Try Out Registration (2019-2020) (Quinte West Minor Hockey Association)

Print Try Out Registration (2019-2020)

Thank you for completing your try out registration.

Payment before the first try out will only be collected at the QWMHA office and at the Arena before individual team tryouts.

Players who are attending try outs as a non residential player must provide an approved passport on or before the first try out.

Tryout fees are non-refundable.

I agree to the terms and conditions stated above^*

Player Section

Player's Name^*
Player's Home Address^*
Home Phone Number^*

Example: ###-###-####

Date of Birth (month/day/year)^*

Open the calendar popup.

Health Concerns^*
Gender^*
FemaleMale
Are you registering as a NRP (Non Residential Passport)^*
NoYes
Player's Home Centre^*

Parent/Guardian Information

Information for one parent must be provided

Parent/Guardian^*
Parent/Guardian Email^*

Example: [email protected] Your submission will be sent to this address.
Parent/Guardian Phone^*

Example: ###-###-####
Mobile Phone

Example: ###-###-####
Parent/Guardian
Parent/Guardian Email

Example: [email protected]
Parent/Guardian Phone

Example: ###-###-####

Team Information

Team trying out for^*
Preferred Position^*
GoalieForwardDefence
Check All That Apply
Shoots^*
LeftRight
Player's Height^*
Player's Weight^*
Team Last Played For^*

Office Use Only

Human Validation

Check The Box ^*

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Mon Jun 17, 2019

Printed from quintewestminorhockey.com on Monday, June 17, 2019 at 3:40 PM