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BC Hockey Major Midget League Spring Identification Camp Application for the 2018-2019 Season

Please read before continuing:

 

  • Registration will not be complete unless online payment has been received.
  • Online payments are processed through PayPal.  With a PayPal account you can pay directly from your bank account. However, a PayPal account is not required when paying with a credit card.
  • IF YOU DO NOT RECEIVE A CONFIRMATION EMAIL WITHIN 24 HOURS, YOU MAY NOT BE REGISTERED. PLEASE CONTACT THE BC HOCKEY OFFICE AT 250-652-2978.

Find your Zone

Please note: North East / Yukon Zone players have two (2) options: to compete in the BC Hockey Major Midget League you can register for the Cariboo Cougars evaluation camp OR you can register with the NE Yukon Tracker Flyers which competes in the Alberta Rural League. 

Player Information

First Name*
 
Last Name*
 
Date of Birth*
     
Street Address*
 
City/Town*
If your city/town does not appear in the list, please select the location closest to your home.  
Postal Code*
 
Phone Number*
Phone Number format is 555-555-5555
   
Email*
   
2017-2018
Club Team*:

 
(MHA for this upcoming season, not your previous MHA)
*Example: 'Prince George MHA'

 
BC Hockey Zone:*
   
Preferred Position* Secondary Position





 





Shoots*
 
Height* ft. in.    
Weight* lbs.  
 
Does BC Hockey have permission to circulate your contact information, upon request, to interested leagues and teams?*

 
Legal Guardian Information

1. First Name*
 
Last Name*
 
Relationship*
   
Daytime Phone*
 
Email*
   
2. First Name
 
Last Name
Relationship
 
Daytime Phone
 
Email
Medical Information

BC Care Card Number*
 
Family Doctor*
 
Doctor Phone*
Phone number format is 555-555-5555
   
Medical Insurance Number
 
Group Number
 
Certificate Number
 

Hospitalized in the last year?*
 
Presently injured?*
 
Injuries requiring medical attention?*
 
Wears dental appliance?*
 
Ill longer than one week in the past year?*
 
Wears contact lenses?*
 
Allergies to medication, etc?*
 
Asthmatic?*
 
Trouble breathing during exercise?*
 
Diabetic?*
 
Fainting during exercise?*
 
Epileptic?*
 
Difficulty hearing?*
 
Heart Condition?*
 
Interfering health problems?*
 
Learning disability?*
 
Medic alert bracelet?*
 
Wears glasses?*
 
History of concussions?*
 
Taking medications?*
 
Surgery in the past year?*
 
If you selected YES to any of the above medical conditions that may affect your ability to fully participate in the identification camp, please specify below.
Emergency Information

Name*
 
Relationship*
 
City/Town*
If your city/town does not appear in the list, please select the location closest to your home. 
Phone Number*
Format 555-555-5555  
 

Camp Fee: $299.00
GST: $14.95
Total: $313.95

The following refund policy applies to cancellations:
50% refund up until 15 days prior to your zone's camp.
NO REFUND less than 15 days prior to your zone's camp for any reason





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BC Hockey is a non-profit organization and member branch of Hockey Canada in charge of governing amateur hockey at all levels in British Columbia and the Yukon Territory.

Approximately 150 minor hockey associations, 55,000 players, 4,500 referees, 20,000 official volunteers and countless others make our great game possible here in Pacific Canada.

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