TAKE A SHOT BCHL REGISTRATION FOR FALL AND WINTER 2025/2026 (Brantford Community Hockey League)

TAKE A SHOT BCHL REGISTRATION FOR FALL AND WINTER 2025/2026

Registration for TAKE A SHOT BCHL Hockey Fall and Winter sessions are now open. Please complete the below registration for your child(ren). There must be a separate registration made for each child. COMPLETION OF THIS APPLICATION DOES NOT GUARANTEE YOUR ACCEPTANCE INTO THIS PROGRAM. • This is a FREE Learn to Skate / Learn to Play hockey program for youth who are between 8 and 12 years old in 2025 and are NEW first-time players to the game of Hockey. This is a FREE (no cost to participant) Learn to Play program for youth who are underserved, from marginalized situations or communities, for those entitled to reconciliation and/or for those with realistic financial barriers. If you are financially able to pay registration fees, or if your child is 7 years of age or under, please proceed to our regular House League registration page to register your child for hockey. This program runs 2 hours per week for 10 weeks. Before you are approved for the program, you will be contacted by email to confirm your registration details. Registration information is collected as proof of player participation and used only for the purpose of player registration and insurance. If you have any questions or need help filling out the registration form, please email us at [email protected]

Player Information

Price: $0.00 Location: Lions Park Arena Host: Brantford Community Hockey League Age: 8 - 12 Description: No hockey equipment is required, as equipment will be provided. ***Participant must not have played hockey previously*** Players can easily transition into our regular Recreational House League program at a pro-rated fee if they wish to keep playing once their 10-week session is complete.

PLAYER NAME^*

Required

First and Last Name

Date of Birth^*

Required

House/Apartment #^*

Required

Street Name^*

Required

City/Town^*

Required

Postal Code^*

Required

Date player began residing at current address^*

Required

eg. If Player has lived at current address since birth, please enter birth date.

Ethnicity^*

Required

Gender^*

Required

Country of Birth^*

Required

My child requires equipment^*

YESNO

Required

Free equipment is provided to those that need it.

My child meets all criteria AND I am financially able to provide all equipment for my child^*

YESNO

Required

My child has never played/participated in organized hockey before^*

I agreeDo not agree

Required

Please upload a copy of child's birth certificate or passport^*

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

Parent/Guardian Information

Name of Parent or Guardian^*

Required

First and Last Name

Home Address if different from above

eg. 69-79 Market St. South, Brantford, Ontario

Main Phone Number^*

Required

eg. ###-###-####

Email Address^*

Required

Your confirmation email will be sent to this address.

Name of Second Parent/Guardian

Secondary Contact phone number

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

Emergency Contact Phone Number

If different from above

I am a parent/guardian and would like to learn the game of hockey and receive training for future coaching positions during my child's session^*

Yes, I would like to participate and learn how to become a coach (Requirements - valid Police Check, Skates, Helmet)
No, thank you

Required

Please upload Proof of Residence to verify your address^*

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

eg. Current Drivers License or utility bill with name and address of primary guardian

Please upload financial verification^*

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

eg. OW or ODSP statement or Proof of Assistane, Child Tax Benefit Notice (CCB) Letter from Case Worker , T4, Notice of Assessment, Newcomer Assistance Pkg

TAKE A SHOT BCHL REGISTRATION FOR FALL AND WINTER 2025/2026 (Brantford Community Hockey League)

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Player Information

Parent/Guardian Information

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