Parent/Guardian First Name:
Parent/Guardian Last Name:
Your E-Mail Address:

Gender of Player Registering Male Female
Players First Name: Players Last Name:
Home Address: Postal Code:
City (Please Select From Drop Box):
Home Phone #: Cell Phone:

Have You Been With Steel City Hockey Before YES NO
What Age Group Are You Presently?
What Class Are You Registering For?

Your Month of Birth? Your Day of Birth?
Your Year of Birth? What Position?
How Many Years Playing? At What Level?

I Would Like To Coach a Summer League Team! YES NO
I Would Like To Sponsor A Team. Please Give Me More Info. YES NO
Questions or Comments For Steel City Hockey?:

Payment: NSF Cheque Fees are $25.00. Payment may be made by Cash or Cheque (Cheque made payable to: Steel City Hockey).Payment Plans Are Available. Payment can also be made at the Hamilton 4 Pad Arena 9:00am to 5:00pm by Visa, MasterCard, or Debit Card.
On-Line Registration: Please submit payment within 2 weeks of On-Line registration.
Information supplied on this form will be held in the strictest of confidence. Parent/Guardian Acknowledgement....I hereby acknowledge that by submitting this Electronic Registration Form, that I certify that the player being registered is physically fit for sports participation and acknowledge full risk related to the program.
I give approval to my child(s) participation in all activities of 1315691 Ontario Ltd. O/a Stell City Hockey and assume all risks and hazards incidental to such participation including medical and dental expenses and do waive, release, absolve, indemnify, and agree to hold harmless the company of 1315691 Ontario O/a Steel City Hockey and or it's employees and volunteers. I certify that the applicant is in good physical and mental health and is able to participate in a physical vigorous activity. I, the Parent (Guardian) and player also agree to maintain an exemplary code of conduct. Failure to do so will result in the expulsion of the player and parent from 1315691 Ontario O/a Steel City Hockey and no refund or registration fees will be available.
BY SUBMITTING THIS ELECTRONIC APPLICATION FORM, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE CONDITIONS OF THIS APPLICATION AND AGREE TO THOSE CONDITIONS.

I Will Be Paying For This By Means Of
Name On Credit Card:
Credit Card Number:
Expiration Date:Month(MM) Expiration Date:Year(YY)



2008 Registration -Summer Hockey & Clinics