St. Thomas Minor Hockey Association Office use only.
P.O. Box 22065 Tryout
Elmwood Square Postal Outlet Body Checking
St. Thomas, ON N5R 6B9 Division
2008 - 2009 Registration Form Travel
First Name: Last Name:
Postal Code: Phone:
E-Mail: Date of Birth: / / M / F
Month Day Year Gender
Was the player previously registered with St. Thomas Minor Hockey? YES NO
If No please list previous Association:
Home Phone: Home Phone:
Cell Phone: Cell Phone:
I am interested in helping out as a Coach or Trainer I am interested in helping out as a Coach or Trainer
2008 - 2009 Registration Fees:
Peanut (2003-2004) $325.00 Tryout Fee $35.00
Tyke (2002-2001) $425.00 For players trying out for ANY travel team.
Novice (2000) $425.00
Atom (1999-1998) $425.00 Body Checking Clinic $35.00
Pee Wee (1997-1996) $425.00 Recommended for Pee Wee aged Players
Bantam (1995-1994) $425.00 wishing to tryout for any Peewee travel team.
Midget/Juvenile (1993-1989) $425.00
Total Registration $
I have read the policies listed on the reverse of this form and I agree to the Consent & Release contained therein:
Signature of Parent or Legal Guardian Date
* a copy of this form will be returned to you as your official income tax reciept.
Office use only
Date Rec'd Rec'd By Method of Pmt: Cash Chq.
Postdated Chq's Deposit May-15 Jun-15 Jul-15 Aug-15
Registration Policies :
House League – Registration fees must be paid in full on or before by September 1 st
Representative (Travel) Teams – Registration fees must be paid in full on or before August 1 st
All registrations received after September 1 , 2008 will be subject to a $100.00 late fee.
All NSF or stopped payments will be subject to a $25.00 administration fee.
Post dated cheques will be accepted for the following dates ONLY:
May 15th July 15th
June 15th August 15th
A minimum of $100.00 must be paid at time of registration.
A parent or guardian must complete a "Request for Refund" form (found on our web site www.stmha.net) Upon
approval, there is a 4-8 week processing period. There will be no refunds after November 30th. No refund
will be issued until any equipment or property of St. Thomas Minor Hockey Association has been returned and
Satisfactorily accepted by the St. Thomas Minor Hockey Association. The following refund rates will apply
for refund requests received on or before:
September 30th – 100%
October 31st – 75%
November 30th – 50%
All refund amounts are subject to a reduction of the Hockey Canada insurance fees. The insurance fee is
currently $40.00 per player.
Players Trying for AAA:
All players trying out for AAA teams must register with their home association before a "Permission to Skate"
form can be issued. St. Thomas Minor Hockey will require a cheque for the General Registration Fee. This
cheque can be post dated for September 15th. Upon notification of the player signing with a AAA team the
cheque will be returned. If St. Thomas Minor Hockey is not notified of the players status with the AAA team
prior to September 15th the cheque will be deposited. Players returning to St. Thomas Minor Hockey must
provide payment of registration fees as outlined above.
Consent and Release:
Upon acceptance of this registration application, I consent that the player named on this application is able
to participate in the hockey program of St. Thomas Minor Hockey Association. I agree to abide by all
regulations, rules, bylaws, policies and the Code of Conduct of the St. Thomas Minor Hockey Association. I
agree to release the St. Thomas Minor Hockey from all claims for damages from any accidents or injuries
which are caused by or arise from, participation during any game, practice or function or the program.
Income Tax Receipt :
Please retain your copy of this form it is your official tax receipt.