Bonavista Trinity Minor Hockey Association

P.O. Box 71,

Cabot Stadium

Bonavista, NL.

A0C 2J0

Telephone & Fax 468-2876

Registration Form 2014 - 2015

Player's Name:________________________________________________________________

P.O. Box ____________   Town:_____________________________ Postal Code:__________

E-mail Address:(IMPORTANT):_________________________________________________

Phone # (HOME):_______________________________(CELL):________________________

Division Last Year:__________________ MCP #:_____________________________________

Date Of Birth:   Day__________   Month___________ Year______________

Mother’s/Guardian Name:________________________________________________________

Father’s/Guardian Name:_________________________________________________________

Please circle the appropriate division: 

Initiation   Novice     Atom    Pee Wee    Bantam   Midget  Female - 20 & under    Female - 15 & Under

Please check the payment plan of your choice:

New Player: $100.00 ______

One Player: $250

One Payment $250.00_____       Two Payments $125.00 & $125.00_____                                                   

  (Two Post dated cheques - Sept. & Jan. )

Two Players or Female Player practising with two divisions : $350.00

One Payment $350.00 ____         Two Payments $175.00 & $175.00 ______                     

                                        (Post dated cheques - Sept. & Jan. )

Other Registration___________

House League: $40.00 ___________ (Second Year Bantam & Midget Division)

I/We do hereby give permission for the above named child, to participate in a program offered by the Bonavista Trinity Minor Hockey Association

Parents=/Guardian Signature_______________________________________________________

 Date:____________________

Please Note: All new players must bring a copy of his/her birth/baptism certificate as required by Hockey Newfoundland and Labrador.

Receipt #____________________________        Receipt # _________________________