REGISTRATION - Co-Ed Winter Hockey League 2016 -2017

Please complete this form and then print it out in landscape format on letter paper. You can then either fax it to us on 416-392-1061 or send it to us at 140 Sherbourne Street, Toronto, M5A 2R6 or even call in and drop it off at our office.

Team Name

Each team must have 2 sets of jerseys and players must stay with the same numbered jersey for the whole season.

I agree to pay the appropriate fee which includes a minimum of 27 games plus 1 playoff game.

I agree on behalf of all my players that Moss Park Adult Summer League and Moss Park Arena will not be held responsible for any accidents or losses however caused and agree to release the proprietors from all claims and damages which may arise as a result of such accidents or losses. The Moss Park Adult Summer League and Moss Park Arena does not provide Medical Insurance coverage you should have you own.

 

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Signature

Contact Name
Address
City
Postcode
Tel. (Home)
Tel. (Work)
Program
Jersey Colour
Home
Away
Fee
Amount Paid
Payment Method
Card No.
Expiry Date
Name on Card
Card Holder Signature