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HAMILTON OLDTYMERS HOCKEY LEAGUE
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Hamilton Oldtymers: Application
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HAMILTON OLDTYMERS HOCKEY LEAGUE |
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PLAYER APPLICATION AND WAIVER |
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Website : www.esportsdesk.com --> type in Hamilton Oldtymers Hockey League |
| NAME : |
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BIRTH DATE: |
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AGE : |
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PHONE : |
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HOME |
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| LEAGUE CONTACT: |
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CELL |
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WORK |
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| HOCKEY EXPERIENCE - PLEASE CIRCLE AS APPLICABLE |
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| DID YOU PLAY: |
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MINOR LEAGUE HOCKEY |
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YES |
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NO |
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HIGH SCHOOL HOCKEY |
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YES |
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NO |
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INDUSTRIAL HOCKEY |
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YES |
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NO |
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O.H.A. |
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YES |
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NO |
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NON-CONTACT HOCKEY |
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YES |
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NO |
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| PLEASE CIRCLE WHAT LEVEL OF PLAYER YOU FEEL YOU WILL BE IN THIS LEAGUE: |
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| A - ABOVE AVERAGE B - AVERAGE C - FAIR D - INEXPERIENCED |
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| WHICH POSITION DO YOU PREFER - CIRCLE ONLY ONE |
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| FORWARD C L R DEFENCE L R GOALIE |
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WAIVER |
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| I CHOOSE TO PARTICIPATE IN THE ACTIVITIES OF THE HAMILTON OLDTYMERS HOCKEY LEAGUE |
| (THE "HOHL") AND HEREBY ASSUME ALL RISKS AND HAZARDS INCIDENTAL TO SUCH PARTICIPATION, |
| INCLUDING TRANSPORTATION TO AND FROM THESE ACTIVITIES. I ALSO AGREE TO PARTICIPATE |
| WITHIN THE RULES AND BYLAWS OF THE HOHL AND THE RULES OF HAMILTON DOUBLERINK ARENAS LTD. |
| I THEREFORE DO HEREBY WAIVE, RELEASE, ABSOLVE AND AGREE TO HOLD HARMLESS THE HOHL, |
| ITS SPONSORS, EXECUTIVES, PARTICIPANTS, OFFICIALS AND ANY PERSONS TRANSPORTING ME |
| TO OR FROM ANY ACTIVITIES, OF ANY CLAIM ARISING OUT OF INJURY, LOSS OR DAMAGE TO ME. |
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| SIGNATURE: |
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DATE: |
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| ATTACHED CHEQUES MUST BE MADE PAYABLE TO 'HAMILTON OLDTYMERS HOCKEY LEAGUE' AND |
| SENT TO THE LEAGUE TREASURER, BEING: |
Post-Dated |
MIKE PARENTE |
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| FEE PAYMENT - |
1st DEPOSIT : |
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$200.00 |
June 1st |
175 SOUTHPARK AVE. |
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2nd DEPOSIT : |
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$200.00 |
Aug 1st |
HAMILTON, ON |
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TOTAL : |
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$400.00 |
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L8W 2Z8 |
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| EXECUTIVE: |
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PRESIDENT, TREASURER - MIKE PARENTE VICE PRESIDENT - PETER BRAKEWELL |
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905-536-5580 |
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905-520-9697 |
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| TEAM REPS: |
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| 1 - BLACK |
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MIKE LUBRICK |
905-977-7939 |
6 - ORANGE |
ROB NORTH JR |
647-227-7560 |
| 2 - BLUE |
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MIKE PARENTE |
905-536-5580 |
7 - PURPLE |
PETER BRAKEWELL |
905-520-9697 |
| 3 - BURGUNDY |
ROB KELLY |
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905-537-4237 |
8 - TEAL |
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IVAN GAUTHIER |
289-895-8610 |
| 4 - GREEN |
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STEVE NOTT |
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289-442-1773 |
9 - WHITE |
ED FITZPATRICK |
905-515-4784 |
| 5 - GREY |
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JOHN ANDERSON |
905-544-3043 |
10 - YELLOW |
JOHN SWIERGOSZ |
905-979-2103 |
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