Registration Form – Player

Below is registration form for the 2024/25 season. Please complete the form as fully a possible. The information collected is kept confidential and is only shared with coaching staff. This is so that they may be better aware of the players special needs and be better able to deal with them.

The registration fee is $175.00. This can be paid online with a credit card or by mailing in a cheque.

The registration deadline for a returning player is May 30, 2024.
The registration deadline for a new player is Jun 30, 2024.

Player Registration

Grandravine Special Hockey Player Registration Form for the 2024/25 season.

• Player
• Caregiver
• Health
• Summary
• Payment

Player Status

Player Name *

Player Name

First

First

Last

Last

Player Address

Player Address

Address 1

Address 1

Addess 2

Addess 2

City

City

Prov.

Prov.

Postal Code

Postal Code

Home Phone

Cell Phone

Emergency Phone#

Player Email

Date Of Birth

Player must be 6 years of age to participate.

Birth Certificate

Enter the Birth Certificate registration number.

OHIP#

If you are human, leave this field blank.