5 on 5 Registration Please enable JavaScript in your browser to complete this form.Individual entries, or friends-groups of up to 5. NO TEAM ENTRIES. U7 through U15 Divisions open to House League, AE. A or AA caliber players. For U9 and U11 players only, a Development Program is available as well as 5 on 5 league play. U7 players have the Development Program included in their schedule.Name *FirstLastYear of Birth *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhone Number *Alternate Phone NumberEmail *Any Medical Conditions (specify)Preferred Position *GoaltenderDefenceForwardCalibre Last Played *House LeagueSelectAEAEMDAAAI would like to play with (list up to 5 players)Parents - Are you interested in coaching or sponsoring a team?CoachingSponsoringRegistration *5 on 5 Player Registration - All Divisions ($337 plus HST & $10 uniform deposit)U9 and U11 - 5 on 5 plus Development Program - Includes 5 on 5 Player Registration and Development Program ($337 plus HST & $10 uniform deposit plus Development Program $79)Total Amount (includes online processing fee)$ 0.00Participant Waiver and Informed Consent: I certify that the player is in good normal health and properly equipped for hockey. I authorize The St. Catharines Summer Minor Hockey League and/or Halton Mens Hockey Inc. and/or City of St. Catharines and/or anyone acting on their behalf to acquire necessary medical aid that may be required as a result of any accident or injury which may be sustained by this player. I have been warned and informed via this document that insurance coverage is not provided. I hereby indemnify and save harmless the The St. Catharines Summer Minor Hockey League and/or Halton Mens Hockey Inc. and/or City of St. Catharines and/or anyone acting on their behalf from any and all actions, claims and demands for damages, loss or injury however arising which here to after may have been sustained by this player. I am the Parent/Legal Guardian/ having the legal right to assume the conditions above. I have thoroughly read and agree to all of the terms above. I agree to the terms and conditions *YesComment or MessageWhen you click Submit you will be directed to a secure Paypal payment page. You do not need a Paypal account to complete payment. Please note that your hockey fees will be made to Halton Mens Hockey Inc., an affiliate of St. Catharines Summer Minor Hockey League.Registration is not accepted without completion of the payment page.PhoneSubmit