2016-2017 > Dairy Queen Challenge Cup Tournament > DQ Registration Form (South Huron Minor Hockey)

DQ Registration Form

Welcome to the DQ Challenge Cup Tournament Registration.

Thank you for entering our Local League/House League Combined Level Tournament January 13-15, 2017

Payment of the registration fee of $775 is required to confirm your spot. You will be notified by email once all requirements are met.

All Payments can be mailed to

South Huron Minor Hockey

Attn:DQ Challenge Cup

PO Box 412

Exeter, ON

N0M 1S6

Additional requirements (roster, travel permit, and/or word doc with player names and bench staff) not submitted with the form can be emailed to

southhuron [email protected]

***Please be sure to note Team Name and Division on all communications.

Tournament Division^*

Required

What division are you registering for?

Payment Information

Payment must be submitted within 7 days of completing online registration in order to confirm your spot. All cheques can be mailed to South Huron Minor Hockey Attn: DQ Challenge Cup PO Box 412 Exeter, ON N0M 1S6 Please be sure to note the team name and division in the memo area of the cheque.

Payment Type^*

Cheque - Current DateCheque - Post Dated Nov 15

Required

Please note who the payment will come from.

Association or name on personal cheque

Your Team Information

Team Name^*

Required

i.e South Huron Sabres, if you are identified by a number or colour, please add it. ie South Huron Sabres 1 ***note: your name will appear as typed on the website

Association^*

Required

i.e South Huron Minor Hockey

Centre Classification (Category)^*

Required

BB, B, CC, C, DD, D

League^*

Required

i.e. Shamrock, Tri-County, etc

Jersey Colours:

NOTE: Bring both sets of jerseys to the tournament in case of colour conflicts!

Home^*

Required

Body Colour / Trim

Away^*

Required

Body Colour / Trim

Manager Contact

Note: In all cases the manager will be utilized as the primary contact. Please ensure that the person declared as manager has a functioning e-mail address as communication is done primarily through this avenue.

Manager^*

Required

Address^*

Required

City^*

Required

Postal Code^*

Required

Home Phone

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

Cell Phone^*

Required

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

Email Address^*

Required

Your registration Confirmation will be sent to this address

Coach Contact

Head Coach^*

Required

Cell Phone #^*

Required

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

Email Address

Example: [email protected]

Roster

Please add your roster if available. We will require a list of player names and banch staff for program printing. If you are unable to complete this section now, a word .doc with all player names will be required prior to December 5th. List can be emailed to [email protected]

Bench Staff & Position

Please list your bench staff and their position

Bench Staff & Position

Please list your bench staff and their position.

Bench Staff & Position

Please list your bench staff and their position.

Bench Staff & Position

Please list your bench staff and their position.

Bench Staff & Position

Please list your bench staff and their position.

Goalie Name

Player Name

Travel Permit

OMHA requires that every team receive a travel permit prior to participating in any tournament.

Please attach your approved travel permit here.

Allowed extensions: .jpeg, .jpg, .png, .gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.

Approved Roster

OMHA requires that every team present an approved roster prior to participating in any tournament.

Please attach your approved roster here.

Allowed extensions: .jpeg, .jpg, .png, .gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.

DQ Registration Form, Dairy Queen Challenge Cup Tournament, 2016-2017 (South Huron Minor Hockey)

Payment Information

Your Team Information

Jersey Colours:

Manager Contact

Coach Contact

Roster

Travel Permit

Approved Roster

Get Mobile!

Contact Us