Atom Registration Form, Shane O'Brien House League Tournament, 2018-2019 (Northumberland Minor Hockey)

Atom Registration Form
This form has a limit of 6 submissions. At the moment this page loaded, 6 submissions have been submitted. It is possible that not all submissions have been validated at this time, and more openings could become available. However, at this time no more submissions are permitted.
Thank you for entering our Shane O'Brien House League Tournament 

1.  Please complete the this entry form. 

2.  The Division convenor will confirm your acceptance into the tournament via email.

3.  Full Payment is required within 30 days of acceptance.

Payments can be sent to;
Northumberland Minor Hockey Association
750 D'Arcy St., 
Cobourg, ON 
K9A 0G1

Please add team name and division to the memo line.

Payment Info

Your Team Information

Jersey Colours:

NOTE: What is your team's jersey colours?

Team Contact

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

Coach Contact

By checking the box below, the Team Contact/Head Coach on behalf of his/her team releases any sponsors of the above mentioned tournament, its officials, arena management and all concerned with the tournament, from any liability for any injury or accident which may be incurred by any players or team official while participating in, or coming to, or going from, the tournament and accepts all decisions of the tournament committee as final.

Any team withdrawing from the tournament 30 days or less from the start of the tournament shall forfeit all paid monies.

Initial acceptance to the tournament is granted upon payment completion of the tournament entry fee [In-Full] unless contacted directly by tournament organizers stating otherwise.  Final acceptance is granted once a team submits an Approved Roster to verify the team's eligibility to participate in the Shane O'Brien House League Tournament. 

The Shane O'Brien House League Tournament Committee reserves the right to deny entry into the tournament, without reason.  Should this situation arise, all entry fees (including the deposit) shall be refunded to the payee.

This form has a limit of 6 submissions. At the moment this page loaded, 6 submissions have been submitted. It is possible that not all submissions have been validated at this time, and more openings could become available. However, at this time no more submissions are permitted.