LMHA Pre-Registration Form (Lindsay Minor Hockey)
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LMHA Pre-Registration Form
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LMHA Pre-Registration Form
Is your player a 1st time registration and NEW TO HOCKEY? LMHA requires additional information to create a Participant Profile in the HCR. Please complete the form below and await confirmation from our Registrar BEFORE proceeding with the registration process. OR Do you have a Returning Player who was ABSENT during the pandemic between 2020-2022? Please use the form below to resubmit your player's birth certificate. ***DO NOT COMPLETE THIS FORM IF YOUR PLAYER WAS REGISTERED WITH LMHA IN 2021-2022***
New Or Returning Player?
Please indicate if your player is new to hockey and a 1st time registration OR if they are a returning player who was absent during the pandemic between 2020-2022.
Is your player new to hockey and a 1st time registration?
*
Yes
No
Is your player returning to hockey from a break during the pandemic?
*
Yes
No
Parent/Guardian Information
First Name
*
Last Name
*
Street Address
*
House # & Street Name
City/Town
*
Postal Code
*
Email Address
*
Example:
[email protected]
Phone Number
*
Example: ###-###-####
Player Information
Player's First Name:
*
Player's Last Name:
*
Date of Birth
*
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Primary Language
*
Select One...
English
French
Other
If Other, Please Specify:
Is your Player's Home Address the same as above?
*
Same as Above
Different
If it is different, please provide address info below
Street Address
City/Town
Postal Code
Gender
*
*Note: Info requested by Hockey Canada
Identify as Indigenous
*
Select One...
Yes
No
Prefer Not to Say
*Note: Info requested by Hockey Canada
Ethnicity
*
Select One...
Black
Caucasian
Chinese
Filipino
Indigenous
Japanese
Korean
Latin American
West Asian, North African, or Arab
South Asian/East Indian
Southeast Asian
Other
Prefer Not to Say
*Note: Info requested by Hockey Canada
Birth Certificate
Please upload a copy of your player's birth certificate
*
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.
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