2018-19 Major Midget Online Registration Form (Huron-Perth Lakers AAA Minor Hockey Association)

Print 2018-19 Major Midget Online Registration Form
PLAYER INTENTIONS
Please answer the following questions
Player Information1
Complete all fields below:
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    Enter in mth/day/year format eg: 6/16/1999
  2. (taxes paid to)
  3. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    select approximate date or enter in mth/day/year format eg: 6/16/1999
  4. Check one
  5. Example: ###-###-####
  6. Example: ###-###-####
  7. Example: [email protected] Your submission will be sent to this address.
  8. Example: ###-###-####
  9. Example: [email protected] Your submission will be sent to this address.
  10. (name)
  11. Example: ###-###-####
  1. ACCEPTANCE OF RISK / WAIVER OF RESPONSIBLITY
    I am aware and approve of my child's registration to participate in tryouts for the Huron-Perth Lakers AAA Minor Hockey Association.  I understand that my child is in good health except as noted above.  I relinqish to the player's coach/instructor the right to instruct, direct and, as appropriate, discipline the player during the specific team tryouts the player is participating in.

    I hereby release, remise and forever discharge the Huron-Perth Lakers AAA Minor Hockey Association and their heirs, executives, coaches, trainers, managers, committees and instructors of all actions, causes of actions, damage claims and demands whatsoever which may arise from any incident to the participating child and/or player and/or property while practicing, playing, traveling to or from hockey-related events arranged by, through or supervised by said association.

  2. OPT-OUT PROVISION (PRIVACY ACT)
    I acknowledge and understand that, for the purposes of offering additional products and services that may be of interest to the participant or the participant's family, Hockey Canada and/or the Huron-Perth Lakers AAA Minor Hockey Association may use or disclose the participant's name and address collected on this form to third parties. 

    As the above-mentioned participant, or the participant's legal guardian, if you do NOT wish that information used or disclosed for the purpose of offering you such additional products and services, please indicate below.
Human Validation
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Printed from huronperthlakers.ca on Thursday, April 19, 2018 at 9:31 AM