February 2, 2017

Co-Ed Hockey Registration

Thank you for your registration. Payment will be accepted on day of event. Information regarding your team and schedule will be posted on toddevents.ca by April 12, 2017. It is your responsibility to stay updated.

Please contact John Taylor at (519) 577-7307/jtetct@sympatico.ca OR Trevor Baer at (519) 635-3507/treebaer@hotmail.com for more information.

Name:*
Phone:*
-
E-mail:*
Please rank yourself level A, B or C (A = Junior hockey and above, B = Rep hockey to Junior, C = Never played; house league)*
Comments:
By submitting this form, the undersigned is responsible for the conduct of the player while participating in this event. The player shall be governed by the rules established by toddevents.ca. Missed games will not be reimbursed. It is understood that the undersigned person is of legal age or a legal guardian and shall not hold the program/event or it's organizers, officials or facility used liable in the event of injury or loss in any manner whatsoever. The undersigned also certifies they are in good health with no chronic illness or abnormal tendencies. The player listed above is registered under the care of the undersigned who assumes all risk through the involvement in the program/event which consists of physical interaction capable of injury. The player must wear approved hockey equipment as outlined in the rules. I agree to the terms and conditions stated above.*