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_______________
Last season’s Team and Division__________________________________________________________
Parents Name (s):______________________________________________________________________
Parents Cell # (s ):______________________________________________________________________
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.
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 email@example.com with any questions.