Youth Ball Hockey

HAMILTON MINOR BALL HOCKEY LEAGUE REGISTRATION FORM YOUTH BALL HOCKEY Tel: 1-855-999-7299 905-699-1471 E-mail: [email protected] www.hamiltonballhockey.com Player Information: 2018 HAMILTON MINOR BALL HOCKEY LEAGUE □ LEARN TO PLAY □ TYKE □ NOVICE □ ATOM 2012-2014 2010-2011 2008-2009 2006-2007 ● PROGRAMS FOR KIDS AGED 3-17 ● □ PEEWEE □ BANTAM □ JUNIOR 2004-2005 2002-2003 2000-2001 BALL HOCKEY LEAGUES (AGES 7-17) includes jersey, shorts and socks $ 169.99 NAME: BIRTH DATE: (D) ___ / (M) ___ / (YR) ___ ($179.99 after January 31st 2018) LEARN TO PLAY PROGRAM (AGES 3-6) ADDRESS: CITY: PC: $ 129.99 includes jersey, shorts and socks Parent Information:

● All programs are offered on Sunday mornings/ afternoons from April to late June ● NAME: EMAIL: ● 10 games includes regular season and playoff games ● ● Full Player and Team Statistics available on www.hamiltonballhockey.com ● HOME #: CELL #: ● All games played at local arenas ● One game a week with no practices ● Questions, Volunteers, Rep Team & Sponsorship: ●Awards, pizza and pop - Day of Champions, Year End Celebration of Excellence ● 1. Has your child ever played ice hockey? ___ if yes, which level □AAA □AA □A □SELECT □HOUSELEAGUE ● Limited dental & medical insurance ● CBHA Certified Referees ● 2. Does your child want to play Goalie? □ Yes □ No ● Fun, safe and make new friends ● If yes, does your child have goalie equipment? □ Yes □ No Mandatory equipment required includes: 3. Do you wish to assist? □ Coach □ Timekeeper □ Sponsor (see below) CSA Approved Hockey helmet with full facial protection, hockey gloves, soccer style shin pads, athletic cup. 4. Does your child have any friends / relatives they wish to play with? Soft elbow pads and soft knee pads are also recommended. 5. Please note the individuals and maximum of two and corresponding application must match: ______REGISTER ON-LINE at The Selection Committee will attempt to place child with friends and/or relatives. Players should be encouraged to play at appropriate age group. Sponsorship Plans: One (1) free registration included with all sponsorship plans. Please inquire for information.

www.hamiltonballhockey.com Registration Fee: □ $169.99 (before Jan 31st) $179.99 (after Jan 31st) PLEASE CHECK WEBSITE FOR UP TO DATE □ $129.99 Learn to Play Program □ Family Plan – Save $10 for every additional child registered (not applicable for Learn to Play Program). IN-PERSON REGISTRATION DATES Received by: _____ □ Cash □ Cheque #_____ Payable to: Hamilton Minor Ball Hockey League THE HAMILTON MINOR BALL HOCKEY LEAGUE IS THE ONLY LEAGUE IN HAMILTON THAT IS A □ Visa □ MC # ______Exp: ______CVT#: ______MEMBER OF THE ONTARIO BALL HOCKEY FEDERATION (OBHF) AND HAS AN AFFILIATION WITH HOCKEY CANADA. THE OBHF IS THE ONLY BALL HOCKEY ORGANIZATION IN ONTARIO Waiver: SANCTIONED BY THE CANADIAN BALL HOCKEY ASSOCIATION (CBHA). In consideration of the Hamilton Minor Ball Hockey League (HMBHL) permitting the THE CBHA IS AN ASSOCIATE MEMBER OF HOCKEY CANADA. player to participate in any of the activities of the HMBHL, I, for myself, my family, heirs, PLEASE VISIT www.hockeycanada.ca FOR A LIST OF ASSOCIATE MEMBERS OF HOCKEY CANADA. successors, and executors hereby indemnify and hold harmless the HMBHL, it's directors, officers, successors, and assigns, from all costs, claims, actions, damages, or liabilities, whatever their nature or however caused, resulting from the participation of the player in any activities of the HMBHL.

Parent/Guardian Signature: ______Ball Hockey.....It’s Your Game!