Markham Muslim Ball Hockey Association



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tarix29.07.2018
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növüRegistration form

Markham Muslim Ball Hockey Association




2018 REGISTRATION FORM
Before filling out the form, please read it carefully. All the information below MUST be filled accurately in order for your application to be processed. All players are requested to submit their complete registration form with cash to Br.Bilal. Please do not submit/mail your registration form to ISM. Any fees that have been received late will be returned to you.
______________________________________________[____]___________________[_ _]_______________

LAST NAME FIRST NAME PHONE # EMERGENCY PHONE #


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STREET ADDRESS APT # TOWN/CITY POSTAL CODE #


_________________________________________________________________ ________________________

DATE OF BIRTH AGE YEARS OF BALL/STREET HOCKEY EXP. POSITION(S) PLAYED

(MM/DD/YY) (playing on street counts as exp.)
_____________________________________________________________________ ___________________

E-MAIL ADDRESS WHOSE E-MAIL? HOW OFTEN DO YOU CHECK YOUR E-MAIL?


_____________________________________________________________________ ___________________

CAN YOU CHECK E-MAIL AT HOME? CAN WE SEND YOU STUFF BY E-MAIL? HEALTH CARD #


COMMITMENT: (circle the ONE number that applies to you and fill in the blanks where applicable. This MUST be done for your application to be eligible for the draft.)

1. I intend to play ALL games insha-Allah, barring unforeseen problems. As far as I know at this time, I will NOT be going away on vacation, nor will I have transportation problems.

2. I will NOT be playing all games because I will DEFINITELY be going away on vacation insha-Allah for ____ weeks from ______ to ____.

3. I will NOT be playing all games because I will DEFINITELY have transportation problems. I will show up when I can, and I hope to be able to attend at least games out of the 8 games plus playoffs insha-Allah.

4. I MAY NOT play all games because I MAY be going away on vacation insha-Allah for weeks from ________________ to .

5. I MAY NOT play all games because I MAY have transportation problems. I will show up when I can, and I estimate I will be able to attend at least games out of the 8 games plus playoffs insha-Allah.

6. I WILL DEFINITELY play only games insha-Allah because _____________________________________________.

7. I MAY play only games insha-Allah because ________________________________________________________.
I, the undersigned, hereby accept full responsibility for any injury to my child in the course of any ball hockey game organized or sanctioned by the Markham Muslim Ball Hockey Association and ISM. Furthermore, my child is in sufficient physical condition, in my opinion, to be playing competitive ball hockey. I hereby clear the ISM, MMBHA, all its agents, officers, volunteers, and representatives of any liability in the event of injury to my child, damage to, or theft of, his personal property occurring in the hockey playing area before, during or after any ball hockey game organized or sanctioned by the MMBHA and ISM. I also hereby certify the accuracy of the information provided above, to the best of my knowledge. I understand that the registration fee is non-refundable. My child understands that he MUST play for any team that claims him in the draft or acquires him in a trade, and that a game or all games for any week may be cancelled or postponed should the MMBHA deem it necessary.


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DATE SIGNATURE OF PARENT/GUARDIAN

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