BluePrint Hockey 3 on 3 Caledon League

3on3 Ice Hockey Player Registration Form

3 ON 3 Ice Hockey PLAYER REGISTRATION FORM

* IF YOUR REGISTERING WITH A TEAM OR INDIVIDUALLY TO PLAY YOU STILL MUST COMPLETE THIS FORM

* Players First Name:

* Players Last Name:

* Street:

* City:

Province:

Postal Code:

* Home Phone:

* Birthdate:

* Email:

* Gender:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Home Phone:

* Work Phone:

* Cell Phone:

* Registering as a Goalie ? Yes/No:

* Are you registering for: 3 on 3 Hockey - Ball Hockey - or Both?:

All Players - Current Hockey Season

* What level are you playing right now? (ex. AAA, AA, A, Select, HL etc.) *:

Email Address (team organizer if known):

Teammate Requested (Optional) 1 ONLY:

How did you hear about our league?:

Are you interested in coaching?:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Doctor's Name:

* Doctor's Phone #:

* Any Known Medical Conditions:

Waiver:
In consideration of the Applicant’s participation in BluePrint Hockey 3 ON 3 HOCKEY LEAGUE, the Applicant agrees that the Town of Caledon and BluePrint Hockey School 3 on 3, it’s properties, participants and employees, will not be responsible for any accident or loss however caused, and agrees to release them from all claims and damages which may arise as a result of such accident or loss. In the event that the Applicant is incapacitated, or if the Applicant is a child, I hereby give you permission to seek out any necessary medical assistance the Applicant may require while attending the program.
In signing the application, the Applicant acknowledges that he/she has read and understands the conditions and certifies that he/she is in good physical and mental health.

I/we agree with the above *

* indicates required fields

IMPORTANT: Online Payment with credit cards is not active for this form

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3on3 Ice Hockey Player Registration Form