Winter Online Registration - Halton Men’s Hockey League

Division - Select all of the divisions you would like to register for

Oldtimers PM - 21 game schedule - 26+ years old –average age 42 - Monday nights primary, some Sunday nights

Masters PM - 21 game schedule - 40+ years old – average age 47 - Wed nights primary, some Sunday nights

Classics - 21 game schedule - 50+ years old – average age 53 - Sunday mornings primary

Preferred Position

Forward

Defense

Goalie

If not in the HMHL, where did you play last year?

What hockey did you play at 14-18 yrs of age?

Did not play

House League

Rep Hockey or higher

I wish to play with: (name up to two players)

Player Health - PLAYER HEALTH CERTIFICATION: Upon signing this application, the player certifies he is in good normal health, is properly equipped (full hockey equipment mandatory) and has no abnormal handicaps.

I Agree to these terms

Waiver - Informed Consent -PARTICIPANT WAIVER AND INFORMED CONSENT: To whom it may concern: I, the undersigned, authorize Halton Mens Hockey Inc. and/or Appleby College and/or Town of Oakville and/or City of Burlington and/or anyone acting on their behalf to acquire necessary medical aid that may be required as a result of any accident or injury which may be sustained by me. I have been warned and informed via this document that insurance coverage is not provided and there are serious physical risks associated with hockey, including, but not limited to falls and/or collisions with stationary objects, other players, skates pucks and sticks. My agreement indicates my informed consent to participate knowing the risks involved. And I hereby indemnify and save harmless Halton Mens Hockey Inc. and/or Appleby College and/or Town of Oakville and/or City of Burlington and/or anyone acting on their behalf from any and all actions, claims and demands for damages, loss or injury however arising which here to after may have been sustained by me while participating in any activity or facility operated by Halton Mens Hockey Inc. and/or Appleby College and/or Town of Oakville. My agreement indicates that I have the legal right to assume the conditions above on behalf of the player named above. My signature below also indicates that I have thoroughly read and agree to all of the terms above.

I agree to these terms.

An invoice from PayPal Services will follow within 48 hrs, ensuring a secure payment

I agree to these terms.

Winter On-Line Registration

Divisions & Fees: