2017 Tryout Registration

Posted August 16, 2017


Northern Knights Bantam AA Tryout Registration Form 2017/18 Season
Please fill out completely & sign

Last Name:___________________________First Name:____________________DOB_______________
Position
:______________________Shot:_______________Height:____________ Weight:_________lbs
Current Address:_______________________________________________________________________
Town/City:_____________________________________
Last season’s Team and Division__________________________________________________________
Home Community:______________________________________________________________________
Parents Name (s):______________________________________________________________________
Parents Cell # (s ):______________________________________________________________________
Parent/Guardian Email:__________________________________________________________________

Release of Liability/Acknowledgement of Risk
Upon entering events held by the Northern Knights Bantam AA Hockey Club, I/we agree to abide by the
rules of EMHA, Hockey MB and Hockey Canada. I/we understand and appreciate that participation or
observation of the sport constitutes a risk to me/us of serious injury, including permanent paralysis or
death. I/we voluntarily and knowingly recognize, accept, and assume the risk and release any and all
individuals associated with the Knights program from any liability therefore.
Parent/Legal Guardian:____________________________________Date:__________________________

Please mail completed form, with $100.00 registration fee payable to:
Northern Knights Bantam AA Hockey Club
C/O - Kim Avanthay,
PO Box 1082, Lac du Bonnet, MB R0E 1A0.
Contact Kim at
kimavant@mymts.net with any questions.

 



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