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Adult Team Registration Form
If you require information on the Ottawa Blues Ball Hockey Registration, please contact John Struthers at john.struthers@obbha.ca or by calling (613) 761-3106
* Indicates required field
Team Name : *
Team Color : *

Player's First Name
Player's Last Name
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Registration Type
Which season is your team interested in?



Team Representative
First Name
*
Last Name *
Phone *
Email Address *

Note:
Please identify all Goalies as "G" in the JERSEY # box.
Please identify the Captain with a "C" in the JERSEY # box.
Please identify the Assistants with an "A" in the JERSEY # box.
* Indicates required fields.


Registration Fees

Total: Fall & Winter 1,430.00 - Spring-Summer 1,110.00$

Cancellation Policy: Refunds will be given for requests emailed before the start of the season. After that date, we regret no refunds will be issued; however we will accept substitute players.

Payment Options:
Option 1 - Online Payment
You can pay your registration fee immediately by credit card online (Visa, Master card, or Amex). The credit card will be processed immediately through our Personal Pay Pal Account.
Option 2 - Cheque By requesting cheque, you will be required to send your payment to the mailing address below.
Please indicate your preferred method of payment:
Choose your payment method: *

If paying by cheque, payment must be received within 15 days of your registration. Please make cheque payable to OBBHA Inc., and mail to:

OBBHA Inc.
1106 David Manchester Rd.
Carp, Ontario
K0A 1L0

Note: Once you click continue at the bottom of the screen, you will select the payment option again to complete the payment process.
Billing Information (Required for both Payment methods)
First Name (Bill To)
*
Last Name (Bill To) *
Address *
City *
Postal Code *
Province *

Additional Information & Comments
Please provide us with any feedback or additional comments:

See you on the Floor!

Release
The OBBHA Inc., I, and my team hereby release and discharge (OBBHA) from any and all claims, demands, actions and causes of action which we may have for any damages, loss or injury suffered or incurred by us and resulting directly of indirectly from the participation of such program. We hereby undertake to indemnify the OBBHA, its agents and staff and hold them from and in respect of any and all claims, demands, actions and/or proceedings which may be brought about as a result of participating in the aforesaid program. Moreover, any cost and expenses incurred in defending any and all claims, demands, actions and proceedings shall be our responsibility. Furthermore, We give permission for our photos to be used in any OBBHA promotional material, including the website team profile stats.

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