2017 Tryout Registration (St. Thomas Minor Hockey)

2017 Tryout Registration

INSTRUCTIONS: 1) Cost of tryouts is $80 and is due at the first tryout or in advance in the STMHA office. 2) Please bring all required forms to the first tryout or to the office in advance (NRP Passports, copy of Birth Certificate if new). 3) Tryout fee is non-refundable. 4) One parent must complete Respect in Sport Program before player can be rostered. 5) Please complete all sections.

Player First Name^*

Required

Player Last Name^*

Required

Date of Birth^*

Required

mm/dd/yyyy

Father's Name

Mother's Name

Street Address^*

Required

City^*

Required

Postal Code^*

Required

Home Phone^*

Required

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

Cell Phone

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

Work Phone

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

Email Address^*

Required

Example: [email protected]

Player Resident at Address Since^*

Required

YYYY

Emergency Contact Name

Emergency Contact Phone

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

Doctor's Name

Doctor's Phone Number

Has one parent completed the Respect in Sport Parent Program (mandatory for your player to attend tryouts). Proof will be required at tryouts before player attends.*

Respect in Sport Parent Program Number (if known)

Home Association^*

Required

Player's Position^*

Required

Previous Team 2016-17^*

Required

Previous Team 2015-16

I understand by submitting the information in this form that I certify it to be true and that I have become subject to the Rules and Regulations, Constitution and Policies of St Thomas Minor Hockey (STMHA). I agree to abide by such Rules & Regulations, Constitution and Policy.

I agree to the terms and conditions stated above^*

2017 Tryout Registration (St. Thomas Minor Hockey)

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