WMHA Event Registration Form (Woodstock Minor Hockey)

WMHA Event Registration Form

THIS FORM IS USED AS REGISTRATION TO AN WMHA SANCTIONED SPECIAL EVENT

Indicate the Name of the Special Event^*

Required

Indicate the Starting Date of the Special Event^*

Required

Indicate the End Date of the Special Event^*

Required

Registrants's Full Name^*

Required

Registrant's Age^*

Required

Registrant's Current Hockey Division Playing^*

Required

Parent/Gaurdian Full Name^*

Required

Registrant's Full Address^*

Required

Parent/Gaudian E-Mail Address^*

Required

Parent/Gaudian Phone Number^*

Required

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

Has the Participant Been Approved

YESNO

Approved By / Date

To be Completed by a WMHA Representative Only