Youth Hockey Registration Form
Youth Hockey Registration Form
Please fill out this form with complete and accurate details to register.
Player Information
Name
Date of Birth
Gender
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Male
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Female
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Home Address
Age Division
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6U (ages 5-6)
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8U (ages 7-8)
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10U (ages 9-10)
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12U (ages 11-12)
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14U (ages 13-14)
Medical Information
Known Allergies
Existing Medical Conditions
Emergency Contact Details
Name
Relationship to Player
Phone number
Consent
By signing below, I confirm that I am the legal parent or guardian of the player named above and authorize their participation. I also acknowledge that I understand the inherent risks involved and consent to emergency medical treatment if necessary.
Name:
Date:
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