Individual Registration- 2021

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Please complete the fields below.

First Name *

Last Name *

Email Address *

Telephone *

City of Residence *

Are you over the age of 21 *

You must be at least 21 years of age to participate

YES

必填

Field players, please rank what position you prefer to play *

1- most preferred

3- least preferred

Forward- Center

Forward- Wing

Defense

If you would like to play goalie please check a box below

I am a goalie and have my own equipment

I am a goalie but need to borrow equipment

I am not a goalie, but am interested in playing net if equipment is provided

How long have you been playing hockey? *

The highest level of hockey I've played is *

I am interested in being a captain *

Captains help out with bench management, communications, and inclusive leadership of their team; Captains are NOT responsible for drafting their team (all teams are drafted by a sub-group of Tournament organizers).

Is there another person you'd like to request to be placed with on the same team?*

*To be placed with another person, both players must register by September 1, 2021, and each must request the other when registering. We cannot accommodate requests to place more than two players on the same team. Please note: Unfortunately, we cannot guarantee any requests but will do our best.

Please select your registration fee tier *

This year's tournament will feature a "Mystery Prize" Raffle Fundraiser. All proceeds go towards growing the women's game. **Unable to cover the registration fee? No problem-- simply select the, "pay what you can" option and we'll see you at the rink :)

$25 dollars (includes registration only)

$35 dollars (includes registration + 3 raffle tickets for mystery prize draw)

$50 dollars (includes registration + 10 raffle tickets for mystery prize draw)

Pay what you can** (includes registration only)

Would you like to receive updates regarding future ball hockey events?

Yes! Please add me to your mailing list

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