Registration Registration Form 1Registration 2Waiver3Payment What league are you registering for:(Required) Halifax Minor Ball Hockey Blank Blank Blank Which age group are you registering for:(Required) U6 (2016 , 2017) U8 (2014 , 2015) U10 (2012 , 2013) U13 (2009, 2010 , 2011) U16 (2006, 2007 , 2008) Over 40 years (1981 and older) Player Name(Required) First Name Last Name Player birth date:(Required) DD slash MM slash YYYY Player gender:(Required)MaleFemaleOtherPlayer street address Street Address Player city AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Player or Parent Email(Required) Player or Parent Phone(Required)Player Position:(Required) Runner Goaltender Parent /Guardian Contact info (Primary Contact):Name(Required) First Name Last Name Email:(Required) Phone:(Required)Parent/Guardian contact info:Name First Name Last Name Email PhoneHas player played in league before:(Required) No, this first year Yes, 2nd year Yes, 3nd year Yes, 4nd year Estimate the player current level of play (your best estimate) :(Required) 1. Beginner 2. Improving 3. Average 4. Very Good 5. Advanced Top level of ice hockey that the player has played?(Required) Never played House B/A AA AAA Does player have a buddy that they would like to play with (one player only)__? We will do our best to place buddies on the same team however balancing teams will take a precedent. Both players must select one another.How did you hear about our league: Volunteering as a coach is a great way to give back and spend quality time with your player. We are in need of volunteer coaches:(Required) Yes I will volunteer as a head coach Yes I will volunteer as a assistant coach No Thank You WAIVER: In consideration of the Halifax Minor Ball Hockey League (HMBHL) permitting the player to participate in any of the activities of the Halifax Minor Ball Hockey league, I, for myself, my family, heirs, successors, and executors hereby indemnify and hold harmless the HMBHL, its directors, officers, organizers, successors, and assigns, from all costs, claims, actions, damages, or liabilities, whatever their nature or however caused, resulting from the participation of the player in any activities of the HMBHL - Halifax Minor Ball Hockey League for the 2022 season. It is understood that player pictures may appear on the HMBHL website or may be used to promote league activities. All players and parents understand that their picture may appear on line on in print material. If a player wishes their picture to be removed from the website or not used in promotional materials the league will abide by all requests.9088 v'.c[;/ Player name: Player First Name Player Last Name Consent verification.(Required) I am the player, and I am over the age of majority. This player is under the age of majority, and I am their legal parent/Guardian. Parent/Guardian Name: Parent/Guardian First Name Parent/Guardian Last Name Terms & conditions(Required) By checking this box, you indicate agreement with this waiver.(Required) Select a league:(Required) Halifax Minor Ball Hockey League - Fee $100 Dartmouth Minor Ball Hockey – Fee $100 League #3 – Fee TBA League #4 – Fee TBA Registration fee: Price: $ 0.00 CAD (Your credit card will be charged () plus a service fee of 2.2% +.30 for processing)Credit Card(Required)Card Details Cardholder Name
