QUINTE WEST BALL HOCKEY ONLINE REGISTRATION

(CLICK HERE TO REGISTER FOR BELLEVILLE BALL HOCKEY)

The BQMBHL is pleased to introduce on-line registration for the 2024 Season.  To register online, please complete the registration form below answering all questions as best as possible. If you prefer to pay by cheque, please choose the mail-in option.

You need an active paypal account or valid credit card to sign up online. We do not accept e-transfers.

Thanks for choosing Belleville and Quinte Minor Ball Hockey!

PLEASE BE SURE YOUR BROWSER ALLOWS POP-UP WINDOWS TO BE DISPLAYED - PAYING BY PAYPAL WILL OPEN A POP-UP WINDOW TO COMPLETE PAYMENT UPON FORM SUBMISSION

Player Information - QUINTE WEST LEAGUE

First Name*

Last Name*

Address*

City*

Postal Code*

Email Address*

Phone*

Birthday*

Month Day Year

MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day01020304050607080910111213141516171819202122232425262728293031 Year20242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924

Gender*

MaleFemale

Special Notes / Medical Concerns etc.

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Parent/Guardian's Name*

Phone (Mobile)*

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Sports Experience & Info - Highest Level Played Last Year

ICE Hockey*

Never playedHouse LeagueSelectBAAAAAA

BALL Hockey*

Never PlayedHouse LeagueAll-StarProvincial Team

Position Preferred (but not guaranteed due to player and team dynamics)*

ForwardDefencePart Time GoalieFull Time Goalie

Which Division is more appropriate for your child's skill level?*

House LeagueCompetitive

Would you like to be considered for one of our Provincial Teams?*

YesNo

Player's Height*

AverageAboveBelow

Player's Weight*

AverageAboveBelow

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Can you help us?

Your League is run by volunteers, and we need your help! Can you help us?

Coach

Assistant Coach

Sponsorship

Convenor

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Payment, Terms and Conditions

In an effort to provide fair balanced competition through balanced teams, some players may be transferred between teams during the first part of the Season*

I understand

In consideration of the Belleville Quinte Minor Ball Hockey League (BQMBHL) permitting the player to participate in any of the activities of the (BQMBHL), I, for myself, my family, heirs, successors, and executors hereby indemnify and hold harmless the BQMBHL, it's league executive officers, successors and volunteers from all costs, claims, actions, damages or liabilities, whatever their nature or however caused, resulting from participation of the player in any activities of the BQMBHL. By submitting this form, I agree.*

I agree

I agree and understand I must read the information provided online concerning Rowans Law. I also agree to print off the OBHA disclaimer and present it to my coach prior to the first game.*

I agree

Registration Fee (Early Bird)*

$149.00

Total

Enter the code displayed*