LATE REGISTRATION REQUEST (Brock Minor Hockey Association)

LATE REGISTRATION REQUEST

Please fill out the form below to Request that your Child be registered for the upcoming 2024/2025 Season. Depending on the age group, we will check to see if spot's are available, and respond to you within 5-7 business days of your request.

ALL PLAYERS RETURNING / NEW

INFORMATION REQUIRED FOR ALL PLAYERS

Player Birthdate:^*

Age Division Eligible for 2024/25^*

U5 means "Under 5 Years Old, so 3-4 Year Olds" etc. etc.

Parent/Guardian Name:^*

Parent/Guardian EMAIL:^*

Parent/Guardian CELL#:^*

Player Full Name:^*

Association Played for Last Season?:^*

Brock Minor Hockey, North Durham, etc. etc.

Gender Identity

Citizenship^*

Race/ Ethnicity

Does the player identify as Indigenous?

Residential Address^*

Year Moved into Residential Address^*

PLEASE UPLOAD A COPY OF YOUR CHILD'S BIRTH CERTIFICATE^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
Maximum # Files: 1. Maximum File Size: 4MB.

REGISTRATION CANNOT BE PROCESSED WITHOUT A COPY OF THIS DOCUMENT

PLEASE UPLOAD PROOF OF RESIDENCY (ex. Driver's License)^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
Maximum # Files: 1. Maximum File Size: 4MB.

REGISTRATION CANNOT BE PROCESSED WITHOUT A COPY OF THIS DOCUMENT

Please recognize that by registering late, BMHA will do their best to ensure they find a spot for the registered player, but cannot guarantee it if numbers don't allow. We may need some time to collect more late registrants to form an additional team, or move players around. This process may take some time, and we will be in contact with you between your late registration and the start of the hockey season in September.

A $100 Late Registration fee may be applied, as per the Manual of Operations.

I agree to the terms and conditions stated above^*

LATE REGISTRATION REQUEST (Brock Minor Hockey Association)

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ALL PLAYERS RETURNING / NEW

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