FIRST NAME: LAST NAME: Address: Postal Code: Telephone: Date of Birth: SEX: ORA # Email: Health Concerns: I GIVE PERMISSION FOR TO PLAY RINGETTE WITH THE PICKERING RINGETTE ASSOCIATION (A.R.A.). I AGREE TO HOLD HARMLESS THE A.R.A., IT'S OFFICERS, INSTRUCTORS, OFFICIALS AND PARTICIPANTS FOR ANY CLAIM ARISING OUT OF INJURY TO MY CHILD. IN THE CASE OF SICKNESS OR INJURY ON THE ICE OR TRAVELLING TO AND FROM GAMES, I GIVE PERMISSION FOR HER/HIM TO BE TAKEN TO A HOSPITAL OR DOCTOR AND BE ADMINISTERED ANY TREATMENT NECESSARY. PARENT/GUARDIAN: DATE: (signature) Level: 5 $75 deposit attached Balance attached The Association is organized by volunteers. If you would like to volunteer please let us know. Volunteers qualify for OSS community service. I would like to volunteer with
Fee Schedule A $75.00 deposit, dated no later than May 15, 2007 must accompany registration forms, and a cheque for the balance post dated no later than Sept 14, 2007. Make all cheques payable to: Pickering Ringette Association P.O. Box 66151, Town Centre Postal Outlet 1365 Kingston Road, Pickering ON L1V 6P7 (905) 837-5386 BORN IN | LEVEL | REGIONAL B or C | PROVINCIAL A | | FIRST TIME TO RINGETTE | $199 | | 2001 - 2004 | BUNNY House League Only House League and Rep | $375.00
$550.00 | | 1999 - 2000 | NOVICE House League only House League & Rep | $375.00
$550.00 | | 1997 - 1998 | PETITE | $475.00 | $575.00 | 1995 - 1996 | TWEEN | $475.00 | $575.00 | 1994 - 1993 | JUNIOR JUNIOR AA | $475.00 | $575.00 $600.00 | 1990-91-92 | BELLE BELLE AA | $475.00 | $575.00 $600.00 | 1989 & older
| OPEN REC LADIES LEAGUE | $250.00 $300.00 | $275.00 |
BRING A FRIEND AND RECEIVE $25.00 OFF YOUR REGISTRATION. A SURCHARGE OF $25.00 IS APPLIED TO ANY REGISTRATION RECEIVED AFTER May 15, 2007. *** Bunny Minors and "NEW" registrations exempt. Surcharge applies to withdrawal after Oct.15 NOTE: Members are required to participate in Association fundraising & local tournament activities. Further information will be communicated in early September. Teams based out of Pickering will be required to volunteer for the PRA649 fundraiser per registered Ringette player or pay additional $100 in registration. INCOMPLETE REGISTRATION FORMS WILL NOT BE ACCEPTED. YOU MUST INCLUDE ALL POST DATED CHEQUES. ALL NEW PLAYERS REQUIRE A MEMBER REGISTRATION FORM AND A COPY OF PROOF OF BIRTH DATE. |