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Welcome to the Ottawa Senators AAA online registration form for the Summer Skills Sessions 2012 for MINOR and MAJOR PEEWEE.

PLEASE NOTE - This form is for PEEWEE ONLY! - Minor Bantam - Minor Midget players will receive registration forms after Tryouts.

If you are completing this form, please ensure to complete all mandatory fields marked with a black asterisk.

All Summer Skills Sessions are to be held at the Beckwith Arena.

Registration Due Date is May 1st, 2012 (First 30 skaters and 4 goalies will be excepted).

Should you have any questions please contact: Greg Clarke – President or Blake Callaghan - Technical Director.

Player Information
Player's First Name: *
Player's Last Name: *
Player's Home Phone Number: *
Player's Email Address: *
Player's Home Address: *
Player's City: *
Player's Postal Code: *
Date of Birth: *
School Attending 2012-2013:
Position:
Shoots: *

Left
Right
Home Association: *

NMHA
KMHA
Other
If other, please state:
Parent Information
Parent #1 First Name: *
Parent#1 Last Name: *
Parent#1 Home Phone Number: *
Parent#1 Work Phone Number:
Parent#2 First Name:
Parent#2 Last Name:
Parent#2 Hone Phone Number:
Parent#2 Work Phone Number:
Comments
Please fill in Your Comments Here:
Payment Information:

Sessions start June 4, 2012, all sessions at the Beckwith Arena. Total cost of sessions $250.00. See website for more details and schedules.

Note: Your player is not officially registered until payment has been received.

Mail cheque to:

Ottawa Senators AAA Hockey Association

c/o Registrar
6 Antares Dr., Phase 2, Suite 205
Nepean, Ontario

K2E 8A9

Waiver

I hereby agree to permit my child/ward to play hockey on a team sponsored by the Ottawa Senators AAA Hockey Association. I agree not to hold said Club, their agents, or team and league officials responsible for any injury, illness or accident sustained by child/ward, before, during, or after any hockey event attended by my child/ward or traveling to and from any hockey event sanctioned by said Club and or their agents and or any team or league officials. My child/ward and I agree to abide by all rules, regulations and decisions of the Club, its agents, and/or team or league officials. All equipment supplied by the Club shall be returned in good condition at season end. Any equipment not returned, shall be the responsibility of the parent/guardian and subject to replacement at Club cost price.

Parent's Agreement to Waiver: *

I Agree
Player's Agreement to Waiver: *

I Agree
Security Code: *
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