2019/20 Player Registration Form (Apsley Minor Hockey)

Print 2019/20 Player Registration Form
Please complete online form and submit. Payment can be made via e-transfer to [email protected]
Player Information
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    MM/DD/YEAR
  2. Example: K0L 1A0
  3. Example: ###-###-####
  4. Example: ###-###-####
  5. Example: ###-###-####
  6. please provide detailed information here. example: health issues, asthma, etc.
Hockey Information
  1. please select one
  2. Centre, Division, Level, Year (example: Apsley Atom Local League, 2018/19)
  3. please select
  4. please select


  1. registraion is not comlete until payment has been received
  2. NOTE: $7.00 FEE FOR NSF CHEQUES

    NEW PLAYERS MUST FORWARD A COPY OF THEIR BIRTH CERTIFICATE WITH THEIR REGISTRATION.

    Indemnity, Authorization and Acceptance

    In consideration of accepting the above-mentioned person, I grant permission for him/her to participate in the AMHA Hockey Program.

    For the same consideration, I hereby release and discharge Apsley Minor Hockey Association. and the Township of North Kawartha of and from all claims, demands, damages, actions or causes of action (collectively claims) howsoever or wheresoever arising or to arise by reason of my son's or daughter's participation in the AMHA Hockey Program, in this or any successive year, including (but without limiting the generality of the foregoing) claims for any and all dental and medical bills, and claims arising out of the use by my son, daughter or other family members of any public or private arena or other facility as may be used by the AMHA, and further of and from all claims whatsoever in law or equity which I, my heirs, executors and administrators or assigns can, shall or may have reason aforesaid.

    I further agree that the AMHA may publish such player and game information as well as photographs in such form and manner as is appropriate to promoting the results and performance of any of the individual divisions or the Association as a whole.

     

    Full payment must be received before September 30th or a payment plan in place. Failure to have registration paid in full or a payment plan in place will result in the player suspension until full payment is received.
Human Validation
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Printed from apsleyminorhockey.com on Wednesday, October 16, 2019 at 10:43 AM