the growth and development of minor Hockey in the Gibbons and Bon
More informationValley Junior Warrior Parent/Guardian of the Player Agreement
Valley Junior Warrior Parent/Guardian of the Player Agreement Valley Junior Warriors 7 Parkridge Road Haverhill, MA 01835 Tel: 978.557.5518 Fax: 978.557.5519 www.jrwarriors.com The Valley Junior Warriors
More informationPlayer Information Today s Date:
www.thejrtigers.com Player Information City & Zip: Fall 2015 School: Fall 2015 Grade: Email address: www.sacyouthfootball.com Today s Date: Birth Date: Where did you play last year?: Parent(s)/Guardian(s)
More informationUNION MINE HIGH SCHOOL
UNION MINE HIGH SCHOOL HOME OF THE DIAMONDBACKS Principal: Paul Neville Athletic Director: Jay Aliff Online Athletic Packet Registration Instructions Go to https://unionmine.8to18.com (no www.) Click on
More informationCoaches Manual. SCMBA Baseball Convenor s Manual. St. Catharines Minor Baseball Association. Pitch Counts. Fair Play. Page 8.
Coaches Manual St. Catharines Minor Baseball Association SCMBA Baseball Convenor s Manual We want you to enjoy your coaching experience and would like to make it as easy as possible for you to be an effective
More informationSimcoe & District Minor Hockey Association Volunteer Coaching Application Form Season
Simcoe & District Minor Hockey Association Volunteer Coaching Application Form 2015 2016 Season Contact Information First Name: Last Name: Address: City: Home Tel: Postal Code: Cell: Email: Levels Novice
More informationPost Falls Baseball Club
Post Falls Baseball Club Letter of Commitment (10U-14U) The goals of the Post Falls Baseball Club (PFBC) program are to develop skills, confidence, sportsmanship, teamwork and to have fun with the competitive
More informationWellington Point Cricket Club Inc PO Box 2126, Wellington Point Qld 4160 Incorporation No. 1A12935 ABN
Wellington Point Cricket Club Inc PO Box 2126, Wellington Point Qld 4160 Secretary@wellowildcats.com.au Incorporation No. 1A12935 ABN 83004090988 Application for Membership Players Details 2015/16 PERSONAL
More informationThe University of Kansas Mascot Squad Tryout Information Packet 2011
We thank you for your interest in becoming a member of one of our teams. The following information will guide you in your quest to get all information in on time. Big and Baby Jay Tryouts will be held
More informationVeterans High School
Veterans High School Football/Basketball/Competition Cheerleading Tryout Packet 2014 Tryout Dates: March 17-20 Competition March 24, 25 Football March 26,27 Basketball 3:30-5:30 If you have any questions
More informationCPYHA REGISTRATION INFORMATION
2008-2009 CPYHA REGISTRATION INFORMATION The time to register is now!! Enclosed is everything you need to register your skater with the Clifton Park Youth Hockey Association. By pre-registering your child
More informationOILFIELDS SPORTS ASSOCIATION PHANTOMS HOCKEY REGISTRATION
OILFIELDS SPORTS ASSOCIATION PHANTOMS HOCKEY REGISTRATION 2014-2015 IMPORTANT NOTE: Registering your child does not guarantee a spot on a team. We will make every attempt to accommodate all applicants;
More informationOkotoks Minor Hockey Association. Game and Conduct Management Plan
Okotoks Minor Hockey Association Game and Conduct Management Plan May 2010 TABLE OF CONTENTS 1) Introduction 3 2) Philosophy 4 3) Complaint Handling Process 5 4) Implementation Process 7 Appendices Appendix
More informationWilton Youth Football & Cheerleading 2017 REGISTRATION FORM
Wilton Youth Football & Cheerleading 2017 REGISTRATION FORM PARTICIPANT INFORMATION: Last Name First Name Nickname Address Home Phone City State Zip Participant s Email Address Date of Birth School (Fall
More informationNEW SAMHA/Raiders/Rep Registration Package
NEW SAMHA/Raiders/Rep Registration Package This package consists of all forms needed to register for SAMHA, SAMHA Rep and Raiders. This package is for NEW players who currently reside within SAMHA residential
More informationALABAMA HIGH SCHOOL ATHLETIC ASSOCIATION. Preparticipation Physical Evaluation Form. Date Name Sex Age Date of birth Address Phone School Grade Sport
ALABAMA HIGH SCHOOL ATHLETIC ASSOCIATION Preparticipation Physical Evaluation Form Revised 2018 History Date Name Sex Age Date of birth Address Phone School Grade Sport Explain Yes answers below: Yes No
More informationCMHA Team Manager s Manual
CMHA Team Manager s Manual Introduction This manual is a summarized version of the Hockey Canada Team Manager s Manual. For more details, the complete version can be found by googling Hockey Canada Team
More informationSUBSCRIPTION COSTS 2016/2017. Cost $155 subs only (no shirt & cap) $185 (includes shirt/cap) $135 $115
SUBSCRIPTION COSTS 2016/2017 Junior Player U11-17 (includes ball fees) Cost $155 subs only (no shirt & cap) Sports voucher $105 Tick here Size Shirt Junior Player U11 U17 (includes ball fees) $185 (includes
More informationHead Coach Application for Hockey Season
Head Coach Application for 2018-2019 Hockey Season Deadline for Head Coach Applications is February 21, 2018. All Head Coach Applications will be considered and assessed by the Sault Major Hockey Association
More informationMountainview Taekwondo Club. 25th Anniversary Tournament
September 18, 2018 Dear Grand Masters, Masters, Instructors and Competitors: We are very pleased to announce that the Mountainview TKD 25 th Anniversary tournament will be held on November 3, 2018 at the
More informationLACEY ROLLER HOCKEY P.O. BOX 170 LANOKA HARBOR, NJ HOTLINE: WEBSITE:
LACEY ROLLER HOCKEY P.O. BOX 170 LANOKA HARBOR, NJ 08734 HOTLINE: 609-242-2215 WEBSITE: WWW.LACEYROLLERHOCKEY.COM Welcome Lacey Roller Hockey Participants to the 2016 Fall Season. We are looking forward
More informationREGISTRATION FORM / AFTER SCHOOL PROGRAM
REGISTRATION FORM / AFTER SCHOOL PROGRAM YEAR: LOCATION: SPRINGBANK SESSION:! FALL! WINTER! SPRING CHILD INFORMATION FULL NAME: DOB: AGE: GENDER: F M U SCHOOL: GRADE: FULL ADDRESS: ANY ALLERGIES / MEDICAL
More informationInstructions, Los Alamos Youth LAX 2018 Registration Form To register, please Paper free process or downloads available at:
Instructions, Los Alamos Youth LAX 2018 Registration Form To register, please Paper free process or downloads available at: http://laylax.org/ Register ONLINE, or, complete this packet (download available
More informationDiscovery $140 JR Timbits $ , *2012 if appropriate SR Timbits $ , 2010 Novice $ , 2008 Atom $ , 2006 Peewee $745
c o n f e d h o c k e y. o r g M a y 2 0 1 7 May 15, 2017 - Online Registration Opens for Players and Coaches! May 15, 2017-600pm-830pm - In-Person Registration and Police Checks at Kinsmen Arena. June
More informationBUTLER GOLDEN TORNADO HOCKEY ASSOCIATION TRYOUT INFORMATION
BUTLER GOLDEN TORNADO HOCKEY ASSOCIATION 2017-18 TRYOUT INFORMATION Welcome to the Butler Golden Tornado Hockey Association (BGTHA). Thank you for considering playing for the Golden Tornado s for the forth
More informationLACEY ROLLER HOCKEY P.O. BOX 170 LANOKA HARBOR, NJ
LACEY ROLLER HOCKEY P.O. BOX 170 LANOKA HARBOR, NJ 08734 609-242-2215 Website: www.laceyrollerhockey.com Email: Laceyhockey@yahoo.com Welcome Lacey Roller Hockey Participants!. We are looking forward to
More informationTMHA 2017/2018 Registration Package Website:
TMHA 2017/2018 Registration Package Website: http://tofieldminorhockey.com Players Information Mother s Information Father s Information Name LAST FIRST ***Please fill out the entire form*** Male/Female
More informationRoy-Hart L.O.Y.A.L. Football and Cheerleading Registration
Roy-Hart L.O.Y.A.L. Football and Cheerleading Registration FEES: REGISTRATION $65(1st CHILD) $60(2nd CHILD) $55(each CHILD thereafter) $75(1st CHILD) $70(2nd CHILD) $65(each CHILD thereafter) AFTER JUNE
More informationSpring Hill College Athletic Training Department
NCAA Division II Tryout Dear Parents/Guardian: Welcome potential new Badger and Family! Below is a list of what we need completed before your tryout: Copies of the front and back of your health insurance
More informationur mission is to encourage pride <5t excellence in a community of learning. LUMSDEN HIGH SCHOOL May 15 th, 2018
May 15 th, 2018 LUMSDEN HIGH SCHOOL P.O. Box 449 300 Broad Street Lumsden, SK SOG 3C0 Telephone: (306) 731-2262 Facsimile: (306) 731-2494 E-mail: lumsdenhighschool @pvsd.ca Principal: Mr. J. Harvey Vice
More informationTRIBE Rugby Waiver East County Rugby Football Club (TRIBE Rugby)
TRIBE Rugby Waiver East County Rugby Football Club (TRIBE Rugby) PERMISSION / ASSUMPTION - MINOR I, the undersigned parent(s) or legal guardian(s) of, hereby grant(s) permission for him/her to participate
More informationTMHA 2018/2019 Registration Package Website:
TMHA 2018/2019 Registration Package Website: http://tofieldminorhockey.com Players Information Mother s Information Father s Information Name LAST FIRST ***Please fill out the entire form*** Male/Female
More informationFinancial Agreement Jaguar FC Teams. LEAGUE/TOURNAMENT/UNIFORM fees will be invoiced separately August 1 & March 1
Financial Agreement Jaguar FC Teams Player Name Date of Birth - - ANNUAL ONE-TIME NON-REFUNDABLE CLUB Fee: $50 due at registration LEAGUE/TOURNAMENT/UNIFORM fees will be invoiced separately August 1 &
More informationEASTWOOD YOUTH LACROSSE
EASTWOOD YOUTH LACROSSE (Grades 3-8 Instructional and Recreation Program and K-3 Developmental Program) 2014 SUMMER REGISTRATION MAIL-IN AT ANY TIME PRIOR TO MAY 31 Registration Fee: $35.00 (grades 3-8
More informationLake Louise Pond Hockey Classic February 21-25, 2018
Lake Louise Pond Hockey Classic February 21-25, 2018 WAIVER AND RELEASE OF LIABILITY Lake Louise Pond Hockey Classic I acknowledge that I have agreed to participate in the Lake Louise Pond Hockey Classic
More informationSPARTANS CANADIAN FOOTBALL ASSOC. Box Uptown Center Postal Outlet Victoria, B.C. V8Z 7H5. First Name Last Name Birthdate (DD/MM/YYYY)
SPARTANS CANADIAN FOOTBALL ASSOC. Box 48107 Uptown Center Postal Outlet Victoria, B.C. V8Z 7H5 DIVISION Atom Pee Wee Jr. Bantam YEAR BORN 2007-2008 2005-2006 2003-2004 PLAYER REGISTRATION First Name Last
More informationCLUB OPERATING POLICY Rules and Regulations
CLUB OPERATING POLICY Rules and Regulations 1. GENERAL 1.a The aim of the Langley United Soccer Association (herein after referred to as LUSA) is to foster, promote and develop the skills, knowledge and
More informationCedars Kids Club. Choose July or August 4-week Session. Mondays & Wednesdays 9am 12pm (Instruction) Thursdays 4-6pm (Tournament, Play & Prizes)
Cedars Kids Club Have fun while learning the basic skills, techniques and rules of golf. Boys and girls ages 5 15 can register for this exciting and foundation-building summer program. Choose July or August
More informationSpring 2018 To All Manager/Coach Applicants:
Spring 2018 To All Manager/Coach Applicants: Thank you for your interest in managing a Novato South Little League team for the 2018 season! We appreciate your willingness to volunteer, and we thank you
More informationPLAYER REGISTRATION PACKET
2016-2017 PLAYER REGISTRATION PACKET Welcome to Team Challenger FC North! Please complete and execute the TCFC player registration packet prior to participation in any try-outs or participation in any
More information2015 AZTEC RUGBY SUMMER 7 s REGISTRATION PACKET
2015 AZTEC RUGBY SUMMER 7 s REGISTRATION PACKET Registration for the Summer 7s rugby season is now open. The season consists of several tournaments starting on June 6 and finishing up with a grand finale
More informationHigh School 3101 Leonard NE Grand Rapids, MI (616) Elementary School 540 Russwood NE Grand Rapids, MI (616) 363.
THE PURPOSE OF A YOUTH FOOTBALL PROGRAM NorthPointe Christian Schools NPC Youth Football is structured to teach the fundamentals of football in a fun and positive environment. It will be distinctly Christian
More informationSkate With The Mat-Su Figure Skating Club
Skate With The Mat-Su Figure Skating Club Membership Form At MSFSC, we encourage the instruction, practice, and advancement of our members in all figure skating disciplines. We operate figure skating programs
More informationThis is going to be an exciting year for both Softball and Baseball.
March 2018 It s that time of year! You got it it is time to sign-up for SOFTBALL (Major and Minor League) and BASEBALL (A-Ball, B-Ball, Rookie League and T-Ball)! This is going to be an exciting year for
More informationPERSONAL INJURY PATIENT HISTORY
PERSONAL INJURY PATIENT HISTORY Name Date Address Phone Cell Phone E-Mail For text reminders, your cell phone provider: Date of Birth: Social Security Number: Date of the accident: Time: AM PM What city
More informationTEXAS HOTSHOTS BASKETBALL CLUB
TEXAS HOTSHOTS BASKETBALL CLUB www.texashotshots.us PLAYER REGISTRATION PACKET REGISTRATION FORM Player Name: (First, Middle, Last) Home #: Address: City: Zip: Date of Birth: Grade: Uniform Size: Mother
More informationMid-State Youth Football & Cheerleading Conference
Player Cheerleader Mid-State Youth Football & Cheerleading Conference OFFICIAL APPLICATION TO PARTICIPATE Please Print No. Registration Date Age Sept 1st Sign Up Weight Name LAST NAME FIRST NAME MIDDLES
More informationContact 2: Name(s): Phones: (home) (mobile) (office) Contact 3: Name(s): Phones: (home) (mobile) (office)
EMERGENCY CONTACT INFORMATION June 5, 2017 to June 1, 2018 Fencer s Name: Fencer s Student Number: Fencer s Email Fencer s Phone #s: (home) (mobile) Fencer s of Birth: / / Grade: 9th 10th 11th 12 th Fencer
More informationPlayer and Parent Commitment Letter for 2016/2017 Season
Below The Rim is an organization that is committed to making a positive difference in the lives of youth athletes. Our vision is to provide opportunities for youth to develop their full potential through
More informationWASHINGTON REDSKINS MIDGET FOOTBALL
WASHINGTON REDSKINS MIDGET FOOTBALL Welcome to the 2017 Washington Redskins Midget Football and Cheerleading season. The Washington Redskins Association is a self-funded not-for-profit organization. We
More information2018 Delaware Patriots REGISTRATION PACKAGE Returning Players & Non-DVHL registered player
2018 Delaware Patriots REGISTRATION PACKAGE Returning Players & Non-DVHL registered player 2018 Delaware Patriots REGISTRATION PACKAGE Returning Players & Non-DVHL registered player Returning Players &
More informationDISCIPLINE CODE UPDATED AUGUST 2018
DISCIPLINE CODE UPDATED AUGUST 2018 Ottawa District Women s Hockey Association Discipline Code Table of Contents DEFINITIONS... 3 Article 1. CODE OF DISCIPLINE... 4 1.01 Purpose... 4 1.02 Application...
More informationMidwest Cheer Elite- Cleveland All-Star Full Travel Cheerleading, Contemporary, Hip Hop & Pom
Midwest Cheer Elite- Cleveland All-Star Full Travel Cheerleading, Contemporary, Hip Hop & Pom 2018--2019 Welcome to Midwest Cheer Elite Cleveland. We are delighted that you have chosen to become a part
More informationJunior Participating in Adult Roller Derby Division Check List
Junior Participating in Adult Roller Derby Division Check List Junior s Name: Parents /Legal Guardian Names: Name of Club Accepting Junior & Club Id: The following items must be returned together to the
More informationWelcome to the RYSA Wildcat season! Congratulations for being selected for a RYSA Team!
Welcome to the 2017-2018 RYSA Wildcat season! Congratulations for being selected for a RYSA Team! Checklist ACCEPT team placement and PAY online within 48 hours of team notification. No checks will be
More informationTRAVEL TEAM PHILOSOPHY
TRAVEL TEAM PHILOSOPHY INTRODUCTION The Northern Virginia Hockey Club (NVHC) has a program for youth that have the ability to perform at a higher level of competition and who wish to become a member of
More informationAnnual Membership. Packet Skating Season. Skate With The Mat-Su Figure Skating Club
Annual Membership Skate With The Mat-Su Figure Skating Club Packet 2016 Skating Season At MSFSC, we encourage the instruction, practice, and advancement of our members in all figure skating disciplines.
More informationFort Zumwalt West Inline Hockey Club
Tryout Dates - 2018 Season Tryout Date: January 20th, 2018 All players must prioritize and plan to attend this tryout session. If for some reason you can not attend, you must contact us ASAP at fzwinlinehockeyclub@gmail.com
More informationRegistration Packet All forms must be read, completed, and understood.
Registration Packet All forms must be read, completed, and understood. Information/paperwork, requirements you will need - 1. You must have a final roster of no less then 16 fully registered players. 2.
More informationDues Structure. $50 for active non-skier who enter performance areas during practices, shows and competitions
Dues Structure Requirements: Children 13 and under must be accompanied by an adult during each practice and shows. The adult accompanying minor children must be a member of the. Family members that are
More informationArnprior BlueFish Swim Club Registration Pre-Competitive Program Checklist for Parents
Arnprior BlueFish Swim Club Registration Pre-Competitive Program Checklist for Parents Registration Form Pre-competitive program fee Mandatory fundraising fee Swim Canada registration fee Refund Policy
More informationRegistration ! Registration for the season will begin online June 1!
Confederation Hockey w w w. c o n f e d h o c k e y. o r g R e g i s t r a t i o n 2 0 1 6 I s s u e Registration 2016-2017! Registration for the 2016-2017 season will begin online June 1! We have two
More informationThis year, the tournament will take place on Saturday, January 26, 2019 at the Allan & Jean Millar Centre located at 58 Sunset Blvd, Whitecourt, AB.
October 24th, 2018 Dear Masters, Instructors, Parents and Athletes: On behalf of the Whitecourt Taekwondo Club, we would like to invite you all to attend the 29 TH Annual Whitecourt Taekwondo Championship.
More informationREGISTRATION PACKAGE
2017-2018 REGISTRATION PACKAGE Returning Penguin Players & Non-DVHL registered players: Can complete their registration form and turn in before evaluations. New Players who were registered with another
More informationAnkeny High School Bands
Ankeny High School Bands 2016 Marching Band The Ankeny High School Bands provide a special opportunity for you and your family to continue participation in a truly exceptional program. Ankeny Bands from
More informationYamhill County Fair & Rodeo Ambassador Application
Yamhill County Fair & Rodeo Ambassador Application Mission: The mission of the Yamhill County Fair & Rodeo program is to provide a scholarship for higher education to outstanding young people in a program
More information2017 Football Clean-Up Party
2017 Football Clean-Up Party To all Parents, Coaches and Players Welcome to the 2017 Football Season!! We will be holding our annual football clean-up party on SATURDAY, JULY 29 TH from 8:00 AM to whenever
More informationIrondequoit Junior Eagles
Irondequoit Junior Eagles 2018 Open Registration Football Team Placement Ages as of 8/1/2018 A Team Ages 11-13 Max weight is 155 lbs, No lightweights B Team Age 9-10 under 135 lbs, with 11-year lightweights
More informationPRE TRAINING QUESTIONNAIRE
PRE TRAINING QUESTIONNAIRE Wellbeing Martial Arts collects the information on this form to register and administer enrolments into programs run by Wellbeing Martial Arts. This information will not be disclosed
More informationSouth African Junior Golf Player Registration form To be completed by each Division prior to sending to members and clubs.
South African Junior Golf Player Registration form 2018 To be completed by each Division prior to sending to members and clubs. South African Junior Golf Division: Gauteng North Fax Number: 086 560 7823
More informationDear Parents,
2018-2019 www.paminorhockey.ca Dear Parents, To those of you who are returning members, we sincerely hope that you continue to support Prince Albert Hockey by volunteering a small part of your time. Our
More informationThe Louisiana Tigers Youth Organization
The Louisiana Tigers Youth Organization 2015 Youth Football Registration Packet Jason L. Fisher President Christopher McKinley, Sr. Vice President John Fisher, Sr. Vice President www.thelouisianatigers.com
More informationWelcome to the Kansas City Fencing Center!
Welcome to the Kansas City Fencing Center! We re very excited that you have chosen to give fencing a try. In this bundle you will find both a Liability Release and a US Fencing Membership application.
More informationBonnyville Minor Hockey Association 2014/2015 Online Registration Package
Bonnyville Minor Hockey Association 2014/2015 Online Registration Package This package applies to existing BMHA players who were registered with BMHA in the previous hockey season. If you are a registering
More informationMJP REGISTRATION CHECKLIST
MJP REGISTRATION CHECKLIST Welcome to MJP! We are so pleased that you will be joining us to learn the exciting sport and art form of Irish dance. To help you ensure your registration is complete, we have
More information