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Home > Clinics & Competitive Fees

Registration for clinics is to be paid by credit card only. You will also require a Medicare card, as well as being on a desktop or laptop computer (smart phone or tablet will not work).

Online forms allow for two parents to have their contact information listed. It is important that both parents receive information, so please complete both if possible. If it is of importance for one of the parents to have their name on the receipt, please take note that the online system will list the name from Parent One data. You must be already registered for the upcoming season, please register for these clinics as a returning player (Access number needed).

If you have no allergies or medical conditions, please answer NO in the required field. Please take note of the start date for each clinic, located on the website. From time to time changes in the schedule may be needed and will be posted on the website.

* Indicates Required Field

Player Information

Please note to only use a desktop or laptop computer, and not a smart phone or tablet to ensure a successful registration process, it will not work otherwise and you risk your credit card security.

E-mail is the preferred form of communication for Miramichi Minor Hockey and their associated organizations to advise you of changes in schedule, etc. If you do not have one, please enter x@x.x.

Please enter both your home and cell phone numbers (if applicable), especially if you do not have e-mail - volunteers cannot advise you of important information if they cannot reach you.

We like redundancy to ensure everyone gets the information we send, please complete Parent 2 if possible.

Please ensure the birthdate you enter for the player is correct, especially the year - the system will only present options available for the age of the player.

Please do NOT use a comma anywhere in the data fields or on this form, the comma will cause problems when exporting data.

Are you a returning Player?

Yes No

First Name *

Last Name *

Birthdate *

Access Code

(Only returning players need to enter the Access Code.)

What's my Access Code?

Email Address *

Verify Email Address *

Gender *

Male Female

Address *

City / Hometown *

Province *

Postal Code *

Phone Number *

Enable Text Messaging to Phone Number

Yes No

Secondary Phone Number

Enable Text Messaging to Secondary Phone Number

Yes No

Do you have allergies or other medical conditions? *

Please provide information.

Parent/Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email Address *

Verify Parent/Guardian Email Address *

Parent/Guardian Phone Number *

Enable Text Messaging to Parent/Guardian Phone Number

Yes No

If you enable text messaging, you will receive important announcements from your organization

Parent/Guardian Secondary Phone Number

Enable Text Messaging to Parent/Guardian Secondary Phone Number

Yes No

If you enable text messaging, you will receive important announcements from your organization

Use Above Address

Parent/Guardian Address *

Parent/Guardian City *

Parent/Guardian Province / State *

Parent/Guardian Postal / Zip Code *

Parent/Guardian 2 Information

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email Address

Verify Parent/Guardian 2 Email Address

Parent/Guardian 2 Phone Number

Enable Text Messaging to Parent/Guardian 2 Phone Number

Yes No

If you enable text messaging, you will receive important announcements from your organization.

Use Above Address

Parent/Guardian 2 Address

Parent/Guardian 2 City

Parent/Guardian 2 Province / State

Parent/Guardian 2 Postal / Zip Code

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