Walden Ringette Association Registration for 2018-2019 Season

221 Niemi Road Lively, On P3Y 1G3

Player: / Address:
Birth Date: / City/Postal Code:
ORA # / Current Age:
Parent’s /Guardian Names: / E-mail/telephone:
Parent’s /Guardian Names: / E-mail/telephone

All players will be placed in their age divisions to make up teams. If you wish to have your child play in a different division, please contact the registrar to make such a request. All decisions to move a player will be made by the Walden Ringette Executive. All efforts will be made to accommodate your request if possible, based on division numbers. All decisions made by Walden Ringette are final.

I, the undersigned (registrant or legal parent/guardian), declare that the said information is true as stated. I hereby agree that both I and/or my child will abide and be governed by all by-laws, rules, regulations, policies, principals and philosophies as outlined in ORA operating manual and Walden Ringette regulations. I understand and agree that the city of Greater Sudbury and Walden Ringette association, including but not limited to Board members, coaches and volunteers will not assume any responsibility for any injuries or losses of any kind, however sustained by any program participant.

Parent Signature:______Date:______

DIVISION / Regular Registation FEE On or BEFORE Aug31st / Late Registation Fee After Aug. 31st / Total
First Year Bunny Program (U8) / FREE / FREE
Second Year Bunny Program (U8) / $100.00 / $100.00
Third Year Bunny Program (U8) / $200.00 / $200.00
New to Ringette (U10-U19) / $250.00 / $250.00
Novice (U10) / $475.00 / $575.00
Petite (U12) / $475.00 / $575.00
Tween (U14) / $475.00 / $575.00
Junior Belle (U16) / $475.00 / $575.00
Belle (U19) / $475.00 / $575.00
Open (19+) / $475.00 / $575.00
Fundraising Buy Out (per player) / $90.00 / N/A
Fundraising Buy Out (per additional player) / $50.00 / N/A
Conditioning camp (U10-U16) / $100.00 / N/A
Total Amount Due:

CONDITIONING CAMP

A conditioning camp will be held from Sept. 17th to 20th, 2018, for one hour each night: either from 6-7pm or 7-8pm (to be confirmed). The cost is $100.00.

PAYMENT INFORMATION

The personal information shall not be used or disclosed for purposes other than those for which it is collected,except with the consent of the individual or as required by law. Personal information shall be retained only aslong as necessary for the fulfillment of those purposes as required by law. Please be advised that Walden Ringetteboard reserves the right not to refund registration fees.

REGISTRATION FEES TO BE PAID IN FULL PRIOR TO Aug. 31, 2018in order to qualify for regular registration. Late registration fees must be paid before getting on the ice.

Refunds are subject to a $50.00 administration fee and a decision on whether a refund is given and the amountwill be decided by WRA Executive based on individual circumstances.

NSF cheques will be subject to a $45.00 NSF charge.

If arrangements are needed they must be given in postdated cheques.

If registering on line please submit:

  • Registration forms to
  • Payment can be by E-transfer to

* Make sure to include your child's full name in the Notes section, and that the password isringette.

Payment Type:
Cheque/cash/e-transfer / Amount / Date or Dates if post dated / Receipt #
Cheque/
Cash/
E-Transfer / chq# / $ / #

I am interested in Volunteering if a position below is available:

  • Coach (Please submit a coaching application prior to Aug. 31)
  • Manager (Please submit a coaching application prior to Aug. 31)
  • Trainer (Please submit a coaching application prior to Aug. 31)

Any volunteers for these positions will require a Vulnerable Sector Criminal Background Check and prior to taking a position youwill be required to take a training course based on the position for which you are volunteering.

USE OF CHILD'S/MY IMAGE IN MEDIA

I CONSENT TO THE USE OF MY CHILD'S IMAGE ON WRA'S WEBSITE OR OTHER PROMOTIONALMATERIAL.

I DO NOTCONSENT TO THE USE OF MY CHILD'S IMAGE ON WRA'S WEBSITE OR OTHER PROMOTIONALMATERIAL