Profile Change Request Form (Ajax Pickering Minor Hockey)

Profile Change Request Form

Thank you for your interest in joining the Ajax-Pickering Minor Hockey Association. If you have moved into the APMHA area and have played hockey with another organization, please complete this form. APMHA office staff will contact you with further instructions.

PLAYER INFORMATION

Player First Name:^*

Required

Player Last Name:^*

Required

Player Date of Birth:^*

Required

Player Full Address:^*

Required

Please include City and Postal Code.

Parent/Guardian Name:^*

Required

First and Last Name

Parent/Guardian Email:^*

Required

Example: [email protected]

Parent/Guardian Phone Number:^*

Required

Example: ###-###-####

Current Home Association:^*

Required

Please list your current Minor Hockey Association.

Last rostered Team:^*

Required

Please list the last team the player was rostered to, including level (ex. AAA/AA/A)

Profile Change Request Form (Ajax Pickering Minor Hockey)

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PLAYER INFORMATION

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