2019-2020 Registration Form (Centre Hastings Minor Hockey)

Print 2019-2020 Registration Form

Please fill out the form in it's entirety and press submit. Upon submission you will be directed to a webpage that will provide further instructions for completing your players registration.

Player's First Name^*
Player's Last Name^*

Birthdate of Player^*

Open the calendar popup.

Home Address^*
Name(s) of Parents/Guardians
Primary Contact Number^*

Example: ###-###-####
Email Address^*

Example: [email protected] Your submission will be sent to this address.
Previous Team Division
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2019/2020 Team Division
Have you completed the Respect in Sports Course?
YesNo
Payment Type
Will you be applying for financial assistance?
YesNo
Do you give permission for your child(ren)'s name and/or photo to be published on the CHMHA website and social media platforms?
YesNo