Player Registration (RTP - Stage 3B) (Greater Kingston AAA Hockey)

Player Registration (RTP - Stage 3B)

Please complete one form per player to register for registrations to RTP activities held as part of Stage 3B, with the GKHA. This form can only be filled by players that were signed up to GKHA during the 2019-2020 season, or on waiver to a different AAA association (QRMHA). Questions or concerns can be directed to [email protected]

Player Information

Last Name^*

Required

First Name^*

Required

Age Division (2020-2021)^*

Required

Date of Birth^*

Required

2019-2020 Team^*

Required

Family Information

Parent/Guardian Name^*

Required

Address^*

Required

City^*

Required

Postal Code^*

Required

Phone Number^*

Required

Example: ###-###-####

Email Address^*

Required

Example: [email protected]

Medical Information

Any medical information that should be noted before participation in the sport

I hereby release the Greater Kingston Hockey Association's officials of all claims for damage arising from any accident or injury, which are caused by, or arise from, participation of the applicant named on this registration form during participation in Stage 3B.

All information listed on this form is valid and correct.

Payment must be made to [email protected] before the player is considered registered.

I have read the GKHA Code of Conduct (found in GKHA Policies of this website), I understand and I agree to abide by it.

I agree to the terms and conditions stated above^*

Player Registration (RTP - Stage 3B) (Greater Kingston AAA Hockey)

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Player Information

Family Information

Medical Information

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