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Eston Hockey & Skating Registration 2023/2024 "*" indicates required fields Step 1 of 7 14% KidSportKidsport funding must be applied for at the same time as registration and will not be accepted after the registration deadline. If you are applying for KidSport funding, please contact the office to receive a registration package. At this time, families applying for KidSport are not able to register online. Medical InformationAfter returning the registration form, you will receive an email containing a link to the e-Pact online medical form. If you have completed the medical information previously, you will still be asked to ensure that all information is up to date. Athletes will not be allowed on the ice until the medical information is completed.Code of ConductPlease have the Code of Conduct form filled out and submitted to the Town Office with your Registration. Athletes will not be able to participate until this form is completed. DisclaimerPlease be advised that the Eston & District Recreation Board tries their best to keep the registration as low as possible with the operational demands of our facility. In order to complete this we also require all winter sport participants to work booth shifts that will be distributed to each team manager for your required week/weeks. We thank you for your cooperation in this. Please note, past season fees must be paid in order to register for the upcoming season. 2023-2024 Eston Hockey & Skating RegistrationDeadline to Register: August 1, 2023 Payment is Due upon Registration. Participant InformationName* First Last Gender* Male Female Date of Birth* MM slash DD slash YYYY Available ProgramsMinor Hockey Pre-Initiation (2019) $200 U7 (2017 & 2018) $475 U9 (2015 & 2016) $475 U11 (2013 & 2014) $525 U13 (2011 & 2012) $525 U15 (2009 & 2010) $525 U18 (2006, 2007, & 2008) $525 Canskate $200 Starskate $200 Family Pass I will register multiple family members and would like to be considered for the Family Pass rate of $1200/season* Yes No The family pass includes Minor Hockey, Curling & Skating for up to 2 legal guardians & children under the age of 18Please list the names of all family members being registered* Total CoachingCoaching applications are available at the Town Office, or online at eston.ca/minorhockeyI am interested in: Head Coach Assistant Coach Manager Parent/Guardian InformationName* First Last Relationship to Child* Mailing Address* PO Box City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code *Must be filled out correctly for invoicing purposes*Email* Phone*I would like to add contact information for an alternate guardian Yes No Name* First Last Relationship to child* Address* PO Box Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Send a duplicate invoice to the above address* Yes No Email* Phone* Credit Card ConsentBy submitting this online form, I confirm that I understand and agree that this information is being collected for the purpose of Eston Winter Programming registration and may be used to update the athlete of upcoming sports he/she may be interested in. It is a condition of participation that the athlete does so at his/her own risk. The Eston & District Recreation Board is not liable in any way for loss, damage or injury resulting from participation in this program. I understand that it is the responsibility of the parent/guardian to keep the Recreation Director and team staff informed of any change in the above information as well as medical information as soon as possible. In the event of an injury, if no one can be contacted, staff may take my child to a hospital or doctor if deemed necessary. I authorize doctors and nursing staff to examine, investigate and treat my child as necessary. I authorize release of information to the appropriate parties and photos of my child to be taken and used for promotional purposes.
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