2023-2024 Registration Form (Brighton Minor Hockey)

GENERAL INFORMATION

Please fill out all information

Player's Name^*

Required

Gender^*

MaleFemale

Check All That Apply

Date Of Birth^*

Required

Father/Guardian Full Name^*

Required

Father/Guardian Phone Number^*

Required

Example: ###-###-####

Father/Guardian Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Mother/Guardian Full Name^*

Required

Mother/Guardian Phone Number^*

Required

Example: ###-###-####

Mother/Guardian Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Address^*

Required

City/Town^*

Required

Po box/RR

Postal Code^*

Required

New Player to Brighton Minor^*

YesNo

Required

Proof of age required if new

Local League, Minor Development, Rep^*

Local League
Minor Development
Rep

Required

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

Required

FEES

Select 1 box for fees

CHOOSE AGE GROUP^*

U5-U7 - $360 total - that includes $50 OMHA Fee & $50 Raffle Ticket
U8 - $600 total - that includes $50 OMHA Fee & $50 Raffle Ticket
U9 - $650 total - that includes $50 OMHA Fee & $50 Raffle Ticket
U11-U18 - $675 total - that includes $50 OMHA Fee & $50 Raffle Ticket
U21 - $675 total - that includes $50 OMHA Fee & $50 Raffle Ticket

Required

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?

Coach
Assistant Coach
Trainer
Manager

If interested please provide an email address where we can contact you

Example: [email protected]

2023-2024 Registration Form (Brighton Minor Hockey)

OMHA Digital Network

GENERAL INFORMATION

FEES

BENCH STAFF

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