Orillia Terriers Fall Classic Registration Form (Orillia Minor Hockey Association)

Print Orillia Terriers Fall Classic Registration Form

Please complete the registration form, make a copy and submit with payment to: Orillia Minor Hockey, P.O. Box 731, Orillia, ON L3V 6K7. Confirmation of acceptance will not be provided until payment is received. Cheque to Orillia Minor Hockey Association or e-transfer to [email protected] $1350.00 U10 to U15 $1400.00 U16 to U18 Sanction #11879

Team Information

Please make sure that all information is filled out completely.

Team Name:^*
Division:^*

(e.g. U12)
Level^*

(e.g. A)
Home Jersey Colour: ^*
Away Jersey Colour:^*

Contact Information

Please make sure that the email submitted is the primary contact for the team for the Tournament.

Name:^*

Please Print
Address:^*

Full Address including postal code
Phone #:^*
Cell #:^*

(Please provide at least one cell number for the team)
Email Address^*

IMPORTANT - all correspondence will be through email

Team Officials

Only the bench staff that are on your approved roster are eligible to be on the bench.

Coach:^*
Trainer:^*
Manager:^*
Asst Coach or Asst Trainer^*

Human Validation

Check The Box ^*

Orillia Terriers Fall Classic Registration Form (Orillia Minor Hockey Association)

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