4-ON-4 SPRING HOCKEY REGISTRATION FORM (NORFOLK MINOR HOCKEY ASSOCIATION)

Print 4-ON-4 SPRING HOCKEY REGISTRATION FORM
CONTACT INFORMATION
Please complete general information to ensure all participants are properly registered for 3on3 / 4on4 Programming
  1. Enter first and last name
  2. Enter first and last name
  3. Example: ###-###-####
  4. Example: ###-###-####
  5. Your submission will be sent to this address
  6. Example: [email protected] Your submission will be sent to this address.
  7. Please enter any restrictions or relevant medical information here.
PLAYER INFORMATION
  1. ONLY YEARS THAT ARE AVAILABLE, ARE ABLE TO BE SELECTED




  2. Check All That Apply



  3. Select most appropriate skill level from list.
BENCH STAFF
The success of our Spring Hockey program depends on parent volunteers. We need your help, organizing half-boards, game sheets, etc.
  1. Check ALL that apply
  2. Select 'Yes' if you have a valid First Aid certificate, otherwise select 'No'.
PAYMENT
The cost of our Spring Hockey program is $150/player, $100/goaltenders. Entry to program will be confirmed upon acceptance of payment.


  1. $25 NSF for returned cheques
  2. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
    Maximum # Files: 1. Maximum File Size: 4MB.
    Please upload a copy of your e-transfer receipt for payment reconciliation.
Human Validation