House League and Local League Registration Form (HOME OF THE STONEY CREEK WARRIORS AA HOCKEY)

House League and Local League Registration Form

House League and Local League information/Fees/Payments is under the Registration tab: 2021-22 House League and Local League Registration Info. Please fill out the form and submit

Player Information

First Name^*

Required

Last Name^*

Required

Gender^*

Required

Hockey program^*

Required

You must choose either Local League of House League program

Date of Birth Year^*

Required

Enter Birth Year

Date of Birth Month^*

Required

Enter Birth Month

Date of Birth Day^*

Required

Enter Birth Day

Street^*

Required

City^*

Required

Postal Code^*

Required

Association/League Played Last Year^*

Required

Are you registering for a goalie position^*

Required

Parent/Guardian #1

First Name^*

Required

Last Name^*

Required

Email^*

Required

Example: [email protected]

Contact Number^*

Required

Example: ###-###-####

Parent/Guardian #2

First Name^*

Required

Last Name^*

Required

Email^*

Required

Example: [email protected]

Contact Number^*

Required

Example: ###-###-####

Medical/Emergency Contact information (Other than Parent/Guardians)

Contact Name^*

Required

Phone^*

Required

Example: ###-###-####

Relationship to Playier^*

Required

Payment Policy

Please send your payment after submitting this registration form by e-Transfer to email [email protected], no password required as auto deposit is setup for SCMHA If you like to pay by credit card, please email [email protected] for credit card authorization form. 1st installment HL is $250 and LL is $500. 1st installment for Midget HL is $275 Your child is not considered registered for the 2021/22 season until payment/installment is received.

Waiver Information

I acknowledge and understand that Stoney Creek Minor Hockey Association (SCMHA) may use or disclose the participant's name and address collected on this form to recognized hockey authorities. I 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 Canada, its Board of Directors, its branches (Ontario Hockey Federation) and/or divisions (OMHA) and SCMHA

I agree to the terms and conditions stated above^*

Refund Policy

Refunds will be given in accordance with the Refund Policy set by the SCMHA March 21 - August 31: $50 Administration charge, Sept 1 - Oct 31: $100 Administration charge plus pro rate once on the ice, Nov 1 - No refund

House League and Local League Registration Form (HOME OF THE STONEY CREEK WARRIORS AA HOCKEY)

OMHA Digital Network

Player Information

Parent/Guardian #1

Parent/Guardian #2

Medical/Emergency Contact information (Other than Parent/Guardians)

Payment Policy

Refund Policy

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