Malvern Old-Timers Hockey League 53 Misthollow Square, Toronto, ON M1E 4P3 [email protected] SECTION A 2016-17 REGISTRATION FORM RETURNING & NEW PLAYERS Name: ______________________________________________ Date of Birth: _____________________ Day Month Year Address: ________________________________ City: __________________ Postal Code: ___________ Home Phone: ____________________ Business: ___________________ Cell: ____________________ E-MAIL: ______________________________________ Emergency Contact: ______________________ Relationship: __________________ Phone(s): _____________________ _______________________ SECTION B If you have played in the MOHL, go to Section C below. NEW PLAYERS ONLY To help us assess how you will fit into the league, please provide us will some background on your hockey skills: where you have played in the past three years; what is the highest level/caliber of hockey you have played in the past (amateur, recreational, professional, Junior A, etc.) _________________________________________________________________ Is there anyone currently playing in the MOHL who could help us assess your hockey skills? Names: ____________________________________________________________ SECTION C ALL PLAYERS Position(s) you would most like to play: _________________________________________________ SECTION D FACIAL PROTECTION The Malvern Old-Timers Hockey League purchases insurance for players through the Canadian Adult Recreational Hockey Association. CARHA’s Facial Protection Policy states: Players wearing full facial protection or half-shield (visor) with mouth guard will be allowed to submit a medical and/or dental claim for facial injuries. Member players not wearing facial protection equipment will not be insured for facial or dental injury. Please sign on the appropriate line below whether you wear facial protection – either a full face mask or visor. Note: Visors without a mouth guard do not qualify for facial or dental coverage through CAHRA. _______________________________ I wear facial protection equipment. ______________________________________________ It is my choice to NOT WEAR facial protection equipment IMPORTANT - PLEASE TURN OVER! Page 1 of 2 SECTION E 1. 2. 3. 4. 5. 6. 7. 8. 9. CONDITIONS RETURNING PLAYERS - EARLY REGISTRATION: We hope you have enjoyed playing in the MOHL, and plan to return next season. As a returning player, your fee to play next year will be $385.00 . IMPORTANT: MARCH 1, 2016 DEADLINE Please check to ensure that the information shown on the registration form is correct and make any applicable changes. Submit your signed registration form along with a cheque to your team captain on or before Tuesday, MARCH 1, 2016. Please make your cheque payable to MOHL. It can be post-dated to June 1, 2016. LATE REGISTRATION: If your registration and cheque are not received by March 1, 2016, the league will assume that you have chosen not to return next season, and will regrettably remove your name from the active players' list immediately. If you subsequently decide to return to the MOHL you will be considered a 'new' player and will be subject to the new player's fee (see below) and will be placed on the MOHL Waiting List. NEW PLAYERS: We are always interested in adding new players to the league. If you know of anyone who would be a good fit for the MOHL, please ask him/her submit an application form to the address listed on Page 1. Upon receipt of a completed Registration Form, new players will be immediately added to the MOHL waiting list, and assigned to a team roster at the first appropriate opportunity. The fee for new players to the league next season is $410.00 ($385.00 Annual Fee plus a onetime $25.00 Administration Fee) Registration Forms and more information can be obtained by visiting our website. www.MOHL.ca. It is the intent of the league Executive to draft all players to provide balance throughout the league and mix players amongst the teams to avoid continuing groups on the same team each year. All information must be complete to be accepted and printed in a readable format. All Registration Fees deposited after June 1-16 are non-refundable, pending a decision by the league Executive. Registered players agree to abide by all conditions imposed by the MOHL Executive now and in the future. All decisions made by the Malvern Old-Timers HL Executive are final. By signing this Registration Form, the Registering Player signifies that he has read and agrees to abide by the League Constitution, a copy of which is posted on the league website at www.MOHL.ca. 10. By signing this Registration Form the Registering Player hereby releases, waives and forever discharges the Malvern Old-Timers Hockey League, its Executive, players, referees, conveners, successors and assigns of and from any claims, demands, damages, costs, expenses, actions and causes of action, whatsoever, whether in law or equity, in respect of death, injury, loss or damage to the Registering Player or property, however caused, and the Registering Player further agrees to indemnify and save harmless all the aforesaid from and against any and all liability incurred by any of them as a result of, or in any way connected with participation in the Malvern Old-Timers Hockey League. I confirm I have read and agree to the Conditions stated above. _______________________________ Name (Please Print) _________________________________ SIGNATURE ____________________ Date IMPORTANT: Residents are people who live in, own property in or own or operate a business in the City of Toronto. Residency can be verified through, for example, a current utility bill, assessment notice or telephone bill with a current address. If you live outside Toronto, but are qualified to be a Toronto resident could you please provide us with a Toronto Postal Code ______________________. Page 2 of 2
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