Peterborough Minor Ball Hockey League (PMBHL - (OBHA) 2021 Registration Form
The PMBHL (OBHA) is affiliated with the Ontario Ball Hockey Association, OBHA, National Ball Hockey Association of Canada, NBHA and the International Ball Hockey Association, IBHA. We also enjoy opportunities to qualify for Provincial, National and International Championships.

We are the Largest LOCALLY run and LOCALLY SPONSORED Program in Peterborough. Please look for our logo below to make sure you are with the proper league.

We offer:

- OBHA Certified Referees
- One game per week Mon - Fri. at Millbrook or other local arenas
- Championship Day Celebration & Awards - Guaranteed

Mandatory Equipment:

- CSA approved hockey helmet with full face protection, Hockey gloves, soccer-style shin pads, and athletic cup.
Soft Elbow and knee pads are also recommended.

Players in the same family of the same division can be placed on the same team, however, we can no longer accept friend requests.


Did you carry Forward your 2020 Registration fee to the 2021 season rather than request a refund? *
Player Name *
Gender of Participant *
Date of Birth *
MM
/
DD
/
YYYY
Primary Parent/Guardian Name *
Primary Parent/Guardian Email *
Primary Parent/Guardian Phone# *
Primary Parent/Guardian address *
2nd Parent/Guardian Name *
2nd Parent/Guardian Email
2nd Parent/Guardian Phone *
Division Signing up for *
Years playing ice or ball hockey *
Returning PMBHL Player *
Yes
No
Row 1
My Child plays: *
Forward
Defense
Goalie
Any
Row 1
Rate your child from 1(just beginning) - 10 (excellent) *
Ice Hockey Level *
AAA/AA
A/AE/REP
House League
Not Played
Row 1
Jersey Size *
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Row 1
Photos/Video of my child, in both print and electronic format, may be used by PMBHL-OBHA for the purposes of marketing and promotion. *
yes
no
Row 1
We always need help to make the league run. Are you interested in helping? *
Registration Fees - Select appropriate one - payable upon completion of registration. *
Registration Fees - Please pay them at the time of completing this form so we can track them. **e-transfer question, if needed, is what sport are we playing and the answer is ball hockey, no spaces. *
WAIVER In consideration of the PMBHL-OBHA and County of Peterborough (County) and the Minor Sport Association (MSA), Club or Incorporated Body specified on this form permitting me/our child to participate in the Association, Club or Incorporated Body, we hereby promise to indemnify and save harmless the City, its Council and all its employees and servants under the MSA, Club or Incorporated Body and its members from and against all claims, demands, actions, and proceeding, by whomsoever made or brought, in respect of any costs, expenses, loss, damage, or injury, including death arising by reason of or in connection with my/our child’s participation in the said activities, and hereby release and forever discharge. The County, it’s Council and its employees and servants and the MSA, Club or Incorporated Body and its members from and against all claims and demands whatsoever which we, our child, our or his heirs, executors, administrators or assigns, can, share or may have by reason of my/our child/s participation in such activities, or by reason of the provision of medical care to me/him/her. *
Rowan's Law 56 Pennsylvania Avenue, Unit 5 Concord, Ontario, L4K 3V9 T: 905-738-3320 www.ontarioballhockey.ca ROWAN’S LAW/CONCUSSION CODE OF CONDUCT AND CONCUSSION AWARENESS RESOURCE ACKNOWLEDGEMENT FORM As of July 1, 2019, every sport organization in Ontario must adhere to the Government of Ontario’s enactment of Rowan’s Law (Concussion Safety). If you are an Ontario Ball Hockey Association (OBHA) athlete under 26 years of age, the parent of an athlete under 18, a coach, a team trainer or a game official, you need to follow the rules of Rowan’s Law, which include: 1. Review the Ontario's official Concussion Awareness Resources before registering or serving with the OBHA. Concussion Awareness Resources can be found at this website: www.Ontario.ca/concussions • 10 and Under Concussion Awareness Resource • 11-14 Concussion Awareness Resource • 15 and Over Concussion Awareness Resource 2. Review the OBHA’s Concussion Code of Conduct that is provided to you found on the OBHA website at www.ontarioballhockey.ca under the Rowan’s Law Tab. 3. Confirm that you have reviewed both of these resources every year with the OBHA. Acknowledgment of Review By signing this form, I confirm that I have reviewed the applicable Concussion Awareness Resource at www.ontario.ca/concussions and that I have fully reviewed and commit to the Ontario Ball Hockey Association’s applicable Concussion Code of Conduct. *
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