2015-16 registration form - Chetwynd & District Minor Hockey

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CHETWYND & DISTRICT MINOR HOCKEY ASSOCIATION
2015 – 2016 REGISTRATION
PLEASE PRINT
PLAYER NAME: _______________________________ _______________________________________
First
Last
Date of Birth (mm/dd/yr): ___________________________
Male: _______ Female: ________
Address: PO Box# ___________________ City: ______________________ Postal Code:____________
Primary Phone: ____________________Family’s Primary Email: ______________________________
Health Care Number: ______________________
PARENTS/LEGAL GUARDIANS:
School Registered infor 2015-16: _______________
LIVES WITH: _____ FATHER
Father: ______________________________________
_____ MOTHER
_____BOTH
___________________________________
Home Phone
Mother: ______________________________________
___________________________________
Home Phone
Other:________________________________________
Cell Phone
Cell Phone
__________________ ________________
Name
Relationship
Phone
Emergency Contact: ________________________________ Primary Ph: ________________________
PLAYER’S PLAYING HISTORY
Last Division Played: _________________Last Year Played: _____________ Where ___________________
TO BE COMPLETED BY EXECUTIVE
DIVISION:
___________________________
HCR # _________________________
Registration Fee:
LessDiscount If Applicable:
$ __________
____$100 Early Registration for Returning Player
____New Player ____Full-time Goalie ____ +3 Family Member<$ __________>
TOTAL REGISTRATION DUE $ ___________
PAYMENT:
CASH $___________
CHEQUE $ ___________
50%POST DATED CHEQUE Aug 01/15 $___________
DATE: _______________________
# _______ /19
RECEIPT No : _______________________
CHETWYND AND DISTRICT MINOR HOCKEY REGISTRATION
www.cdmha.com
PARENTS / GUARDIANS PLEASE READ AND SIGN
___
RESPECT IN SPORT
Initial
One parent, of every player is required to have the RESPECT IN SPORT (RIS) Parent or Coach’s
program prior to October 01/2015.
Per BC Hockey, there is now a 4 year expiry date to all RIS or Speak Out courses. If you have taken
Speak Out or RIS parent or coach’s version before 2010you are required to update and retake the
course.
To complete this course, visit: https://bchockeyparent.respectgroupinc.com/secure/
___
CODE OF CONDUCT/ FAIR PLAY
Initial
ALL PARENTS and PLAYERS are required to read, agree and abide to Chetwynd & District Minor
Hockey Association’s Code of Conduct. Coaches and Volunteers are also to read, agree and abide by
Chetwynd & District Minor Hockey Association’s Coaches Code of Conduct.
___
CDMHA POLICY AND PROCEDURES AND CONSTITUTION
Initial
Are available online at our website www.cdmha.com
As a parent you are asked to read and review the policies and adhere by all rules set out in these
policies.
___
PHOTO RELEASE
Initial
If for any legal reasons your child’s photograph cannot be taken or published, please contact CDMHA
executive to discuss.
___
JERSEYS
Initial
CDMHA will supply each team with a full set of jerseys for the season. Player’s Jerseys are to be
returned after each game and tournament to the team appointed jersey parent, and to CDMHA at
the end of each season.
Failure to do may result in a fee to the parents/player for replacement costs of the jersey.
___
FUNDRAISING
Initial
Parents of players registered with CDMHA are required to partake in all CDMHA fundraising activities
in order to remain in good standings with the association. Funds raised by parents and the
association help offset the cost of higher registration fees.
I _________________________________, the legal guardian of ________________________________,
Parent/Guardian name
Player name
have read and understand the above requirements for registration with Chetwynd and District Minor Hockey
Association and agree to abide by these requirements in order for my child to play.
Signature of Parent: ______________________________________
Date: __________________
CHETWYND & DISTRICT MINOR HOCKEY ASSOCIATION
2015 – 2016 REGISTRATION
PLAYER NAME: _________________________________________
DIVISION REGISTERING FOR:
MIDGET
BANTAM
PEE WEE
GIRLS
DOES NOT PERTAIN TO PRE-NOVICE OR NOVICE AGED PLAYERS
In order to help provide the best hockey available to all registrants,
PLEASE CHOOSE THE LEVEL OF HOCKEY YOU ARE MOST INTERESTED IN PLAYING
*Divisions offered depend on number of registration
GIRLS – Pee Wee, Bantam, Midget:
_____ All Female team
BANTAM or MIDGET Player:
_____ Recreational House Hockey
_____ Carded Hockey
_____ Rep Hockey
_____ BangetDivision
PEE WEE Player:
_____ Recreational House Hockey
_____ Carded Hockey
_____ Rep Hockey
ATOM Player:
_____ Recreational House Hockey
_____ Developmental Hockey
**Refer to opposite side for descriptions
ATOM
RECREATIONAL (HOUSE) TEAM
- All divisions (Pre-Novice, Novice, Atom, Pee Wee, Bantam, Midget, Female) may have a team in this level
- No body contact/non-hitting
- Receives equal ice time play per BC Hockey and CDMHA policies
- Atom, Pee Wee, Bantam, Midget, Banget and Girls Recreational divisions will play in the NERHL
- May have exhibition games and tournaments with other leagues
CARDED TEAM
- Applies to Pee Wee, Bantam, Midget teams
- Able to compete for BC Provincial championship
- Allows body checking for Midget and Bantam divisions
- Follows Recreational equal ice time rules
- Can play in APL, not eligible for the NERHL
REP TEAM
- Applies to Pee Wee, Bantam, Midget teams
- Competitive level of hockey
- Teams are able to compete for BC Provincial championship
- Allows body checking for Midget and Bantam divisions
- Must have try-outs to declare a Rep Team
- Try-out fees are non-refundable
- Registration numbers for try-outs must meet CDMHA policy guidelines
- Can play in the APL, not eligible for the NERHL
ATOM DEVELOPMENTAL
- Applies to Atom division
- Must have try-outs to declare a Development team
- Try-out fees are non-refundable
- Registration numbers for try-outs must meet CDMHA policy guidelines
- Can play in the APL, not eligible for the NERHL
GIRLS DIVISION
- Team consists of combined level of Pee Wee, Bantam and Midget female players, based on registration
- Recreational hockey
- Can play in either NERHL or APL league
BANGET DIVISION
- Consists of Midget and Bantam aged players
- Recreational hockey
- Male and Female players combined
- Plays in the NERHL
LEAGUES
- PRDMHA: Peace River & District Minor Hockey Association / NERHL: North East Recreation Hockey League
Chetwynd & District Minor Hockey
Hudson’s Hope Minor Hockey
Tumbler Ridge Minor Hockey
Dawson Creek Minor Hockey
Fort St. John Minor Hockey
Taylor Minor Hockey
Clearview Minor Hockey
Fort Nelson Minor Hockey
-
APL: All Peace Hockey League
Chetwynd
Fort St. John
Dawson Creek
Grande Prairie and area
Grande Cache
Valleyview
Peace River
Manning and area
East Smokey
See: www.apl.com member association for a full listing of towns participating in APL
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