2022-2023 Registration Form (Brighton Minor Hockey)

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Print 2022-2023 Registration Form

Brighton District Minor Hockey 2022-23 Season Registration Please complete the following form to register for the upcoming 2022-23 Hockey Season. Please make Payment after completing this form

GENERAL INFORMATION

Please fill out all information

Player's Name^*
Gender^*
MaleFemale
Check All That Apply

Date Of Birth^*

Open the calendar popup.

Father/Guardian Full Name^*
Father/Guardian Phone Number^*

Example: ###-###-####
Father/Guardian Email Address^*

Example: [email protected] Your submission will be sent to this address.
Mother/Guardian Full Name^*
Mother/Guardian Phone Number^*

Example: ###-###-####
Mother/Guardian Email Address^*

Example: [email protected] Your submission will be sent to this address.
Address^*
City/Town^*
Po box/RR
Postal Code^*
New Player to Brighton Minor^*
YesNo
Proof of age required if new
Age Group (Date of Birth Years)^*
U18 (2005, 2006, 2007)
U15 (2008-2009)
U13 (2010-2011)
U11 (2012-2013)
U9 (2014)
U8 (2015)
U7 (2016-2017)
U5 (2018)
Local League or Rep^*
Local LeagueRep
Rep is for ages U11 and up
I (we) give Brighton Minor Hockey permission to photograph and/or videotape my child(ren) to be used for advertisement, educational and program purposes. I understand that these images may be uploaded to the Brighton Minor Hockey website and social media page(s).^*
NoYes

FEES

Select 1 box for fees

CHOOSE AGE GROUP^*
U5-U7 -$185 Fee+$50 OMHA Fee +$50 Raffle Tickets=$285
U8-U9 -$450 Fee+ $50 OMHA Fee + $50 Raffle Tickets =$550
U11-U18 -$500 Fee+ $50 OMHA Fee + $50 Raffle Tickets =$600
REP TRYOUT FEE
$100 Tryout Fee
Click if trying out for REP
1PAIR OF SOCKS
$20 for pair of socks
MANDATORY for U8 and up (IF YOU DON'T HAVE ANY)
SEND E-TRANSFER PAYMENT TO
[email protected]
Please put players name in Message

BENCH STAFF

Are you interested in coaching or helping out on the bench staff?
YESNO
Check All That Apply
If Yes, what position would you be interested in?
CoachAssistant CoachTrainerManager
If interested please provide an email address where we can contact you

Example: [email protected]

I agree to the terms and conditions stated above^*

Human Validation

Check The Box ^*

2022-2023 Registration Form (Brighton Minor Hockey)

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