YOUTH BALL HOCKEY Richard 905-699-1471 / Jim 905-580-5794 2015 HAMILTON DISTRICT MINOR BALL HOCKEY LEAGUE $ 149.99 includes jersey, shorts, and socks ($159.99 after March 31) ● All programs are offered on Saturday mornings/ afternoons from April to late June ● ● 10 games includes regular season and playoff games ● ● Full Player and Team Statistics available at www.hamiltonballhockey.com ● ● All games played at local arenas ● One game a week with no practices ● ● Awards, pizza and pop - Day of Champions, Year End Celebration of Excellence ● ● Limited dental & medical insurance ● CBHA Certified Referees ● ● Fun, safe and make new friends ● Mandatory equipment required includes: CSA Approved Hockey helmet with full facial protection, hockey gloves, soccer style shin pads, athletic cup. Soft elbow pads and soft knee pads are also recommended. Registration Times & Locations REGISTER ON-LINE, PLEASE VISIT www.hamiltonballhockey.com HAMILTON DISTRICT MINOR BALL HOCKEY LEAGUE REGISTRATION FORM 1155 North Service Rd W., Unit #11 Oakville, Ontario L6M 3E3 Tel: 416-457-5852 E-mail: [email protected] www.hamiltonballhockey.com Player Information: □ SQUIRT 2009-10 □ BANTAM 1999-00 □ TYKE 2007-08 □ JUNIOR 1997-98 □ NOVICE 2005-06 □ GIRLS U14 (>2000) NAME: □ ATOM 2003-04 □ GIRLS U16 (>1998) □ PEEWEE 2001-02 □ GIRLS U18 (>1996) BIRTH DATE: (D) ___ / (M) ___ / (YR) ___ ADDRESS: CITY: PC: Parent Information: NAME: EMAIL: HOME #: CELL #: Questions, Volunteers & Sponsorship: 1. 2. 3. 4. 5. 6. Has your child ever played ice hockey? ___ if yes, which level □AAA □AA □A □SELECT □HOUSELEAGUE Child is a: □ Player □ Goalie Did child play ball hockey previously? ____ if yes, which program ________________________________ Do you wish to assist? □ Coach □ Timekeeper □ Sponsor (see below) Does your child have any friends / relatives they wish to play with? Please note the individual and maximum of two and corresponding application must match: _______________________________________ _____________________________________________ The HDMBHL is committed towards the promotion of Fun, Fair play and Good Sportsmanship. The HDMBHL will reserve the right to re-align team rosters as needed in order to create evenly balanced divisions at all ages. Sponsorship Plans: One (1) free registration included with all sponsorship plans. Please inquire for information. Registration Fee: □ $149.99 THE HAMILTON DISTRICT MINOR BALL HOCKEY LEAGUE IS THE ONLY LEAGUE IN HAMILTON THAT IS A MEMBER OF THE ONTARIO BALL HOCKEY FEDERATION (OBHF). THE OBHF IS THE ONLY BALL HOCKEY ORGANIZATION IN ONTARIO THAT IS SANCTIONED BY THE CANADIAN BALL HOCKEY ASSOCIATION (CBHA). THE CBHA IS AN ASSOCIATE MEMBER OF HOCKEY CANADA. PLEASE VISIT www.hockeycanada.ca FOR A LIST OF ASSOCIATE MEMBERS OF HOCKEY CANADA. - ($159.99 after Mar 31) □ Family Plan – Save $10 for every additional child registered. Received by: ____ □ Ca s h □ Cheque #_____ Pa yable to: Burlington District Minor Ball Hockey League □ Visa □ MC # __________________________________ Exp: ______ CVT#: ______ Waiver: Ball Hockey.....It’s Your Game! In consideration of the Hamilton District Mi nor Ball Hockey League (HDMBHL) permitting the pl a yer to participate i n any of the activities of the HDMBHL, I, for myself, my fa mily, heirs, s uccessors, and executors hereby i ndemnify and hold harmless the HDMBHL, i t's directors, offi cers, s uccessors, and assigns, from all costs, claims, a ctions, damages, or liabilities, whatever thei r nature or however ca used, resulting from the participation of the player in any a ctivities of the HDMBHL. Parent/Guardian Signature: ______________________________________________
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