2023 Fall Intent to Tryout form (St. Thomas Minor Hockey)

2023 Fall Intent to Tryout form

What Team??

U9MD,U13C, U15C, U16 Shamrock or U18 A

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]. Your submission will be sent to this address.

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 2022-2023^*

Required

Previous Team 2021-2022

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^*

2023 Fall Intent to Tryout form (St. Thomas Minor Hockey)

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