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(Introduction Program)

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(Minor Development)

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On-line Registration





PLAYER 1 INFORMATION

Name:
Date of Birth:

What level skater is your son / daughter?:
Beginner / Intermediate / Advanced

Did your son / daughter play hockey last year?:
Yes / No

Player 1





Family Discounts
$50 discount for 2nd and 3rd player.
★ Maximum $100 discount per family.
All players must be from the same family and registered at the same time.


PLAYER 2 INFORMATION

Name:
Date of Birth:

What level skater is your son / daughter?:
Beginner / Intermediate / Advanced

Did your son / daughter play hockey last year?:
Yes / No

Player 2




PLAYER 3 INFORMATION

Name:
Date of Birth:

What level skater is your son / daughter?:
Beginner / Intermediate / Advanced

Did your son / daughter play hockey last year?:
Yes / No

Player 3






PARENTS INFORMATION

Parent 1 * All fields required
Name:
Address:
City:
Province:
Postal Code:
Phone #:
Email:
Parent 2
Name:
Address:
City:
Province:
Postal Code:
Phone #:
Email:


VOLUNTEERS AND COACHES INFORMATION

For more information on being a volunteer and/or coach (click here)
Name:
Phone #:
Email address:
Volunteer as: (Please check all that apply)
COACH ASST COACH ON-ICE HELPER OFF-ICE HELPER
OTHER (PLEASE SPECIFY)
Hockey experience: (Please check all that apply)
NONE HOUSE REP JR REC
OTHER (PLEASE SPECIFY)


SPONSORSHIP INFORMATION

For more information on sponsoring (click here)
Sponsor Name:
Contact Name:
Phone #:
Email address:





PayPal securely processes payments for the London Ice Dawgs Inc. Pay with PayPal in a couple of clicks.

You can use your credit card without exposing your card number to the seller.

You can even pay with PayPal without a PayPal account.
It's the safer, easier way to pay!

Please note: Registration will not be considered complete until payment has been processed by PayPal.



Select your form of payment.



For the convenience of debiting your account directly, feel free to use the on-line Email money transfer system offered through most financial institutions.

1. Complete on-line form and click submit
2. Login to your financial institution's on-line banking and choose EMAIL MONEY TRANSFER from your options (Sometimes found under TRANSFERS)
3. Follow the steps provided on your on-line banking screen
4. Email to: payments@londonicedawgs.com
5. Use password: gametime (all lower case)
6. In the Comment box: Players name

Please note: Registration will not be considered complete until payment is received.

Your financial institution may charge a small fee to use this system.





PHOTOGRAPHY

Activities such as practices, games and/or presentations may be photographed by the London Ice Dawgs Youth Hockey Club Inc and I understand at any time may be used by the London Ice Dawgs Youth Hockey Club Inc for the purpose of highlighting their program, its players and/or members.

LIABILITY INDEMNIFICATION

Upon the London Ice Dawgs Youth Hockey Club Inc accepting the participation of the above named player for the upcoming 2018 - 2019 hockey season, I (Parent/Guardian), hereby forever discharge and indemnify the London Ice Dawgs Youth Hockey Club Inc, its servants, agents, sponsors or employees from any claims, damages or actions whatsoever for injury or damage to the above named participant or property of the above named participant, including but not limited to claims, actions or damages which may arise due to neglect on behalf of the London Ice Dawgs Youth Hockey Club Inc, its servants, agents, sponsors or employees.

I have read, understand and agree to all the terms set out above.