Application For Player Movement printable pdf download

Pacific Coast Amateur Hockey Association

Form133

APPLICATION FOR PLAYER MOVEMENT

(Rev: Aug 15)

PCAHA CENTRAL OFFICE: #114-3993 HENNING DRIVE, BURNABY, B.C., V5C 6P7

Phone: 604-205-9011.

Fax: 604-205-9016.

Player Movement into and within the Pacific Coast Amateur Hockey Association (PCAHA) is governed by the PCAHA Rules and Regulations. No player may

change Association registration except in accordance with the PCAHA Rules and Regulations. (Copies of the applicable Rules and Regulations will be

provided upon request). This Application must be filled out completely and accurately prior to submission to the PCAHA Office. An incomplete or inaccurate

Application will not be considered. No player movement has effect until the PCAHA Player Movement Committee has granted approval.

Player’s First Name:

Player’s Last Name:

Hockey ID #:

Date of Birth:

PLAYER’S PARENTS’ PERMANENT PLACE OF RESIDENCE

Parents’ Address:

City:

Postal Code:

Date of Occupancy at this Address:

Telephone:

PLAYER’S PARENTS’ FORMER PLACE OF RESIDENCE (Complete if Residential Move/change of residence)

Player’s Parents’ Former Address:

City:

Postal Code:

Number of Years at Old Address:

Telephone:

HOCKEY HISTORY (Please Complete)

SEASON

AGE

ASSOCIATION

DIVISION

“A” “B” “C”

Reason For Application:

IMPORTANT:

1) Are all other siblings transferring to the new Association:

□

Yes

Not

Applicable

(Please list names below)

(Please list names & reason/s why below)

(If needed, explanations for the above can be provided on a separate page)

□

2) If a Move Without Parent: BC Hockey - Player Declaration of Residence Form has been submitted,

Yes

N/A

PROOF OF PERMANENT RESIDENCY:

*Note -

MHA’s and/or PCAHA have the right to request additional

documentation.

Step 1:

Home Owners please provide the following documents:

□- Bill of Sale (new home purchase)

□ -Property Tax Bill/Assessment including information on the Home Owners Grant (HOG) portion claimed for the address

to prove majority of living.

□ -Canada Post Change of Address (if done online - application must include step 6)

Step 1A:

Renters please provide both of the following documents:

□ -Canada Post Change of Address (if done online - application must include step 6)

□- Residential Lease (all inclusive leases to be notarized & stamped - see Residential Qualification Handout for guidelines)

*If you cannot provide the above documents for the home you’re claiming permanent residency on then the reason/s why MUST be stated

in a separate statement then move onto Step 2:

Mother’s Initials

Father’s Initials

Application For Player Movement

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