Registration Information (Clarington Minor Hockey Association)

Print Registration Information
Participant Information
  1. Example: ###-###-####
Current Hockey Team
Parent Information
  1. Example: ###-###-####
  2. Example: ###-###-####
Medical Information
  1. Example: ###-###-####
  1. I hereby state that the participant is in good mental and physical health condition to participate in the activities provided by the CMHA. I am fully aware that any activity involving on ice activity creates the possibility of minor and serious injury.  I hereby release the CMHA, its service providers and its staff from liability to the above-named athlete, if any accident or injury within the premises of the CMHA.


  2. I give permission to the CMHA to videotape and/or photograph my child and use these photographs/videos, name, likeness, profile and/or story, in whole or in part, in any future publications, web pages and other promotional materials produced, used by and representing the CMHAIn the best interest of the athlete’s protection, a photo and name will never be used at the same time.  I understand the circulation of the materials could be worldwide and that there will be no compensation to me for this use.

  3. On behalf of myself and the participant, I agree to the Code of Practice and to the Constitution, By-laws of the Clarington Minor Hockey Association, as well as, follow the Respect in Sport guidelines provided by Hockey Canada.

  4. I hereby state that all information provided is true and accurate and agree to the CMHA medical release, media release and code of practice.  Failure to this could result in removal from the program.

Human Validation
Printed from claringtontoros.com on Friday, November 15, 2019 at 6:09 PM