Team Registration Form (Page 1 of 3)
complete the attached team or player registration form and return it to Puckmasters. Applications will be handled on a first come, first serve basis.
Team Manager ____________________________________________
City _____________________ Province ______
Home Phone # _________________ Email _______________________
Mobile # _____________________
League Caliber
Elite Division ?
Division 1 ?
Division 2 ?
Division 3 ?
Division champions move up to the next highest division.
Last place teams move down to the next lowest division.
Team Information
Team Nickname____________________________________________
Payment Information: $2100.00 plus HST = $2352.00
Card #_________________________________ Expiry__________
Name______________________ Payment Type: visa , m/c , cheque
(PAGE 2 OF 3)
Full Name Email Cell Phone #
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GOALIE:____________________________
Please return to:
Puckmasters West Kelowna
1322 Stevens Rd., West Kelowna, BC
250-769-7825 kelowna@puckmasters.com
(PAGE 3 OF 3)
Each player must read and carefully sign. The player applicant on this roster (and if applicable, his/her parents or guardians) agree that Puckmasters Hockey Training Centers shall not be held responsible for any injury, loss of damage whatsoever occurring to the participant while he/she is in attendance at Puckmasters programs or including while he/she is within in the premises occupied by Puckmasters.
I/We acknowledge the acceptance of the terms of this agreement by endorsing our/my signature(s) upon this agreement. I/ We consent to his/her or my attendance on the terms of this waiver of liability or in the case of a guardian of a person under 19 years of age grant our consent to the terms of this waiver.
Player (Please print) Signature
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
Please return to:
Puckmasters West Kelowna
1322 Stevens Rd., West Kelowna, BC
250-769-7825 kelowna@puckmasters.com