Application | LEOHL

Player/Spare Application 2023 - 24

* Required Fields

Personal Information

Name * Birthdate * Age *
Address * City * Postal Code *
Phone Number * One Number Required (no - dash)
Home Cell Business
Text Prefered

E-mail * Occupation

Emergency Contact Information

Name * Phone *

Additional Information

Applying to Play * Playing Choice * Rate Yourself *

Can you or your company provide a banquet prize?

Full Time Players: To secure your position for next season, submit an application with an EMT down payment of $50.00 or
a cheque for $450.00 dated Oct. 1, 2023 payable to LEO Hockey, or a cash down payment of $50.00.
If paying by EMT or cash the remaider is due Oct. 1, 2023.
NOTE: The deposit is non refundable after August 1, 2023 if you choose not to play, NSF cheques are $25.00.

New Applicant or Spare: If you wish to join the league as a spare/full time player, submit an application for league review.

Payment by EMT email: payment@leohl.ca
Submit cheque/cash to Trevor Dixon.
Mail cheque to Trevor Dixon 7 Monterey Crescent, London, Ontario, N6P 1C4.

Payment Method *

Comment and/or referring player name

Player Waiver Acknowledgement

  I agree to act in accordance with the applicable Middlesex London Health Unit guidelines and observe the City of London's arena health and safety protocols when participating in LEOHL activities and events.
  I agree to abide by the LEOHL Bylaws and Playing Rules as posted at www.leohl.ca/rules.html, and to yield to all league officials as a condition of participation.
  I further agree that LEOHL executives, officials, members or participants shall not be liable for any harm or injuries to my person, or loss or damage to my personal property resulting from my participation in league activities.

Acknowledgement * Agree