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Sunday 03 December 2023 EST
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  
No
Yes
E-mail
*
Occupation
Emergency Contact Information
Name
*
Phone
*
Additional Information
Applying to Play
Full Time
Spare
*
Playing Choice
Forward
Defence
Fwd/Def
Goalie
*
Rate Yourself
5A
5B
4A
4B
3
2
*
Can you or your company provide a banquet prize?  
No
Yes
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 remainder 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
Cheque
Cash
EMT
*
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
   
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