2021-22 SBMHA Registration (South Bruce Minor Hockey)

Print 2021-22 SBMHA Registration
Please fill out form completely. If you have more than 3 children you will need to submit an extra form.
  1. Please be sure to complete all the fields including names, contact numbers, email, date of birth of your player in the division drop down box that they should be registered in.

    PAYMENT:   FULL PAYMENT is due by August 20th, 2021 via ETRANSFER.  

    Please send etransfer to: 
    [email protected] 

    **IMPORTANT** You must use the Message line in the etransfer, it is very important that you tell us in the MESSAGE line the First and Last Name of the player(s) you are paying for.

    Message Example: Joe Smith (for a single player) Joe, Bill & Ann Smith (for multiple players)

    Please set password to: sbmhareg21 (Password needs to be ALL lowercase letters – NO capitals)
Family Details
Fill in all information
  1. Last Name
  2. Example: ###-###-####
  3. Example: ###-###-####
  4. PO Box Street/ 911# Town Postal Code
Player Information
Please list each child in a separate box. Include the date of birth of each child.
  1. First Name Last Name
  2. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  3. Please select team from Drop Down box (according to birth year)
  4. Please select corresponding team to which you registered your child,
  5. First Name Last Name
  6. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  7. Please select team from Drop Down box (according to birth year)
  8. Please select corresponding team to which you registered your child,
  9. First Name Last Name
  10. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  11. Please select team from Drop Down box (according to birth year)
  12. Please select corresponding team to which you registered your child,
  1. NEW PLAYER CHECKLIST
    *** New Players to SBMHA Only *** All items must be completed before player can go on the ice.

    Copy of Player's Birth Certificate to be scanned and sent to [email protected]
    Rowans Law Form - found under the registration tab - to be printed off and handed in to coach
    Respect in Sports Certificate - found under registration tab  - email certificate number to [email protected]
     
*** New Players to SBMHA Only ***
All items must be completed to [email protected] before player can go on the ice.


  1. Check All That Apply
  1. PAYMENT DUE BY August 20, 2021 via ETRANSFER    

    Please send ETRANSFER to: : [email protected]

    **IMPORTANT** You must use the Message line in the etransfer, it is very important that you tell us in the MESSAGE line the First and Last Name of the player(s) you are paying for.     

    Message Example:   Joe Smith (for a single player)        Joe, Bill & Ann Smith (for multiple players)

    Please set password to:  sbmhareg21                                                                

    (Password needs to be ALL lowercase letters – NO capitals)

Volunteer Sign Up Sheet
As parents of SBMHA player(s), we agree to assist the organization and/or my child/children's team when called upon to provide volunteer support. Please rank your volunteer job interest below from 1 to 5, with 1 as your highest preference and 5 is your lowest preference. Please use only one number once. We will do our best to accommodate as many families as possible with their preferred jobs.

  1. Answer Yes or No. If NO an additional $250 will be e-transferred.
  2. Rate 1-5 - With 1 being the most preferred
  3. Rate 1-5 - With 1 being the most preferred
  4. Rate 1-5 - With 1 being the most preferred
  5. Rate 1-5 - With 1 being the most preferred
  6. Rate 1-5 - With 1 being the most preferred
  1. AGREEMENT:

    •   Aparents of a SBMHA player(s) we agree to assist the organization and/or my child’s team when called upon to provide volunteer support.
    •  I understand that  all players MUSwear full equipment at all practices and games. 
    •   I understand my childs image and/or name may from time to time be provided to the local media and published on the SBMHA affiliated websites  www.southbruceminorhockey.com.
    •   All necessary paperwork required must be received by the Town Contact before my player(s) can go on the ice, including Birth certificate, RIS Certificate number & Rowan’s Law Form.
Human Validation
Printed from southbruceminorhockey.com on Saturday, October 23, 2021 at 4:13 AM