PLAYER REGISTRATION FORM

PLEASE FILL IN ALL REQUESTED INFORMATION

FIRST AND LAST NAME
HOME ADDRESS
EMAIL ADDRESS FOR SCHEDULE
HOME/WORK PHONE #	HOME: WORK:
AGE AND BIRTH DATE DD/MM/YY	AGE: BIRTH DATE:
LEVEL OF HOCKEY PLAYED
POSITION PLAYED

LEAGUE FEES FOR 2007-2008 ARE 400.00 This price is equal to last years fees.

PAYMENT WILL BE ACCEPTED AS FOLLOWS

________ CASH-FULL PAYMENT OF 400.00

________ SINGLE CHEQUE FOR FULL AMOUNT- 400.00

________ CURRENT CHEQUE FOR 235.00 PLUS POST DATED JAN.1/ 08 CHEQUE FOR 165.00

________ SECOND HALF CHEQUE FOR 235.00 (INS. OF 30.00 MUST BE PAID)

NOTE: WE PAY FOR ICE FOR A WHOLE SEASON; THIS MEANS THERE IS NOT 2 HALVES THAT PLAYERS CAN CHOOSE TO PLAY ONLY ONE. IF THERE IS ROOM TO ADD PLAYERS IN THE SECOND HALF WE WILL, IF THE TEAMS ARE FULL WE WILL NOT.

TEAMS WILL HAVE A MAX. OF 15 PLAYERS INCLUSIVE OF THE GOALIE.

PLEASE READ AND SIGN THE FOLLOWING WAIVER. PLAYERS WILL NOT BE PERMITTED TO PLAY IN THE LEAGUE UNTIL THEY HAVE SIGNED THE WAIVER.

WAIVER

I UNDERSTAND AND AGREE THAT I WILL NOT HOLD THE PRINCE RUPERT OLDTIMERS HOCKEY LEAGUE AND/OR ANY MEMBER OF THE EXECUTIVE COMMITTEE RESPONSIBLE FOR ANY INJURY THAT MAY OCCUR TO ME WHILE PARTICIPATING.

DATE: _________________ SIGNATURE: ______________________________

Are you willing to assist the league as a referee? Y/N

The league has scheduled Sunday September 30th as the official start date.

League website http://www.rupert.net/~nivlact/PROHL.htm

PLAYER REGISTRATION FORM

PLEASE FILL IN ALL REQUESTED INFORMATION

FIRST AND LAST NAME

HOME ADDRESS

EMAIL ADDRESS FOR SCHEDULE

HOME/WORK PHONE #

AGE AND BIRTH DATE DD/MM/YY

LEVEL OF HOCKEY PLAYED

POSITION PLAYED

PAYMENT WILL BE ACCEPTED AS FOLLOWS