YOUTH BALL HOCKEY

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: ______________________________________________