Out of District Application

OUT-OF DISTRICT APPLICATION

Thank you for your interest in CYHA. Your application has been submitted for review by the CYHA Board of Directors. You will be notified via email of your players application status by the division director.

Name of Player Applicant*

Birth Year*

What Division are you applying for?*

Parent/Guardian Name*

Home Address*

Parent Phone #*

Parent Email Address*

What school does the player attend?*

What other hockey organizations have you played for?* If this is your first year playing hockey, say "first year player"

Has the applicant previously played for CYHA?*

If yes, how many years has/did the applicant play for CYHA? And when?

What are your ties to CYHA?* Please describe relationship to CYHA. For example, is your parent a coach, referee, volunteer, etc.? Please explain this affiliation. If no relationship, just state "none"

Has the player been the subject of disciplinary action by the CYHA Board?*

If yes, please describe the incident and outcome.

Has the parent/custodial guardian been the subject of disciplinary action by the CYHA Board?*

If yes, please describe the incident and outcome.

Has the player had disciplinary action by previous hockey organization(s)?*

If yes, please describe the incident and outcome.

Has the parent/custodial guardian be subject to disciplinary action by previous hockey organization?*

If yes, please describe the incident and outcome.

Previous Hockey Organization Reference Contact* Please provide a name, email address and phone number of a coach or member of your previous hockey organization that the CYHA division director may contact as a character reference for the player. If you are a first year player, state "first year player".

Why are you choosing to apply to play hockey with CYHA?*

Anything else you would like the CYHA Board of Directors to know?

Tykes

8U Mite

10U Squirt

12U Peewee

GIRLS

14U Bantam

16U/18U Midget

For Players

For Parents

Out of District Application

Confirmation