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PRINCE GEORGE MINOR HOCKEY ASSOCIATION REP DIVISION CARDING FORM – PLAYER In order to register players on a rep team, every PLAYER needs to complete this page and
return it to the team manager who will return it to the office. Please make sure that all
information is correct as this will become part of a legal document for BCAHA.
Has this player registered on a Hockey Canada rep card before? Yes No Players Surname:_________________________ Given Names: ________________________________ Birth Date: Month _______________ Day __________ Year ________ Player lives with: Both parents Mother Father Other: __________________ Home Address: _______________________________________________________________________ City: ________________________________ Province: ______________ Postal Code: ______________ Home Telephone: ___________________________ Player’s Cell Phone: _________________________ Mother’s Alternate Phone: ________________________ Father’s Alternate Phone: ________________________ Contact e‐mail(s): _____________________________________________________________________ School player is currently attending: ________________________________________ Grade: ________ Select Citizenship: Canadian Other:____________________________________ Care Card Number: ___________________________________________________________________ Team
Team this player is being carded with: ____________________________________________________ This player is carding for the position of: Player Goaltender Player’s signature: ______________________________________________________ Parent’s signature: ______________________________________________________ Date: _________________________________