example: Jan 1, 1998
Respect In Sport Registration Number is provided upon completion of Respect in Sport Module
2005 players must complete the Minor Bantam Mandatory Body Checking Clinic Registration Form
(taxes paid to)
Example: ###-###-####
Example: [email protected]
Number of Years
SHA needs to be aware of allergies/ medical conditions during tryouts
(optional)
I am aware and approve of the above-named player's registration to participate in tryouts for the Sarnia Hockey Association. I undertake that the above-named player is in good health except as noted above. I relinquish to the player's coach/instructor the right to instruct and direct the player during the specific team tryouts the player is participating in. The undersigned Parent/Guardian hereby releases, remises and forever discharges the Sarnia Hockey Association and their heirs, executive, coaches, trainers, managers, committees and instructors of all action, causes of actions, damage claims and demands whatsoever which may arise from any incident to the praticipating child and/or player and /or property while practicing, playing, travelling to or from hockey related events arranged by, through or supervised by though or supervised by said association.
Check Only One Option
(please print name)
(month/day/year)
Example: [email protected]. Your submission will be sent to this address.
click $60.00 fee for Sarnia Players, $80.00 fee for NRP