Player Movement Application Form printable pdf download

PLAYER MOVEMENT APPLICATION FORM

This form is a required document for all Minor Hockey Players who are registering with a different Association

than the Association they were previously registered with.

Transfer type:

Move With Parent

- Residential Waiver - Recreation

Residential Waiver – Carded

- Residential Waiver - Waitlist

PLAYER’S NAME ______________________________ BIRTH DATE ___________________

(Day/Month/Year)

*MOVE WITH PARENT:

Player’s New Address: ________________________

Citizenship _______________

(Street Address)

City

________________________

Postal Code ______________

Telephone Number

________________________

Date of Occupancy

_________________________

Former Address

_______________________________________________________

(Street Address and City)

Player’s New Association ____________________________________________________

_______________________________________

New Team Division & Category

Player’s Previous Teams

1. ________________________________________

(Last 3 Seasons)

2. ________________________________________

. ________________________________________

*RESIDENTIAL WAIVER

Player’s Current Address

_________________________________________________

(Street Address and City)

Telephone Number

_____________________

Player’s New Association

_________________________________________________

Player’s Previous Assoc.

_________________________________________________

New Team Division & Category ______________________________________________

For transfer types Move With Parent, Residential Waiver (Recreational) and Waitlist no participation is allowed

until transfer has been approved by OMAHA and BC Hockey. – as per OMAHA Reg 2002 b)

PARENT DECLARATION: The undersigned hereby declares that all above information is true and correct, are

aware of the rules and regulations regarding eligibility for minor hockey programs in the OMAHA, BC Hockey and

Hockey Canada, is aware that these regulations are available upon his/her request and recognize that the

falsification of any registration document will result in the suspension of the above player and of any team officials

involved

___________________________________

__________________________________

Parent Name (Print)

Parent Signature

Player Movement Application Form

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