Player Registration

Division

League (Age as of September 1, 2018) *

Timbits (Age: 4 to 7)

Morning League (Age: 8 to 10)

Afternoon League (Age: 11 to 13)

Teen (Age: 14 to 16)

* Once the skill assessment is complete at start of season, confirmation of which division will be confirmed to match skill level.

Player Information

First Name *

Last Name *

Player’s Address *

Players Date of Birth *

MM/DD/YYYY

Players Age as of September 1, 2018 *

Birth Certifcate Photo (Optional)

Drop a file here or click to upload Choose File

Maximum upload size: 4.19MB

(a copy will need to be provided to be able to finalize registration)

Skill Level

Skill Level *

New Player

Returning Player

Last Year’s Team Name

Hockey Skill Level *

Beginner

Intermediate (2+ years)

Advanced (4+ years)

Parent/Guardian Information - Primary Contact

First Name *

Last Name *

Email *

Address

Phone *

000-000-0000

Phone

Parent/Guardian Information - Part 2

Do you want to provide a second contact phone number? *

Yes

No

Phone (Secondary Contact) *

(000-000-0000)

Parent/Guardian Information - Secondary Contact (optional)

First Name

Last Name

Email

Address

Phone

000-000-0000

Registration Terms & Conditions

The participant is responsible for his/her own medical coverage. I hereby give my permission to have coaching staff arrange for any emergency medical care including hospitalization, if necessary. In all instances, an attempt to contact the parent or guardian will be made first. I agree that I am responsible for the conduct of myself, the participant, and any of my guests. The Moss Park Hockey League will not tolerate any abuse of its players, volunteers, and officials. Failure to comply with this will result in the removal of the participant from the program. I understand and agree to all the points in this above waiver.

Registration Terms & Conditions *

I Agree

reCAPTCHA

Moss Park House League

Moss Park House League

Division

Player Information

Uploading Files. Please Wait.

Skill Level

Parent/Guardian Information - Primary Contact

Phone

Parent/Guardian Information - Part 2

Parent/Guardian Information - Secondary Contact (optional)

Registration Terms & Conditions