REGISTRATION FORM

             ONONDAGA YOUTH HOCKEY ASSOCIATION
2007-2008 season

INIT PROGRAM  _______    MITE  ______     SQUIRT  _______

PEEWEE  _______         BANTAM  ______      MIDGET  _______

PLAYERS NAME ______________________________________________________________

ADDRESS          ______________________________________________________________

    _______________________________________________________________

    _______________________________________________________________

PHONE NUMBER _________________________2ND CONTACT_______________________

EMAIL ADDRESS_______________________________________________________________

SCHOOL ATTENDING___________________________________________________________

PREVIOUS ASSOCIATION ______________________________________________________

TEAMS PLAYED ON ____________________________________________________________

DATE OF BIRTH__________________BIRTH CERTIFICATE PROOF_______________
MALE _______  FEMALE __________

FATHER/GAURDIAN NAME ____________________________________________________
CONTACT NUMBER____________________________________________________

MOTHER/GAURDIAN NAME____________________________________________________
CONTACT NUMBER____________________________________________________
               PARENTAL AUTHORIZATION
****************************************************************************************************I, THE PARENT/GUARDIAN OF THE ABOVE
NAMED CANDIDATE FOR ONONDAGA YOUTH HOCKEY ASSOCIATION, HEREBY GIVE MY APPROVAL TO HIS/HER PARTICIPATION IN
ANY
AND ALL ACTIVITIES OF THIS PROGRAM DURING CURRENT SEASON. I ASSUME ALL RISKS
AND HAZARDS INCIDENTAL TO SUCH PARTICIPATION INCLUDING TRANSPORTATION TO AND
FROM SUCH ACTIVITIES. I DO HEREBY WAIVE, RELEASE,ABSOLVE,INDEMNIFY, AND AGREE TO
HOLD HARMLESS ONONDAGA YOUTH HOCKEY ASSOCIATION TO ORGANIZERS, SUPERVISORS
, SPONSORS,PARTICIPANTS AND PERSONS TRANSPORTING OUR CHILDREN TO AND FROM
ACTIVITIES , FOR ANY CLAIM ARISING OUT OF AN INJURY TO OUR CHILD, EXEPT TO THE
EXTENT AND IN THE AMOUNT COVERED BY LIABILITY INSURANCE HELD BY ONONDAGA
YOUTH HOCKEY ASSOCIATION

PARENT/GUARDIAN SIGNATURE________________________________DATE__________






PAYMENT METHOD      
MAKE CHECKS PAYABLE TO O.Y.H.A.

DOWN PAYMENT ____________________1/2 COST

DOWN PAYMENT OF DUES , DUE BY OCTOBER 1ST
ALL ACCOUNT BALANCES MUST BE PAID BY NOVEMBER 31ST 2006

I AUTHORIZE ONONDAGA YOUTH HOCKEY TO CHARGE MY CREDIT CARD FOR SEASONAL DUES

SIGNATURE ______________________________________

M.C________     VISA  _______    AMERICAN EXPRESS_____

C.C. #         _______________________________________ EXP DATE _________

Home Jersey $45.00  __________  Away Jersey $45.00_________ Socks $10.00 ______

Jersey #  _________   2nd option_________  3rd option______

I AM INTERESTED IN VOLUNTEERING FOR THE FOLLOWING

FUND RAISING _____       BOARD POSITION _____  TIME/SCORE KEEPER____

COACHING ____  TOURNAMENT VOLUNTEER____  SCHEDULING____

TEAM MANAGER____  LEVEL DIRECTOR_______(AGE GROUP)___________


mail to :
OYHA
6160 MICHEAL JON WAY
CICERO NY 13039