2020-2021 BLOMHA MD Tryout Registration Form (BLOMHA)

Print 2020-2021 BLOMHA MD Tryout Registration Form
*MD hockey participants must be residents of Burlington. Birth Certificates are required from ALL House League & Select players.
Player Information
Please fill out accordingly.
  1. RadDatePicker
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    Open the calendar popup.
  2. ONLY Burlington Residents Eligible
  3. Example: ###-###-####
  4. Example: ###-###-####
Documentation.
ALL Players, except those who have played BLOMHA Bulldogs REP program in the past season need to attach a copy of their Birth Certificate OR Passport. If documentation is not supplied the registration form will not be accepted until proper documentation has been given.
  1. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
    Maximum # Files: 1. Maximum File Size: 4MB.
Players History
Player Position
  1. Please click all that apply.
  1. PLEASE NOTE

    • Bulldogs tryout jerseys will be issued at the arena ONLY
    • Minimum of three tryouts
    • ABSOLUTELY NO REFUNDS of full or partial tryout fees
  2. PARENT STATEMENT OF CONSENT

    I acknowledge that all of the above information is correct and I understand that regardless of whether my child attends all of the tryouts I will be charged the full fees as applicable.
Payment
Please continue to payment. If payment has not been received, the registration will not be accepted.
  1. Do not use this form if paying by cash or cheque; please register at the BLOMHA Office.
Human Validation
Printed from blomha.com on Sunday, April 5, 2020 at 7:45 PM