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Player Registration Form - Hockey

 

Player Registration Form - Hockey 2017
Players must submit a completed registration form in order to be considered a registered REGULAR or SPARE player.
Please note: This is NOT the form to complete if you are looking to join a team. If you are looking for a team, please fill out the 'I Want to Play Form' located in the column to the left of this page. We will be happy to pass on your name to any team looking for players.
As part of the league entry fee, RA membership is included for all regular players. This membership affords you all of the 
benefits available to an RA member. Contact Member Services at 613-733-5100 for further details.
If you are already a member of the Association, by virtue of previously joining another RA program or league, you will be eligible for a rebate of a portion of your dues. Please make sure you complete this section of the form to be eligible for these savings. Member Services will be in touch with you regarding this process. Rebates will be issued once the team fees are fully paid.
   
Last Name (*)
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First Name (*)
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RA Member (*)
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Date of Birth: month/day/year (*)
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Gender (*)
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Telephone - primary (*)
Numbers only, no dashes or spaces.
Telephone - other
Numbers only, no dashes or spaces.
Address (*)
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City (*)
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Province (*)
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Postal Code
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Email - primary (*)
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Email - Other
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Has your address changed in the past 2 years? (*)
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What was your previous address? (*)
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City
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Province
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Postal Code
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Men's Non-Contact League: Divisions
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Team Names
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Team Names
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Team Names
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Team Names
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Team Names
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Team Names
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Team Names
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Team Names
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Team Names
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Team Names
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Status (*)
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Are you currently playing on another RA League Team?
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If yes, please list the name of the team or the manager.
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Would you be willing to spare for another team and allow your contact information to be shared for this purpose? (*)
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Emergency Contact Name (*)
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Relationship (*)
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Telephone - primary (*)
Numbers only, no dashes or spaces.
Telephone - other
Numbers only, no dashes or spaces.
Is there anything that we sould have on file regarding your health status? (*)
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Please explain
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Position of Play
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Height
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Weight
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Handedness
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Are you a new or returning member to the RA SportsLeagues?
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Please estimate te number of year you have played in the league?
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Do you work or have you retired from the Federal Governement? (*)
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Which Department?
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Thank you for choosing to participate in RA League Sports. We request your understanding and cooperation in maintaining both your and our safety and health by reading and signing the following INFORMED CONSENT AGREEMENT.
I understand that these documents are available to me on the RASportsleague.com website or can be mailed to me by request. It is understood that privileges may be revoked in the event that my conduct is not in keeping with the RA’s standards. I agree and accept responsibility to ensure I have the proper/certified equipment required for the activity.
I have read and accept the Informed Consent and Disclaimer and waiver above.
(*)
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Verification Verification
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RA Centre  |  2451 Riverside Drive, Ottawa, ON K1H 7X7 | 613.733.5100 | racentre@racentre.com