2022-2023 Registration Form (Brighton Minor Hockey)
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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
*
Male
Female
Check All That Apply
Date Of Birth
*
RadDatePicker
RadDatePicker
Open the calendar popup.
Calendar
Title and navigation
Title and navigation
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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
*
Yes
No
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 League
Rep
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).
*
No
Yes
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?
YES
NO
Check All That Apply
If Yes, what position would you be interested in?
Coach
Assistant Coach
Trainer
Manager
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
*
Human Validation Failed, Please Try Again