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Vanderhoof Minor Hockey-Registration FormClick for HERE for Printable Version
Dear Minor Hockey Players/Coaches/Parents/Guardians Your executive committee encourages all to register their player/desired coaching position early to assist in organizing the 2011/2012 hockey season. Register before September 15, 2011 and you could win your child’s registration fee for the year!!
Please Pay Early- Do Not Loose Your Discount
The Vanderhoof Minor Hockey email
address is PLEASE FILL IN THE MEDICAL FORM AND
RETURN WITH All completed registration forms and payment may be mailed to VMHA- P.O Box 42, V0J-3A0
You may also pick up forms at OMINECA SPORTS - there are forms there for you to fill in. You can then mail them to the above address or leave them with Omineca Sports but if you leave them at the store you have to pay with CASH OR DEBIT - no cheques (these must be mailed)Please note that Omineca Sports is not able to deal with questions and information.
Cost of fees received before September 15, 2011 are as follows:
Cost of fees received after September 15, 2011 are as followed:
Child's age as of December 31 determines which age group/division they are in. Rates have increased due to the increase of ice rental and referee fees. Oldest and second child will be full price; third or more will be half price WHEN the children live under the SAME roof. Register now...Pay Later: Payment in full at the time of registration is preferable, however, post-dated cheques will be accepted. For those parents wishing to pay by installments please date cheques for one of the following dates of the current year: September 1/October 1/or November 1. Receipts will be emailed after payment for Children’s Fitness Credit. The Children’s Fitness Credit is meant to encourage children to participate in physical activity. When you enrol your child in sports or fitness programs, the registration fee for qualifying programs to a maximum of $500.00 per child up to 16 years of age, may be used as a non-refundable credit. Activities need to be supervised and suitable for children and contribute to physical fitness. Registration fees can include the cost of administration, instruction or lessons, rental of facilities and uniforms and equipment. However, these items may not be claimed separately. The organization responsible for the activity should issue your tax receipt. Accommodations and travel costs cannot be included. Please Note: all fees must be paid in full by November 1 of the current year for insurance, carding and receipt purposes. If not, player will NOT be allowed on the ice.Registration forms and payment can be mailed to VHMA, Box 42, Vanderhoof, BC, V0J 3A0 or you can drop it off at Omenica Source for Sports. BCAHA requires all players and their parents/guardians to sign a Fair Play Code contract. If you have any questions regarding Vanderhoof Minor Hockey please contact Jason Mortiz , President at 250-567-5646 Player/Coaching Staff Information Division: __________________________________DOB_________________________Birth Certificate #____________________________________ Last Name:_____________________________________First Name___________________________________________Male _____Female______ Family Plan: 1st/2nd Child 3 rd 4th 5th 6thIf player desires non -contact in Midget please state________________________________________________Required by BCAHA Street Address _____________________________________________________________________________________________ Mailing Address _____________________________________________________________________________________________ _____________________________________________________________________________________________ Email Address (Receipt) ________________________________________________________________________________________ Medical Information B C care card__________________________________________Doctor__________________________________________________ Check any medical conditions/disabilities: ___Asthma ___Diabetes ___Glasses ___Contact Lenses ___Seizures ___Blackouts ___Headaches List any allergies: ______________________________________________________________________________________________ List any regular medications: ____________________________________________________________________________________ Emergency Contact: ___________________________________________________________________________________________
Parent/Guardian Information: Please start with contact person to give to team manager for practices and games Last Name First Name Phone Number Relationship
Player History Season Association Division Level
Signature and Waiver We hereby acknowledge the authority of the CHA, BCAHA, PCAHA and the Minor Hockey Association, and agree to carry out and abide by the constitution, Bylaws, Rules and Regulations of the associations. Equipment: We at the end of the season covered by this registration agree to return all equipment provided by Vanderhoof Minor Hockey in good condition and should we fail to do so, agree to reimburse the Association for the replacement cost of same. Release: In consideration of the application to play under the auspices of the Minor Hockey Association, I do hereby for myself, heirs, executors, administrators and assigns, release and forever discharge the CHA, BCAHA, PCAHA, the Association, it officers, or anyone acting on their behalf form all manner of litigation, damage claims or demands in law or equity which I may have or acquire by reason of personal injury to the player, loss or damage to property, which may occur during or by reason of participation in the activities of the Association.
Player Signature______________________________________________________________________________________________
Parent/Guardian Signature_____________________________________________________________________________________
NOTE: Players or Parents wishing to take the referee courses, please fill out the enclosed form. We encourage anyone 11 years old and up to join our referee program. We need more referees. |
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Welcome
Registration Form
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Copyright © 2009-2012.Vanderhoof Minor Hockey Association. All Rights Reserved.
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