Parent Declaration Form - Hockeynl

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PARENT DECLARATI ON FORM
The Local Minor Hockey Association (c/o Registrar) in which the Player will be registering
TO:
DATE:
_________________________________
Dear Sir/Madam:
I/We ___________________________________ parent(s) of player _____________________________
(
date of birth) _______/______/______ hereby declare that I/We have established our permanent
Day
Month
Year
residence at the following address:
_________________________________________
_____________________________________________
Street
Town/City
________________________
Home Telephone #: _____________________
Postal Code
We have resided at the above address since __________/__________
Month
Year
Our former address was:
______________________________________________________________________________
______________________________________________________________________________
_____________________________ Postal Code______________ Phone ___________________
Yours truly,
___________________________________________
Signature of Parent(s)
* NOTE: Falsification of any information may result in discipline as per Hockey Canada regulations.

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