2023-2024 Registration Form (Brighton Minor Hockey)

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Brighton District Minor Hockey 2023-24 Season Registration Please complete the following form to register for the upcoming 2023-24 Hockey Season. Please make Payment by e-transfer 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: yo[email protected]. Your submission will be sent to this address.
Mother/Guardian Full Name^*
Mother/Guardian Phone Number^*

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

Example: yo[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 (2006, 2007, 2008)
U15 (2009-2010)
U13 (2011-2012)
U11 (2013-2014)
U9 (2015)
U8 (2016)
U7 (2017-2018)
U5 (2019)
Local League, Minor Development, Rep^*
Local LeagueMinor DevelopmentRep
Minor Development is U8 & U9, 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 - $360 total - that includes $50 OMHA Fee & $50 Raffle Ticket
U8-U9 - $600 total - that includes $50 OMHA Fee & $50 Raffle Ticket
U11-U18 - $625 total - that includes $50 OMHA Fee & $50 Raffle Ticket
MINOR DEVELOPMENT/REP TRYOUT FEE
$100 Tryout Fee
Click if trying out for Minor Development or REP. Please send as a separate e-transfer. NOTE: Once you make the team there will be an additional $50 Minor Development/REP fee required.
SEND E-TRANSFER PAYMENT TO
[email protected]
Please put players name and age group 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 ^*

2023-2024 Registration Form (Brighton Minor Hockey)

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