2019 Central Region Goalie Clinic Registration (Central Region Ringette )

Print 2019 Central Region Goalie Clinic Registration
ALL GOALIES who intend to participate in the 2019 Central Region Goalie Clinics are required to register in advance.
GOALIE Information
  1. Enter player's first name
  2. Enter player's last name
  3. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    Enter player's date of birth
  4. Enter your head coach's last name
SESSION Information
  1. Choose one or both





  2. Choose one
  3. Choose one
Parent / Guardian / Emergency Contact Information
Please list at least 2 persons over the age of 18 that can be contacted on the day of the event(s)
  1. Enter full name
  2. List best # to contact (i.e. mobile)
  3. Example: [email protected] Your submission will be sent to this address.
  4. Enter full name
  5. List best # to contact (i.e. mobile)
  6. Example: [email protected] Your submission will be sent to this address.
  1. I, the undersigned, registrant or legal parent/guardian, in registering with Central Region, I agree to abide by the Association’s by-laws, rules, regulations, policies, principles and philosophies and those as outlined in the Ringette Ontario Operating Manual. I also agree that the participant is responsible for his/her own medical coverage. I hereby give permission to have staff arrange for any emergency medical care including hospitalization if necessary. Attempts will be made to contact a parent or guardian first. Further, I release the Town of Whitby and Whitby Ringette Association from all claims arising from participation in any activity. I consent to the release of my child’s name / photo in media promoting this event.
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Printed from centralregionringette.ca on Friday, December 6, 2019 at 8:08 AM