Individual Registration Form

SINGLE REGISTRATION FORM FOR MEN
 

* Required

  
 

Personal Information

Last Name:

 

First Name:

  
Middle Initial  
 

Location
Address:  
City:  
Postal Code:    (ie:  M1B5H5)
 

Contact Information
Telephone (h):    (ie:  4165555555)
Telephone (w):  
Telephone (c):  
Email:  

Heritage #1:

  
Heritage #2:    (Only if you are of mixed heritage)
Date of birth:   [YYYY-MM-DD]
 

Experience

Highest Level Played:

  

Position Preferred:

  

Are you currently playing in an organized league?:

  

If yes, please provide details:

  

If no, when did you last play:

   [year]

The information that you provide to Canadian Multicultural Hockey League when you register is collected under the authority of the Freedom of Information and Protection of Privacy Act Section F-31. The information will be used for facilitating your registration. As well, this information will be used for administering, evaluating and marketing the Canadian Multicultural Hockey League and its teams.  Your personal information is protected by the Freedom of Information and Protection of Privacy Act and can be reviewed on request. We treat your personal information with respect and care.