Group 1 Registration and Payment (Peterborough Girls Hockey Association)

Print Group 1 Registration and Payment

Group 1 – ALL players in the novice level and atom level kids trying out for the two lower level atom teams

This form has a limit of 30 submissions. At the moment this page loaded, 27 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 only 3 more submissions will be accepted.

PGHA Code of Conduct To avoid exiting this site, use the BACK command once you have reviewed the Code of Conduct.

Before completing this registration form, please click on the link above. Parents and players are required to read and acknowledge the Code of Conduct. By clicking the box below, every member of the PGHA acknowledges they will abide by the Code of Conduct. Should any parent or player breach the Code of Conduct, they will be subject to suspension from all PGHA events.

Code of Conduct acknowledgement.^*
Player First Name^*
Player Last Name^*
Date of Birth
Age level for 2019-2020^*
Category you played in 2018-2019^*
Category you intend to tryout for^*
Preferred Position^*
Contact Email Address^*

Example: [email protected]
Parent Name^*
Parent Contact Number^*

Example: ###-###-####
Parent Name
Parent Contact Number

Example: ###-###-####
Players Full Address ^*

Include your postal code
How will you be paying?^*

As of April 9 - 800pm Credit Card payments are no longer being accepted. Please bring cash or a cheque payable to PGHA to your first tryout.
Payment Amount^*
$100N/A
Name as it appears on credit card^*
Type of Credit Card - VISA and MasterCard only^*
VISAMasterCard
AmEx and VISA debit not accepted. A service charge will be applied to all CC payments
Credit Card Expiry^*
Credit Card Number - PLEASE INSERT AT LEAST ONE SPACE OR - WHEN ENTERING ^*
Postal Code^*
CVV Number from back of card^*