DRAFT—MHA Grandfathering Form

DRAFT-- MHA Grandfathering Form

With the dissolution of XX Minor Hockey Association, those who lived in the former boundaries of XX Minor Hockey Association prior to the 2020-2021 season are to be given the one-time choice to become resident with the Minor Hockey Association they registered with for the 2019-2020 season, or to register permanently with the Minor Hockey Association whose boundaries they now reside in.

Required Fields *

Player Contact Information

Last Name: *

First Name: *

Date of Birth: *

Address: *

City: *

Postal Code: *

Legal Land Description: *

Phone Number: * () - -

Declaration

Mother / Guardian Last Name: *

Mother / Guardian First Name: *

Father / Guardian Last Name: *

Father / Guardian First Name: *

Date: *

We, the parent(s) of the above-mentioned player, hereby exercise our one-time choice in identifying our new Resident Minor Hockey Association as: *

If option 1 selected, please list the name of the Minor Hockey Association the above-mentioned player registered with during the 2019-2020 season:

Required for Form Submission

Please enter the email(s) for the following contact(s) in order to complete submission of this form:

Mother / Guardian’s Email: *

Father / Guardian’s Email: *

Minor Hockey Association Information

Minor Hockey Association: *

President’s Last Name: *

President’s First Name: *

Required for Form Submission

Please enter the email(s) for the following contact(s) in order to complete submission of this form:

President’s Email: *

Forward Submission

If you wish to forward this form submission to other related person(s) please enter their email addresses below, separated by commas. (ex: [email protected],[email protected])

Forward to Email(s):

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DRAFT—MHA Grandfathering Form