2019/20 Adult Ringette Registration
Season Start: September 29/2019
Practice Times: Sundays 2:30-3:30pm - Clairmont Community Arena

Contact us at info@peacecountryringette.com

Fees are $300 for the season
Payment Options: $300 by September 15th
$75/Month PayPal Payment Plan (payments Sept-Dec)

Email address *
Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Phone Number *
Your answer
Alberta Health Care # *
Your answer
Played Ringette/Hockey/Figure Skate/Skate # of years?
What is the highest level you have played?
Your answer
Preferred Position
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Emergency Contact Relationship
Your answer
Are you Interested in..? (Check all that apply)
I am aware that registration fees only cover Ringette Alberta fees and weekly practices. I will be responsible for additional cost such as travelling to games and tournaments. *
I hereby give consent to participate in the Peace Country Ringette Program. I accept full responsibility for any injuries that I may receive. *
In the course of Peace Country Ringette activities, pictures may be take and articles may be written and submitted to the media, Ringette Alberta, and/or other organizations for the purpose of promoting ringette. I grant Peace Country Ringette permission to display or submit photos and articles which may include my name for the purpose of promoting Peace Country Ringette activities. *
I am aware that I am required to give PCR a post-dated cheque in the amount of $200 for the volunteer bond. Three fundraisers and 10 hours of Volunteer time or a year long committee or board position are required. *
Position I am interested in taking on to fulfill my volunteer commitment
Payment Information
Fees are due before or on listed dates. Etransfers (info@peacecountryringette.com) and PayPal payment plan are preferred but we also accept cash and cheques given to KIM or AMANDA. Cheques can be made out to Peace Country Ringette
How will you be paying your fees? *
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