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League Info:
About Us
News
Locations
Policies
& Rules
Equipment
Contact Us
Registration:
Information
2012 Season:
Sponsorship:
Sponsors
2012 INDIVIDUAL REGISTRATION
A) PERSONAL INFORMATION
First Name
Last Name
Guardian
(if under 18 years old)
Home Address
Apt.
City
,
Prov.
AB
BC
MN
ON
PEI
NFLD
YT
NWT
QC
SK
NS
NB
Postal Code
Home Phone
416
905
647
519
705
Work Phone
416
905
647
519
705
Ext.
Cell Phone
416
905
647
519
705
Email
Date of Birth
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
/
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
19
Optional:
Height
4'
5'
6'
/
00"
01"
02"
03"
04"
05"
06"
07"
08"
09"
10"
11"
Weight
Less than 70 lbs.
71-80 lbs.
81-90 lbs.
91-100 lbs.
101-110 lbs.
111-120 lbs.
121-130 lbs.
131-140 lbs.
141-150 lbs.
151-160 lbs.
161-170 lbs.
171-180 lbs.
181-190 lbs.
191-200 lbs.
Over 200 lbs.
Jersey Size
Small
Medium
Large
XL
XXL
Goalie (XXXL)
B) PLAYING PREFERENCES
League
Select League
Division
Select Division
Position(s)
Forward
Defense
Goalie
(Check all that apply)
How Did You
Hear About Us?
* Please Select an Option *
Played in the league before
Received our brochure
The Internet
Toronto Fun Book
Friend, co-worker, family member
Yellow Pages
Toronto Ice Hockey League
Outdoor Billboards
Help We've Got Kids 2009
Other
Comments
Please include any scheduling conflicts or teammate requests here.
C) PAYMENT
Fees
Reg Fee:
$203.54 + $26.46 HST = $230.00
Individuals not paid in full before their 2nd game will not be permitted to play until full payment is made.
Deposit Required to Register:
$100
Click for Refund Policy
Payment Method
Cash / Cheque
A $100 deposit must be received to hold your spot.
Make cheques payable to: "Toronto Inline".
NSF Cheques will be charged a $25 fee.
Visa
Number:
Expiry:
Name on Card:
01
02
03
04
05
06
07
08
09
10
11
12
/
2011
2012
2013
2014
2015
MasterCard
Number:
Expiry:
Name on Card:
01
02
03
04
05
06
07
08
09
10
11
12
/
2012
2013
2014
2015
2015
2016
2017
2018
2019
2020
I authorize Toronto Inline to process my credit card for the full registration amount.
I authorize Toronto Inline to process my credit card for the deposit.
If you prefer, please call us with your credit card number at 647-282-8841.
Copyright © 2012 Toronto Inline Hockey League. All Rights Reserved.
